Impaired Joint Proprioception in Patients with Cervical Myelopathy

Takayama, Hiroyuki; Muratsu, Hirotsugu; Doita, Minoru; Harada, Toshihiko; Yoshiya, Shinichi; Kurosaka, Masahiro

doi:10.1097/00007632-200501010-00015

Cited by 35 publications

(31 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Paradoxical embolism originating from the operative site and reaching the arterial circulation through a patent foramen ovale has rarely been reported as a cause of perioperative retinal vascular occlusion. [9] Hypotension per se seems to be a rare cause of retinal ischemia.…”

Section: Causes Of Vision Loss After Spine Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Perioperative vision loss: A complication to watch out

Grover

Jangra

2012

J Anaesthesiol Clin Pharmacol

View full text Add to dashboard Cite

Postoperative vision loss, a rare but devastating complication, has been reported after spine, cardiac, and head–neck surgeries. Its incidence following spine surgeries exceeds that after cardiothoracic surgeries. Various causes attributed to postoperative blindness include ischemic optic neuropathy, central or branch retinal artery occlusion, cortical blindness, and rarely external ocular injury. Other contributory factors described are microvascular diseases and intraoperative hemodynamic compromise. However, the exact association of these factors with postoperative blindness has not yet been confirmed. In this review, we describe causes, presentation, and treatment of postoperative blindness and also recommend practical guidelines to avoid this complication. The search strategies for this review included both search of electronic databases as well as manual search of relevant articles.

show abstract

Section: Causes Of Vision Loss After Spine Surgerymentioning

confidence: 99%

“…After surgery a patent foramen ovale was discovered and it was believed that he had sustained a paradoxical air, fat, or bone marrow embolization from the operative site in the lumbar spine. [9]…”

Section: Causes Of Vision Loss After Spine Surgerymentioning

confidence: 99%

Perioperative vision loss: A complication to watch out

Grover

Jangra

2012

J Anaesthesiol Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…Prolonged activation of BF may, for example, have produced the higher hip extensor moment and power generated at loading response to facilitate forward translation of the trunk over the supporting limb where the contra-lateral pre-swing phase has failed to generate adequate propulsion [21]. The prolonged activation of TA was not accompanied by co-activation with MG. Its isolated prolonged activation may have been a strategy to increase the stability of the ankle during stance due to impaired proprioception and joint position sense, previously identified in CSM [22].…”

Section: Discussionmentioning

confidence: 92%

Electromyographic characteristics of gait impairment in cervical spondylotic myelopathy

et al. 2013

View full text Add to dashboard Cite

The results provide evidence for paresis as a contributory factor to gait impairment in CSM, indicated by impaired amplitude and the need for proximal co-activation to compensate for lack of distal power generation. Poor proprioception may have contributed to prolonged activation of tibialis anterior. Analysis of muscle responses to lengthening suggested that spasticity was not an important contributor. These findings have implications for the assessment and rehabilitation of gait impairment in CSM.

show abstract

“…8 It was also shown that proprioceptive loss recovered after surgery earlier than muscle strength. 9 The present results demonstrated that there was significant correlation between the scores of the hand function and the JOA scores, indicating there was a good association between the impairment of hand function and the extent of cervical myelopathy.…”

Section: Discussionmentioning

confidence: 99%

“…2 Recently, it is reported that knee proprioception was impaired in cervical myelopathy and recovered after surgery. 8,9 Therefore, it is hypothesized that impairment of joint proprioception or light touch sensation may also affect the hand function of myelopathy patients. We measured the degree of proprioceptive impairment of the hand as well as that of light touch sensation loss, and assessed the association between hand function and proprioceptive impairment in patients with cervical myelopathy.…”

mentioning

confidence: 99%