Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury

Madeleine, Pascal; Prietzel, Hanne; Svarrer, Heine Michael; Arendt‐Nielsen, Lars

doi:10.1016/j.apmr.2003.03.003

Cited by 77 publications

(44 citation statements)

References 31 publications

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“…Postural control appears to be impaired in both WAD patients and chronic neck pain patients, as indicated by the larger postural trunk sway before the balance is reached, both in stance tasks and more complex gait tasks (Sjöstrom et al 2003;Michaelson et al 2003;Madeleine et al 2004). Head stability also appears to be reduced, as observed by Michaelson et al (2003) who speciWcally monitored head and trunk postural adjustments in response to unexpected or self-administered perturbation, the postural deWcits being more pronounced in WAD as compared to work-related chronic pain patients.…”

Section: Postural Controlmentioning

confidence: 81%

“…In particular, the powerful inhibition exerted by the sympathetic nervous system on proprioceptive information could contribute to explain several disorders in sensorimotor functions observed in subjects suVering from WAD, such as impairments of position sense and postural performance during perturbations (Michaelson et al 2003;Treleaven et al 2003Treleaven et al , 2005Madeleine et al 2004). As already discussed, the reduced quality of proprioceptive information might be responsible for the reduction of the eYciency and precision of movements, which, if maintained over time, may produce a reorganization in the activation of neck-shoulder muscles.…”

Section: Discussionmentioning

confidence: 93%

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Influence of sympathetic nervous system on sensorimotor function: whiplash associated disorders (WAD) as a model

2006

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There is increasing interest about the possible involvement of the sympathetic nervous system (SNS) in initiation and maintenance of chronic muscle pain syndromes of different aetiology. Epidemiological data show that stresses of different nature, e.g. work-related, psychosocial, etc., typically characterised by SNS activation, may be a co-factor in the development of the pain syndrome and/or negatively affect its time course. In spite of their clear traumatic origin, whiplash associated disorders (WAD) appear to share many common features with other chronic pain syndromes affecting the musculo-skeletal system. These features do not only include symptoms, like type of pain or sensory and motor dysfunctions, but possibly also some of the pathophysiological mechanisms that may concur to establish the chronic pain syndrome. This review focuses on WAD, particular emphasis being devoted to sensorimotor symptoms, and on the actions exerted by the sympathetic system at muscle level. Besides its well-known action on muscle blood flow, the SNS is able to affect the contractility of muscle fibres, to modulate the proprioceptive information arising from the muscle spindle receptors and, under certain conditions, to modulate nociceptive information. Furthermore, the activity of the SNS itself is in turn affected by muscle conditions, such as its current state of activity, fatigue and pain signals originating in the muscle. The possible involvement of the SNS in the development of WAD is discussed in light of the several positive feedback loops in which it is implicated.

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Section: Postural Controlmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 93%

Influence of sympathetic nervous system on sensorimotor function: whiplash associated disorders (WAD) as a model

2006

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“…Static Balance Several studies have demonstrated disturbed postural stability in individuals with traumatic neck pain, 8,68,95,96 especially in those with symptoms of dizziness. 120 Balance disturbances have also been related to neck muscle fatigue in those with WAD.…”

Section: Standing Balancementioning

confidence: 99%

Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain

Treleaven¹

2017

Journal of Orthopaedic & Sports Physical Therapy

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Synopsis There is considerable evidence to support the importance of cervical afferent dysfunction in the development of dizziness, unsteadiness, visual disturbances, altered balance, and altered eye and head movement control following neck trauma, especially in those with persistent symptoms. However, there are other possible causes for these symptoms, and secondary adaptive changes should also be considered in differential diagnosis. Understanding the nature of these symptoms and differential diagnosis of their potential origin is important for rehabilitation. In addition to symptoms, the evaluation of potential impairments (altered cervical joint position and movement sense, static and dynamic balance, and ocular mobility and coordination) should become an essential part of the routine assessment of those with traumatic neck pain, including those with concomitant injuries such as concussion and vestibular or visual pathology or deficits. Once adequately assessed, appropriate tailored management should be implemented. Research to further assist differential diagnosis and to understand the most important contributing factors associated with abnormal cervical afferent input and subsequent disturbances to the sensorimotor control system, as well as the most efficacious management of such symptoms and impairments, is important for the future. J Orthop Sports Phys Ther 2017;47(7):492–502. Epub 16 Jun 2017. doi:10.2519/jospt.2017.7052

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“…From the foregoing, it is emphasized that the improper placement head modifies sensory information and, therefore, it generates a conflict of information at the central level (30) . According to some authors, the head is the most important segment of the body for efficient postural control, it accommodates two main sensory organs: the labyrinth and visual organ (3) .…”

Section: Discussionmentioning

confidence: 99%

“…For marking the anatomical points, they used polystyrene spheres of 5 mm wrapped with reflective tape. The following points were scored: tragus (2), C7 spinous process (8), acromion (5) anterior iliac spine (21), posterior-superior iliac spine (22), femur trochanter (23), joint line of the knee (24), lateral malleolus (30) point between the head of the 2nd and 3rd metatarsal (31) (Figure 1). …”

Section: Methodsmentioning

confidence: 99%

Postura e equilíbrio corporal de escolares de oito a doze anos com e sem respiração oral

Roggia

Filha

Corrêa

et al. 2016

CoDAS

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RESUMO Objetivo Avaliar a postura e o equilíbrio corporal de escolares com e sem respiração oral e, ainda, verificar se existe correlação entre os valores obtidos na avaliação da postura corporal e na análise dos sistemas sensoriais. Método A pesquisa foi realizada com escolares de 8 a 12 anos. A amostra foi subdividida em grupo estudo (escolares com respiração oral) e grupo controle (escolares sem respiração oral). A divisão dos grupos foi determinada com base em critérios pré-estabelecidos pesquisados na anamnese, avaliação auditiva e avaliação do sistema estomatognático. Os escolares selecionados, de ambos os grupos, foram submetidos à avaliação postural por meio do Software de Análise Postural (SAPO) na vista lateral direita e na vista lateral esquerda e Posturografia Dinâmica (Foam-laser Dynamic Posturography). Resultados Na avaliação da postura, foi encontrada diferença estatisticamente significante apenas no ângulo do joelho na vista lateral esquerda. No que se refere à Posturografia Dinâmica, foi encontrada diferença estatisticamente significante nos valores obtidos nos seis testes de organização sensorial (TOS). Foi observada correlação média entre a postura da cabeça em vista lateral esquerda e os sistemas sensoriais. Conclusão Os escolares com respiração oral apresentam alterações posturais quando comparados aos escolares sem respiração oral, principalmente, no posicionamento do joelho. O equilíbrio corporal no grupo de escolares com respiração oral mostrou estar mais prejudicado quando comparado ao grupo de escolares sem respiração oral. Existe correlação entre posicionamento cefálico e os diferentes sistemas sensoriais.

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Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury

Cited by 77 publications

References 31 publications

Influence of sympathetic nervous system on sensorimotor function: whiplash associated disorders (WAD) as a model

Influence of sympathetic nervous system on sensorimotor function: whiplash associated disorders (WAD) as a model

Dizziness, Unsteadiness, Visual Disturbances, and Sensorimotor Control in Traumatic Neck Pain

Postura e equilíbrio corporal de escolares de oito a doze anos com e sem respiração oral

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