慢性非特异性颈部疼痛患者姿势和平衡障碍的分析——一项观察性研究

Analysis of posture and balance impairments in individuals with chronic nonspecific neck pain-an observational study.

作者信息

Prakash Nithin, Cleland Joshua, Kalyan Hemant K, Roy Ajit Kumar, Jose Naveen Mathew, Harikesavan Karvannan

机构信息

Department of Physiotherapy, Manipal College of Health Professions Manipal Academy of Higher Education Manipal India.

Joshua Cleland, Doctor of Physical Therapy Program, Boston, Department of Rehabilitation Sciences, School of Medicine Tufts University Boston Massachusetts USA.

出版信息

Health Sci Rep. 2024 Jul 4;7(7):e2215. doi: 10.1002/hsr2.2215. eCollection 2024 Jul.

DOI:10.1002/hsr2.2215

PMID:38974326

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11224027/

Abstract

BACKGROUND

Neck pain is one of the most burdensome chronic musculoskeletal problems globally. Impaired proprioception is associated with Chronic Nonspecific neck pain as the structures of the cervical spine are crucial for proprioception and balance. There is a paucity of literature examining objective measures of balance and postural sway in patients with Nonspecific neck pain.

METHODS

This study was observational and consisted of 126 samples (63 cases and 63 controls who were recruited using convenience sampling. The demographics of the samples were collected and the postural and balance impairment was assessed using Biodex Balance SD. Mean, Median, and SD were obtained and the inferential analysis was done using the Whitney U Test and the level of significance was accepted at < 0.05.

RESULTS

The subjects with neck pain showed had a lower static stability index, static sway index, static stability index- forward backward and static sway index lateral scores than the normal counterparts. There are significant differences in the overall static stability index, ( < 0.001). There was a significant difference in static sway index( = 0.003), and static stability index lateral ( = 0.004). There was no significant difference for static sway index forward and backward ( = 0.550) and lateral sway index ( = 0.711).

CONCLUSION

Subjects with neck pain showed had a lower static stability index, static sway index, static stability index- forward backward and static sway index lateral scores than the normal counterparts and there was a significant difference between the static sway and static stability index in forward and backward directions as well as in lateral direction. These findings may help to assess the specific balance parameters and address the underlying causes of balance issues in patients with neck pain and also provide a comprehensive care to the patients.

CLINICAL TRIAL REGISTRATION

The trial was registered with CTRI India with registration number: CTRI/2022/07/044222.

摘要

背景

颈部疼痛是全球最具负担的慢性肌肉骨骼问题之一。本体感觉受损与慢性非特异性颈部疼痛相关，因为颈椎结构对本体感觉和平衡至关重要。关于非特异性颈部疼痛患者平衡和姿势摆动客观测量的文献较少。

方法

本研究为观察性研究，包括126个样本（63例病例和63例对照，采用便利抽样法招募）。收集样本的人口统计学数据，并使用Biodex Balance SD评估姿势和平衡损害。获得均值、中位数和标准差，并使用惠特尼U检验进行推断分析，显著性水平设定为<0.05。

结果

颈部疼痛患者的静态稳定性指数、静态摆动指数、前后静态稳定性指数和侧向静态摆动指数得分均低于正常对照组。总体静态稳定性指数存在显著差异（<0.001）。静态摆动指数（=0.003）和侧向静态稳定性指数（=0.004）存在显著差异。前后静态摆动指数（=0.550）和侧向摆动指数（=0.711）无显著差异。