TY - JOUR T1 - Visuo-proprioceptive interactions in degenerative cervical spine diseases requiring surgery. AU - Freppel,S, AU - Bisdorff,A, AU - Colnat-Coulbois,S, AU - Ceyte,H, AU - Cian,C, AU - Gauchard,G, AU - Auque,J, AU - Perrin,P, Y1 - 2013/10/10/ PY - 2013/07/26/received PY - 2013/09/25/revised PY - 2013/09/26/accepted PY - 2013/10/15/entrez PY - 2013/10/15/pubmed PY - 2014/8/15/medline KW - CCRM KW - CRM KW - EC KW - EO KW - RQ KW - Romberg quotient KW - VKQ KW - cervical proprioception KW - clockwise rotary motion KW - counterclockwise rotary motion KW - degenerative cervical spine diseases KW - eyes closed situation KW - eyes open situation KW - postural sensorimotor strategies KW - static postural control KW - surgical treatment KW - visual-kinetic quotient SP - 226 EP - 32 JF - Neuroscience JO - Neuroscience VL - 255 N2 - Cervical proprioception plays a key role in postural control, but its specific contribution is controversial. Postural impairment was shown in whiplash injuries without demonstrating the sole involvement of the cervical spine. The consequences of degenerative cervical spine diseases are underreported in posture-related scientific literature in spite of their high prevalence. No report has focused on the two different mechanisms underlying cervicobrachial pain: herniated discs and spondylosis. This study aimed to evaluate postural control of two groups of patients with degenerative cervical spine diseases with or without optokinetic stimulation before and after surgical treatment. Seventeen patients with radiculopathy were recruited and divided into two groups according to the spondylotic or discal origin of the nerve compression. All patients and a control population of 31 healthy individuals underwent a static posturographic test with 12 recordings; the first four recordings with the head in 0° position: eyes closed, eyes open without optokinetic stimulation, with clockwise and counter clockwise optokinetic stimulations. These four sensorial situations were repeated with the head rotated 30° to the left and to the right. Patients repeated these 12 recordings 6weeks postoperatively. None of the patients reported vertigo or balance disorders before or after surgery. Prior to surgery, in the eyes closed condition, the herniated disc group was more stable than the spondylosis group. After surgery, the contribution of visual input to postural control in a dynamic visual environment was reduced in both cervical spine diseases whereas in a stable visual environment visual contribution was reduced only in the spondylosis group. The relative importance of visual and proprioceptive inputs to postural control varies according to the type of pathology and surgery tends to reduce visual contribution mostly in the spondylosis group. SN - 1873-7544 UR - https://www.unboundmedicine.com/medline/citation/24120556/Visuo_proprioceptive_interactions_in_degenerative_cervical_spine_diseases_requiring_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0306-4522(13)00839-7 DB - PRIME DP - Unbound Medicine ER -