Evidence of Impaired Proprioception in Chronic, Idiopathic Neck Pain: Systematic Review and Meta-Analysis

Stanton, Tasha R.; Leake, Hayley B.; Chalmers, Jane; Moseley, G. Lorimer

doi:10.2522/ptj.20150241

Cited by 176 publications

(118 citation statements)

References 46 publications

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“…Patients with CINP de facto feature a significantly lesser degree of pain and disability (NDI). Together, the high variability in symptoms and the lesser degree of impairment compared to CWAD (Falla, 2004;Field, Treleaven, & Jull, 2008;Sjölander, Michaelson, Jaric, & Djupsjöbacka, 2008;Stanton, Leake, Chalmers, & Moseley, 2016;Woodhouse & Vasseljen, 2008) could explain the absence of significance in CINP for strength and postural control compared to HC.…”

Section: Discussionmentioning

confidence: 99%

Associations between brain morphology and motor performance in chronic neck pain: A whole‐brain surface‐based morphometry approach

Pauw

Coppieters

Caeyenberghs

et al. 2019

Human Brain Mapping

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Changes in brain morphology are hypothesized to be an underlying process that drive the widespread pain and motor impairment in patients with chronic neck pain. However, no earlier research assessed whole‐brain cortical morphology in these patients. This case–control study assesses group‐differences in whole‐brain morphology between female healthy controls (HC; n = 34), and female patients with chronic idiopathic neck pain (CINP; n = 37) and whiplash‐associated disorders (CWAD; n = 39). Additionally, the associations between whole‐brain morphology and motor performance including balance, strength, and neuromuscular control were assessed. Cortical volume, thickness, and surface area were derived from high resolution T1‐weighted images. T2*‐weighted images were obtained to exclude traumatic brain injury. Vertex‐wise general‐linear‐model‐analysis revealed cortical thickening in the left precuneus and increased volume in the left superior parietal gyrus of patients with CINP compared to HC, and cortical thickening of the left superior parietal gyrus compared to HC and CWAD. Patients with CWAD showed a smaller cortical volume in the right precentral and superior temporal gyrus compared to HC. ANCOVA‐analysis revealed worse neuromuscular control in CWAD compared to HC and CINP, and in CINP compared to HC. Patients with CWAD showed decreased levels of strength and sway area compared to CINP and HC. Partial correlation analysis revealed significant associations between the volume of the precentral gyrus, and neuromuscular control and strength together with an association between the volume of the superior temporal gyrus and strength. Our results emphasize the role of altered gray matter alterations in women with chronic neck pain, and its association with pain and motor impairment.

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Section: Discussionmentioning

confidence: 99%

Associations between brain morphology and motor performance in chronic neck pain: A whole‐brain surface‐based morphometry approach

Pauw

Coppieters

Caeyenberghs

et al. 2019

Human Brain Mapping

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“…However, existing studies on SoP, SpP, and BO were largely conducted on healthy subjects (Longo et al, 2008a;Fuentes et al, 2013;Longo, 2017), and clinical research has mostly investigated neurological conditions (Haggard and Wolpert, 2005;Pia et al, 2013Pia et al, , 2016, eating disorders (Keizer et al, 2011;Scarpina et al, 2014;Spitoni et al, 2015;Gadsby, 2017), and neuropathic pain syndromes such as Complex Regional Pain Syndrome-CRPS (Galer and Jensen, 1999;Förderreuther et al, 2004;Lewis et al, 2007;Reinersmann et al, 2013). A large body of literature on the field of MDRDs has instead investigated primary somatosensations (Tsay et al, 2015), mainly tactile acuity (Catley et al, 2013(Catley et al, , 2014Harvie et al, 2018) and proprioceptive precision (Stanton et al, 2016;Tong et al, 2017;Lin et al, 2019), referring generically to disturbances at the level of perception or mental representations. However, both two-point discrimination and joint repositioning error (two of the most frequently investigated tasks) cannot be considered as having a higher-order somatoperceptual involvement Hillier et al, 2015;Spitoni et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Explicit and Implicit Own's Body and Space Perception in Painful Musculoskeletal Disorders and Rheumatic Diseases: A Systematic Scoping Review

Viceconti

Camerone

Luzzi

et al. 2020

Front. Hum. Neurosci.

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Background: Pain and body perception are essentially two subjective mutually influencing experiences. However, in the field of musculoskeletal disorders and rheumatic diseases we lack of a comprehensive knowledge about the relationship between body perception dysfunctions and pain or disability. We systematically mapped the literature published about the topics of: (a) somatoperception; (b) body ownership; and (c) perception of space, analysing the relationship with pain and disability. The results were organized around the two main topics of the assessment and treatment of perceptual dysfunctions.Methods: This scoping review followed the six-stage methodology suggested by Arksey and O'Malley. Ten electronic databases and grey literature were systematically searched. The PRISMA Extension for Scoping Reviews was used for reporting results. Two reviewers with different background, independently performed study screening and selection, and one author performed data extraction, that was checked by a second reviewer.Results: Thirty-seven studies fulfilled the eligibility criteria. The majority of studies (68%) concerned the assessment methodology, and the remaining 32% investigated the effects of therapeutic interventions. Research designs, methodologies adopted, and settings varied considerably across studies. Evidence of distorted body experience were found mainly for explicit somatoperception, especially in studies adopting self-administered questionnaire and subjective measures, highlighting in some cases the presence of sub-groups with different perceptual features. Almost half of the intervention studies (42%) provided therapeutic approaches combining more than one perceptual task, or sensory-motor tasks together with perceptual strategies, thus it was difficult to estimate the relative effectiveness of each single therapeutic component.Viceconti et al. Body Perception in Musculoskeletal DisordersConclusions: To our knowledge, this is the first attempt to systematically map and summarize this research area in the field of musculoskeletal disorders and rheumatic diseases. Although methodological limitations limit the validity of the evidence obtained, some strategies of assessment tested and therapeutic strategies proposed represent useful starting points for future research. This review highlights preliminary evidence, strengths, and limitations of the literature published about the research questions, identifying key points that remain opened to be addressed, and make suggestions for future research studies. Body representation, as well as pain perception and treatment, can be better understood if an enlarged perspective including body and space perception is considered.

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“…A narrative review on knee osteoarthritis indicated impaired proprioceptive accuracy of the knee of the patients (Knoop et al, 2011). Similarly, a systematic review and meta-analysis on chronic, idiopathic neck pain found impaired proprioception among patients while performing the head-to-neutral reposition test (Stanton, Leake, Chalmers, & Moseley, 2016). Somatoform patients, however, showed higher proprioceptive accuracy than healthy controls (Scholz, Ott, & Sarnoch, 2001).…”

Section: Introductionmentioning

confidence: 99%

Do body‐related sensations make feel us better? Subjective well‐being is associated only with the subjective aspect of interoception

2019

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According to the proposition of several theoretical accounts, the perception of the bodily cues, interoceptive accuracy and interoceptive sensibility, has a significant positive impact on subjective well‐being. Others assume a negative association; however, empirical evidence is scarce. In this study, 142 young adults completed questionnaires assessing subjective well‐being, interoceptive sensibility, and subjective somatic symptoms and participated in measurements of proprioceptive accuracy (reproduction of the angle of the elbow joint), gastric sensitivity (water load test), and heartbeat tracking ability (Schandry task). Subjective well‐being showed weak to medium positive associations with interoceptive sensibility and weak negative associations with symptom reports. No associations with measures of interoceptive accuracy were found. Gastric sensitivity as opposed to heartbeat perception and proprioceptive accuracy moderated the association between interoceptive sensibility and well‐being. Thus, subjective well‐being is associated only with the self‐reported (perceived) aspect of interoception but not related to the sensory measures of interoceptive accuracy.

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Evidence of Impaired Proprioception in Chronic, Idiopathic Neck Pain: Systematic Review and Meta-Analysis

Abstract: People with chronic, idiopathic neck pain are worse than asymptomatic controls at head-to-neutral repositioning tests.

Cited by 176 publications

References 46 publications

Associations between brain morphology and motor performance in chronic neck pain: A whole‐brain surface‐based morphometry approach

Associations between brain morphology and motor performance in chronic neck pain: A whole‐brain surface‐based morphometry approach

Explicit and Implicit Own's Body and Space Perception in Painful Musculoskeletal Disorders and Rheumatic Diseases: A Systematic Scoping Review

Do body‐related sensations make feel us better? Subjective well‐being is associated only with the subjective aspect of interoception

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