Cervical dizziness: the Hautant procedure in normal and whiplash-associated-disorder subjects.

Introduction In general practice, dizziness is one of the most frequently reported complaints. Dizziness, as a part of other clinical syndromes, is found in 16% of patients and is frequently associated with whiplash-associated disorders (WAD). In manual/musculoskeletal medicine the Hautant procedure...

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Publicado en:International Musculoskeletal Medicine Vol. 33; no. 2; pp. 54 - 61
Autores principales: Slangen, Rachel, Kingma, Herman, Patijn, Jacob
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Cervical dizziness: the Hautant procedure in normal and whiplash-associated-disorder subjects.
      aug:
        au:
          Slangen, Rachel
          Kingma, Herman
          Patijn, Jacob
        affil: University Pain Centre Maastricht, Department Anesthesiology/Pain Management, Maastricht University Medical Centre, The Netherlands
      sug:
        subj:
          Whiplash Injuries
          Dizziness Etiology
          Proprioception Evaluation
          Human
          Quantitative Studies
          Female
          Reproducibility of Results
          Descriptive Statistics
          Adolescence
          Adult
          Netherlands
          Prospective Studies
          Experimental Studies
          Observational Methods
          Male
          Data Analysis Software
          Paired T-Tests
          Two-Tailed Test
          Rotation
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
          Male
      ab: Introduction In general practice, dizziness is one of the most frequently reported complaints. Dizziness, as a part of other clinical syndromes, is found in 16% of patients and is frequently associated with whiplash-associated disorders (WAD). In manual/musculoskeletal medicine the Hautant procedure has been advocated as a test for disturbed neck proprioception. The main aim of the present study was to evaluate in a quantitative way the reproducibility of Hautant's procedure in normal subjects. Patients and methods Ten healthy subjects, all women, participated in the reproducibility study with a mean age of 23.3 (range 18-28, SD 3.3). Nine subjects, who were diagnosed with WAD grade II, were included with a mean age of 33 (range 17-42, SD 15.6) and contained four male and five female subjects. Arm motion patterns in combination with a particular head movement were registered with a 3 Space Inside Track HP. A neutral-positioned receiver was attached to the ceiling, which quantified arm motion in the frontal sagittal and transversal planes, y, z, and yaw values, respectively. Results Of the 42 absolute differences in the y, z, and yaw values, 40 were reproducible. No particular motion pattern in combination with a particular head movement was seen, either in normal subjects or WAD II patients. Conclusions Based on our results, the Hautant test, as we performed it, is reproducible. In the original paper, Hautant used his test as a vestibular one and made no relation at all with cervical propriocepsis. Since no differences were found between normal subjects and WAD II patients, in clinical practice the diagnostic value of the Hautant test is very low.
      pubtype: Academic Journal
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        pictorial
        research
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      ougenre: Article
    language: English
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