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Sensorimotor Control in Individuals With Idiopathic Neck Pain and Healthy Individuals

DE ZOETE RMJ; OSMOTHERLY PG; RIVETT DA; FARRELL SF; SNODGRASS SJ
ARCH PHYS MED REHABIL , 2017, vol. 98, n° 6, p. 1257-1271
Doc n°: 185895
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2016.09.121
Descripteurs : CC5 - PATHOLOGIE/ RACHIS CERVICAL

OBJECTIVES: (1) To identify reported tests used to assess sensorimotor control in
individuals with idiopathic neck pain and (2) to investigate whether these tests
can quantify differences between individuals with idiopathic neck pain and
healthy individuals. DATA SOURCES: Allied and Complementary Medicine Database,
CINAHL, Cochrane Central Register of Controlled Trials, Embase, MEDLINE,
Physiotherapy Evidence Database, Scopus, and SPORTDiscus. STUDY SELECTION:
Studies reporting sensorimotor outcomes in individuals with idiopathic neck pain
or healthy individuals were identified. There were 1,677 records screened
independently by 2 researchers for eligibility: 43 studies were included in the
review, with 30 of these studies included in the meta-analysis. DATA EXTRACTION:
Methodologic quality was determined using the Quality Assessment Tool for
Observational Cohort and Cross-Sectional Studies. Data were extracted using a
standardized extraction table. DATA SYNTHESIS: Sensorimotor control was most
commonly assessed by joint position error and postural sway. Pooled means for
joint position error after cervical rotation in individuals with neck pain
(range, 2.2 degrees -9.8 degrees ) differed significantly (P=.04) compared with
healthy individuals (range, 1.66 degrees -5.1 degrees ). Postural sway with eyes
open ranged from 4.85 to 10.5cm(2) (neck pain) and 3.5 to 6.6cm(2) (healthy)
(P=.16), and postural sway with eyes closed ranged from 2.51 to 16.6cm(2) (neck
pain) and 2.74 to 10.9cm(2) (healthy) (P=.30). Individual studies, but not
meta-analysis, demonstrated differences between neck pain and healthy groups for
postural sway. Other test conditions and other tests were not sufficiently
investigated to enable pooling of data. CONCLUSIONS: The findings from this
review suggest sensorimotor control testing may be clinically useful in
individuals with idiopathic neck pain. However, results should be interpreted
with caution because clinical differences were small; therefore, further
cross-sectional research with larger samples is needed to determine the magnitude
of the relation between sensorimotor control and pain and to assess any potential
clinical significance.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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