Sensory Interaction Balance and Limits of Stability in Neck Pain: Comparison of Traumatic and Non-traumatic Patients

Sensory Interaction Balance and Limits of Stability in Neck Pain: Comparison of Traumatic and Non-traumatic Patients

Background and Purpose: A variety of sensory-motor changes are reported in both the traumatic and non-traumatic neck pain. However, it is still unclear whether there is a significant difference between individuals with traumatic neck pain and those with non-traumatic in terms of postural control. The aim of this cross-sectional study was to investigate whether there was a difference between individuals with traumatic pain and non-traumatic neck pain in terms of postural control and disability. Methods: Ninety-two patients with chronic neck pain were grouped according to the onset of pain. Clinical test of sensory interaction balance (CTSIB) and limits of stability (LOS) test were used for postural control assessment. The Numeric Rating Scale and Neck Pain Disability Index (NPDI) were used to measure pain intensity and disability, respectively. Mann-Whitney U test was used to compare groups. Results: There were no significant differences between groups in terms of LOS, CTSIB and NPDI scores (p > 0.05). Conclusion: The results of this study suggest that postural control and disability do not differ between patients with traumatic and non-traumatic neck pain. Therefore, from a clinical perspective, postural control and disability should be evaluated without considering trauma history in patients with neck pain.

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  • 1. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006;15:834–848.
  • 2. Fejer R, Hartvigsen J. Neck pain and disability due to neck pain: what is the relation. Eur Spine J 2008;17:80–88.
  • 3. Ris I, Juul-Kristensen B, Boyle E, et al. Chronic neck pain patients with traumatic or non-traumatic onset: Differences in characteristics. A cross-sectional study. Scand J Pain 2017;14:1-8.
  • 4. Woodhouse A, Vasseljen O. Altered motor control patterns in whiplash and chronic neck pain. BMC Musculoskelet Disord 2008;9:90.
  • 5. Chien A, Sterling M. Sensory hypoaesthesia is a feature of chronic whiplash but not chronic idiopathic neck pain. Man Ther 2010;15:48–53.
  • 6. Jull G, Kristjansson E, Dall’Alba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther 2004;9:89–94.
  • 7. Sterling M. Neck pain: much more than a psychosocial condition. J Orthop Sports Phys Ther 2009;39:309–311.
  • 8. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther 2008;13(1):2-11.
  • 9. Ruhe A, Fejer R, Walker B. On the relationship between pain intensity and postural sway in patients with non-specific neck pain. J Back Musculoskelet Rehabil 2013;26(4):401-409.
  • 10. Juul-Kristensen B, Clausen B, Ris I, et al. Increased neck muscle activity and impaired balance among females with whiplash-related chronic neck pain: a cross-sectional study. J Rehabil Med 2013;45(4):376-384.
  • 11. Amaral G, Martins H, Silva AG. Postural control in subclinical neck pain: a comparative study on the effect of pain and measurement procedures. Scand J Pain 2018;18(2):295-302.
  • 12. Jørgensen MB, Skotte JH, Holtermann A, et al. Neck pain and postural balance among workers with high postural demands - a cross-sectional study. BMC Musculoskelet Disord 2011;12,176.
  • 13. Field S, Treleaven J, Jull G. Standing balance: a comparison between idiopathic and whiplash-induced neck pain. Man Ther 2008;13(3):183-191.
  • 14. Falla D, Peolsson A, Peterson G, et al. Perceived pain extent is associated with disability, depression and self-efficacy in individuals with whiplash-associated disorders. Eur J Pain 2016; 20(9): 1490–1501.
  • 15. Ris I, Barbero M, Falla D, et al. Pain extent is more strongly associated with disability, psychological factors, and neck muscle function in people with non-traumatic versus traumatic chronic neck pain: a cross sectional study. Eur J Phys Rehabil Med 2019; 55(1) :71-78.
  • 16. Elliott JM, Pedler AR, Jull GA, et al. Differential changes in muscle composition exist in traumatic and nontraumatic neck pain. Spine (Phila Pa 1976) 2014;39(1):39-47.
  • 17. Sherafat S, Salavati M, Takamjani IE, et al. Intrasession and intersession reliability of postural control in participants with and without nonspecific low back pain using the Biodex Balance System. J Manipulative Physiol Ther 2013;36(2),111-118.
  • 18. Cleland JA, Childs JD, Whitman JM. Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil 2008;89(1):69-74.
  • 19. Aslan E, Karaduman A, Yakut Y, et al. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine 2008; 33(11), E362-E365.
  • 20. Proske U, Gandevia SC. The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Physiol Rev 2012;92:1651–1697.
  • 21. de Vries J, Ischebeck BK, Voogt LP, et al. Joint position sense error in people with neck pain: a systematic review. Man Ther 2015;20:736–744.
  • 22. De Pauw R, Coppieters I, Palmans T, et al. Motor impairment in patients with chronic neck pain: does the traumatic event play a significant role? A case-control study. Spine J 2018;18(8):1406-1416.
  • 23. Vuillerme N, Pinsault N. Experimental neck muscle pain impairs standing balance in humans. Exp Brain Res 2009;192(4):723-729.
  • 24. Moseley GL, Butler DS. Fifteen years of explaining pain: the past, present, and future. J Pain 2015;16(9),807–813.
  • 25. Michaelson P, Michaelson M, Jaric S, et al. Vertical posture and head stability in patients with chronic neck pain. J Rehabil Med 2003;35:229–235.
Journal of Basic and Clinical Health Sciences-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2016
  • Yayıncı: DOKUZ EYLÜL ÜNİVERSİTESİ
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