Head repositioning accuracy in patients with neck pain and asymptomatic subjects: concurrent validity, influence of motion speed, motion direction and target distance.

Background: Cervicocephalic kinesthetic deficiencies have been demonstrated in patients with chronic neck pain (NP). On the other hand, authors emphasized the use of different motion speeds for assessing functional impairment of the cervical spine.Purpose: The objectives of this study were (1) to in...

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Publicado en:European Spine Journal Vol. 24; no. 12; pp. 2885 - 2892
Autores principales: Dugailly, Pierre-Michel, De Santis, Roberta, Tits, Mathieu, Sobczak, Stéphane, Vigne, Anna, Feipel, Véronique
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 24
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      pub: Springer Nature
      place: New York, New York
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        atl: Head repositioning accuracy in patients with neck pain and asymptomatic subjects: concurrent validity, influence of motion speed, motion direction and target distance.
      aug:
        au:
          Dugailly, Pierre-Michel
          De Santis, Roberta
          Tits, Mathieu
          Sobczak, Stéphane
          Vigne, Anna
          Feipel, Véronique
          Sobczak, Stéphane
          Feipel, Véronique
        affil: Research Unit in Osteopathy, Faculty of Motor Sciences (FSM), Université Libre de Bruxelles (ULB), Brussels Belgium
      sug:
        subj:
          Movement Physiology
          Posture Physiology
          Neck Pain Diagnosis
          Chronic Pain Physiopathology
          Neck Pain Physiopathology
          Reproducibility of Results
          Middle Age
          Cervical Vertebrae Physiopathology
          Neck Physiopathology
          Kinesthesis Physiology
          Range of Motion
          Adult
          Case Control Studies
          Female
          Male
          Human
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Background: Cervicocephalic kinesthetic deficiencies have been demonstrated in patients with chronic neck pain (NP). On the other hand, authors emphasized the use of different motion speeds for assessing functional impairment of the cervical spine.Purpose: The objectives of this study were (1) to investigate the head repositioning accuracy in NP patients and control subjects and (2) to assess the influence of target distance, motion speed, motion direction and pain.Materials and Methods: Seventy-one subjects (36 healthy subjects and 35 NP patients; age 30-55 years) performed the head repositioning test (HRT) at two different speeds for horizontal and vertical movements and at two different distances. For each condition, six consecutive trials were sampled.Results: The study showed the validity and reproducibility of the HRT, confirming a dysfunctional threshold of 4.5°. Normative values of head repositioning error up to 3.6° and 7.1° were identified for healthy and NP subjects, respectively. A distance of 180 cm from the target and a natural motion speed increased HRT accuracy. Repositioning after extension movement showed a significantly larger error in both groups. Intensity, duration of pain as well as pain level did not significantly alter head repositioning error.Conclusions: The assessment of proprioceptive performance in healthy and NP subjects allowed the validation of the HRT. The HRT is a simple, not expensive and fast test, easily implementable in daily practice to assess and monitor treatment and evolution of proprioceptive cervical deficits.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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