Article

Despite common use of proprioceptive retraining interventions in
people with chronic, idiopathic neck pain, evidence that proprioceptive
dysfunction exists in this population is lacking. Determining whether
proprioceptive dysfunction exists in people with chronic neck pain has clear
implications for treatment prescription.
The aim of this study was to
synthesize and critically appraise all evidence evaluating proprioceptive
dysfunction in people with chronic, idiopathic neck pain by completing a
systematic review and meta-analysis. DATA SOURCES: MEDLINE, CINAHL, PubMed,
Allied and Complementary Medicine, EMBASE, Academic Search Premier, Scopus,
Physiotherapy Evidence Database (PEDro), and Cochrane Collaboration databases
were searched. STUDY SELECTION: All published studies that compared neck
proprioception (joint position sense) between a chronic, idiopathic neck pain
sample and asymptomatic controls were included. DATA EXTRACTION: Two independent
reviewers extracted relevant population and proprioception data and assessed
methodological quality using a modified Strengthening the Reporting of
Observational Studies in Epidemiology (STROBE) statement. DATA SYNTHESIS:
Thirteen studies were included in the present review. Meta-analysis on 10 studies
demonstrated that people with chronic neck pain perform significantly worse on
head-to-neutral repositioning tests, with a moderate standardized mean difference
of 0.44 (95% confidence interval=0.25, 0.63). Two studies evaluated head
repositioning using trunk movement (no active head movement thus hypothesized to
remove vestibular input) and showed conflicting results. Three studies evaluated
complex or postural repositioning tests; postural repositioning was no different
between groups, and complex movement tests were impaired only in participants
with chronic neck pain if error was continuously evaluated throughout the
movement. LIMITATIONS: A paucity of studies evaluating complex or postural
repositioning tests does not permit any solid conclusions about them.
CONCLUSIONS: People with chronic, idiopathic neck pain are worse than
asymptomatic controls at head-to-neutral repositioning tests.
CI - (c) 2016 American Physical Therapy Association.

Langue : ANGLAIS