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Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis.
BMC Musculoskelet Disord. 2019 Oct 15; 20(1):447.BM

Abstract

BACKGROUND

Cervical proprioception is critical in the maintenance of posture and movements, so its assessment in different cervical conditions has gained importance in recent clinical practice. Studies reporting this assessment in subjects with cervical spondylosis (CS) have not previously been investigated. The goals of the study are (1) comparison of joint position error (JPE) in subjects with CS to healthy control group. (2) Correlation of neck pain intensity to cervical proprioception in patients with CS.

METHODS

In a Cross-sectional study, 132 subjects with CS and 132 healthy age-matched control subjects were evaluated for cervical JPE with the cervical range of motion device. The subjects were blindfolded and repositioned their heads to a target position, which was determined by the examiner previously and their repositioning accuracy (absolute error in degrees) was measured in the frontal (flexion and extension) and transverse planes (left rotation and right rotation). The CS subjects resting neck pain intensity was assessed using visual analog scale (VAS).

RESULTS

CS subjects showed statistically significantly larger JPEs compared to healthy control subjects in all the directions tested (flexion - 95% CI = 2.38-3.55, p < 0.001, extension - 95% CI =3.26-4.33, p < 0.001, left rotation - 95% CI = 2.64 - 3.83, p < 0.001, right rotation - 95% CI = 3.77-4.76, p < 0.001). The mean JPE errors in the CS group ranged from 6.27° to 8.28° and in the control group ranged from 2.36° to 4.48°. Pearson's correlation coefficient showed a significant and positive relationship between neck pain intensity and cervical proprioception (p ≤ 0.001).

CONCLUSIONS

Proprioception is impaired in subjects with CS when compared to healthy control group. Higher pain intensity was associated with greater cervical JPE in patients with CS.

Links

PMC Free PDF

Authors+Show Affiliations

Reddy RS
Department of Medical Rehabilitation (Physical Therapy), College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia. rshankar@kku.edu.sa.
Tedla JS
Department of Medical Rehabilitation (Physical Therapy), College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.
Dixit S
Department of Medical Rehabilitation (Physical Therapy), College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.
Abohashrh M
Department of Basic Medical Sciences, College of applied medical sciences, King Khalid University, Abha, Saudi Arabia.

MeSH

AdultCervical VertebraeCross-Sectional StudiesFemaleHead MovementsHealthy VolunteersHumansMaleMiddle AgedNeckNeck PainPain MeasurementPostureProprioceptionRange of Motion, ArticularSeverity of Illness IndexSpondylosis

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31615495

Clinical Trial Links

The Effects of Manual Therapy on Balance and Cervical Proprioception

Citation

Reddy, Ravi Shankar, et al. "Cervical Proprioception and Its Relationship With Neck Pain Intensity in Subjects With Cervical Spondylosis." BMC Musculoskeletal Disorders, vol. 20, no. 1, 2019, p. 447.
Reddy RS, Tedla JS, Dixit S, et al. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019;20(1):447.
Reddy, R. S., Tedla, J. S., Dixit, S., & Abohashrh, M. (2019). Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskeletal Disorders, 20(1), 447. https://doi.org/10.1186/s12891-019-2846-z
Reddy RS, et al. Cervical Proprioception and Its Relationship With Neck Pain Intensity in Subjects With Cervical Spondylosis. BMC Musculoskelet Disord. 2019 Oct 15;20(1):447. PubMed PMID: 31615495.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. AU - Reddy,Ravi Shankar, AU - Tedla,Jaya Shanker, AU - Dixit,Snehil, AU - Abohashrh,Mohammed, Y1 - 2019/10/15/ PY - 2019/05/06/received PY - 2019/09/20/accepted PY - 2019/10/17/entrez PY - 2019/10/17/pubmed PY - 2020/2/25/medline KW - Cervical spondylosis KW - Neck pain KW - Pain intensity KW - Proprioception SP - 447 EP - 447 JF - BMC musculoskeletal disorders JO - BMC Musculoskelet Disord VL - 20 IS - 1 N2 - BACKGROUND: Cervical proprioception is critical in the maintenance of posture and movements, so its assessment in different cervical conditions has gained importance in recent clinical practice. Studies reporting this assessment in subjects with cervical spondylosis (CS) have not previously been investigated. The goals of the study are (1) comparison of joint position error (JPE) in subjects with CS to healthy control group. (2) Correlation of neck pain intensity to cervical proprioception in patients with CS. METHODS: In a Cross-sectional study, 132 subjects with CS and 132 healthy age-matched control subjects were evaluated for cervical JPE with the cervical range of motion device. The subjects were blindfolded and repositioned their heads to a target position, which was determined by the examiner previously and their repositioning accuracy (absolute error in degrees) was measured in the frontal (flexion and extension) and transverse planes (left rotation and right rotation). The CS subjects resting neck pain intensity was assessed using visual analog scale (VAS). RESULTS: CS subjects showed statistically significantly larger JPEs compared to healthy control subjects in all the directions tested (flexion - 95% CI = 2.38-3.55, p < 0.001, extension - 95% CI =3.26-4.33, p < 0.001, left rotation - 95% CI = 2.64 - 3.83, p < 0.001, right rotation - 95% CI = 3.77-4.76, p < 0.001). The mean JPE errors in the CS group ranged from 6.27° to 8.28° and in the control group ranged from 2.36° to 4.48°. Pearson's correlation coefficient showed a significant and positive relationship between neck pain intensity and cervical proprioception (p ≤ 0.001). CONCLUSIONS: Proprioception is impaired in subjects with CS when compared to healthy control group. Higher pain intensity was associated with greater cervical JPE in patients with CS. SN - 1471-2474 UR - https://www.unboundmedicine.com/medline/citation/31615495/Cervical_proprioception_and_its_relationship_with_neck_pain_intensity_in_subjects_with_cervical_spondylosis_ DB - PRIME DP - Unbound Medicine ER -