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慢性特发性颈部疼痛患者的关节位置觉和平衡能力调查:一项横断面研究。

Investigation of Joint Position Sense and Balance in Individuals With Chronic Idiopathic Neck Pain: A Cross-Sectional Study.

作者信息

Özel Aslıyüce Yasemin, Demirel Aynur, Ülger Özlem

机构信息

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

出版信息

J Manipulative Physiol Ther. 2022 Mar-Apr;45(3):188-195. doi: 10.1016/j.jmpt.2022.06.006. Epub 2022 Jul 26.

Abstract

OBJECTIVE

The aim of this study was to determine the relationship between joint position sense and static and dynamic balance in female patients with chronic neck pain compared with healthy controls.

METHODS

The study sample comprised 25 female patients with chronic neck pain and 25 healthy (asymptomatic) female controls. Pain severity with the visual analog scale, joint position sense with the laser pointer method, static balance with the Single-Leg Balance Test, and dynamic balance with the Y Balance Test were assessed.

RESULTS

The deviation in cervical joint position sense was greater in extension (P < .001), right rotation (P < .001), and left lateral rotation (P < .05) in the patients with chronic neck pain compared with the healthy controls. The results of the patients with chronic neck pain were worse than the healthy controls in the Single-Leg Balance Test with both eyes open (P < .05) and eyes closed (P < .05). The patients with chronic neck pain had worse dynamic balance only in the anterior direction reach of the left leg (P < .05).

CONCLUSION

Cervical joint position sense and static balance were worse in female patients with chronic idiopathic neck pain when compared with asymptomatic controls. Dynamic balance in all other directions except for the anterior direction was not negatively affected in individuals with chronic idiopathic neck pain.

摘要

目的

本研究旨在确定慢性颈痛女性患者与健康对照相比,关节位置觉与静态和动态平衡之间的关系。

方法

研究样本包括25名慢性颈痛女性患者和25名健康(无症状)女性对照。采用视觉模拟量表评估疼痛严重程度,用激光指针法评估关节位置觉,用单腿平衡测试评估静态平衡,用Y平衡测试评估动态平衡。

结果

与健康对照相比,慢性颈痛患者在伸展(P < .001)、右旋(P < .001)和左旋(P < .05)时颈椎关节位置觉偏差更大。慢性颈痛患者在双眼睁开(P < .05)和闭眼(P < .05)的单腿平衡测试中的结果比健康对照差。慢性颈痛患者仅在左腿前向伸展时动态平衡较差(P < .05)。

结论

与无症状对照相比,慢性特发性颈痛女性患者的颈椎关节位置觉和静态平衡较差。慢性特发性颈痛患者除前向方向外,其他所有方向的动态平衡均未受到负面影响。

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