The long-term course of deficient cervical kinaesthesia following a whiplash injury has a tendency to seek a physiological homeostasis. A prospective study

Kristjansson, Eythor; Björnsdóttir, Sigrún Vala; Oddsdottir, Gudny Lilja

doi:10.1016/j.math.2015.12.008

Cited by 15 publications

(19 citation statements)

References 27 publications

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“…This is in agreement with a study indicating perfect and high reliability for both time and number of errors to trace both patterns (Werner et al, 2018). The current study corroborates these findings using age-and gender-matched neck pain and control groups, given both variables are known to affect CMS (Kristjansson et al, 2016, Oddsdottir et al , 2013, Sarig Bahat H, 2016.…”

Section: Discussionsupporting

confidence: 93%

“…(Jull et al , 2008, Kristjansson and Treleaven, 2009, Kulkarni et al , 2001, Liu et al , 2003, McLain, 1994, Richmond and Bakker, 1982. Negative long-term consequences of impaired proprioception can lead to further injury, recurrence, and chronicity (Kristjansson et al , 2016, Roijezon et al , 2015. Subjective symptoms associated with impaired cervical proprioception include dizziness and light-headedness, and are more common in patients after whiplash (WAD) (Treleaven, 2011, Woodhouse et al , 2010b.…”

Section: Introductionmentioning

confidence: 99%

“…Recent prospective studies revealed improvements in cervical movement sense (CMS) in subjects with NP receiving intervention to address motor control and stability (Kristjansson et al, 2016, Meisingset et al , 2015, Sarig Bahat et al , 2015b. However, such impairments are often subtle and can remain undetected with conventional physical examination necessitating special tests to examine cervical proprioception (Oddsdottir and Kristjansson, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Clinical assessment of cervical movement sense in those with neck pain compared to asymptomatic individuals

Ernst

Williams

Werner

et al. 2019

Musculoskeletal Science and Practice

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical assessment of cervical movement sense in those with neck pain compared to asymptomatic individuals

Ernst

Williams

Werner

et al. 2019

Musculoskeletal Science and Practice

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“…Neck pain patients show sensorimotor disturbances that are often related to pain, diminished range of motion, quality of movement, and oculomotor disturbances (Storaci et al 2006;Treleaven 2008;Kristjansson and Treleaven 2009;Bexander and Hodges 2012;Kristjansson et al 2016;Stenneberg et al 2016). These oculomotor disturbances can provoke blurred vision, dizziness and the need to concentrate more than usual when reading (Treleaven and Takasaki 2014).…”

Section: Discussionmentioning

confidence: 99%

The influence of cervical movement on eye stabilization reflexes: a randomized trial

Ischebeck

Vries

Wingerden³

et al. 2017

Exp Brain Res

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To investigate the influence of the amount of cervical movement on the cervico-ocular reflex (COR) and vestibulo-ocular reflex (VOR) in healthy individuals. Eye stabilization reflexes, especially the COR, are changed in neck pain patients. In healthy humans, the strength of the VOR and the COR are inversely related. In a cross-over trial the amplitude of the COR and VOR (measured with a rotational chair with eye tracking device) and the active cervical range of motion (CROM) was measured in 20 healthy participants (mean age 24.7). The parameters were tested before and after two different interventions (hyperkinesia: 20 min of extensive active neck movement; and hypokinesia: 60 min of wearing a stiff neck collar). In an additional replication experiment the effect of prolonged (120 min) hypokinesia on the eye reflexes were tested in 11 individuals. The COR did not change after 60 min of hypokinesia, but did increase after prolonged hypokinesia (median change 0.220; IQR 0.168, p = 0.017). The VOR increased after 60 min of hypokinesia (median change 0.155, IQR 0.26, p = 0.003), but this increase was gone after 120 min of hypokinesia. Both reflexes were unaffected by cervical hyperkinesia. Diminished neck movements influences both the COR and VOR, although on a different time scale. However, increased neck movements do not affect the reflexes. These findings suggest that diminished neck movements could cause the increased COR in patients with neck complaints.

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“…[24] During the first year after trauma patients received outpatient physiotherapy (66%), massage (5%), and various analgetics (66%) and were instructed to “act as usual.” Structured multidisciplinary rehabilitation might have additional positive long-term effects compared with usual outpatient management. Beyond the natural course, a certain part of the improvements might be attributed to the rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary rehabilitation after whiplash injury

Haiduk

Benz²,

Lehmann³

et al. 2017

Medicine

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Whiplash injury associated disorders (WAD) cause high costs for public health care. Neck pain is number 16 on the global prevalence lists for the 50 most common sequelae. It is of importance to obtain long-term data on disability and working capacity outcomes after rehabilitation. Long-term prospective data of the outcome course of whiplash are sparse. The aim of this study was to quantify improvements of pain, function/role performance, vitality, and working capacity 5 years after whiplash injury and to compare the state of health to normative values at 5 years after rehabilitation.In this naturalistic, observational, prospective cohort study, 115 patients were assessed 5 years (60 months) after a multidisciplinary rehabilitation program. The assessment set consisted of the Short Form 36 (SF-36), parts of the North American Spine Society's cervical spine assessment questionnaire (NASS) and the coping strategies questionnaire (CSQ). The effects were quantified by effect size (ES) and standardized response mean (SRM). Score differences over the course were tested by the Wilcoxon–Mann–Whitney U test for significance.Comparing data between entry and 60 months after rehabilitation 8 of 15 parameters improved with large ES/SRM. Outcome between 6 and 60 months showed small to moderate ES/SRM. Working capacity increased from 0 at entry to rehabilitation to 21 h/wk at 6 months and to 30 h/wk at 60 months follow-up.After large improvements in health and working capacity in the mid-term, further important improvements were observed in the long-term course. It can be hypothesized that part of those can be attributed to the interventions during inpatient rehabilitation, for example, due to better coping strategies.

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The long-term course of deficient cervical kinaesthesia following a whiplash injury has a tendency to seek a physiological homeostasis. A prospective study

Cited by 15 publications

References 27 publications

Clinical assessment of cervical movement sense in those with neck pain compared to asymptomatic individuals

Clinical assessment of cervical movement sense in those with neck pain compared to asymptomatic individuals

The influence of cervical movement on eye stabilization reflexes: a randomized trial

Interdisciplinary rehabilitation after whiplash injury

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