Abstract

Aim

Since cervical joint position error (JPE) and visual dependency (VD) may reflect altered ascending inputs from the neck receptors, the aim of the present study was to test how these parameters may be impacted by those clinical parameters in cervicogenic dizziness (CGD) patients when compared with healthy subjects participants.

Materials and methods

93 subjects participants fulfilling inclusion criteria for CGD and 98 age- and gender-matched healthy subjects volunteers – undergoing cervical relocation and rod and disc test to evaluate JPE and VD, respectively – were compared to each other. Cervical range of motion (CROM), Dizziness Handicap Inventory (DHI), Neck Disability Index (NDI), Neck pain intensity (NPI), Tampa Scale for Kinesiophobia (TSK-17) and Hospital Anxiety and Depression Scale (HADS) were also collected in both groups

Results

When compared to healthy participants, CGD patients were found to have a higher degree of JPE in right (p = 0.008, mean difference, MD: 2.88) and left (p = 0.006, MD: 2.55) rotation as well as in extension (p = 0.011, MD: 2.31), flexion (p = 0.009, MD: 2.35) and mean value (p = 0.001, MD: 2.53) and higher degrees of error in CCW at +40° and −40° (p = 0.012, MD: 0.85 and p = 0.016, MD: 0.82, respectively) and CW at +40° and −40° (p = 0.018, MD: 0.83 and p = 0.015 MD: 0.81, respectively). CGD patients also demonstrated a significant reduction in degrees of CROM in active flexion (p = 0.011, MD: −34.63), extension (p = 0.018, MD: −21.67), left (p = 0.012, MD: −28.29) and right (p = 0.009, MD: −28.52) rotation, and left (p = 0.02, MD: −7.29) and right (p = 0.021, MD: −5.05) lateral flexion. Furthermore, these patients demonstrated higher scores in total DHI (p = 0.007, MD: 25.17) (and relative DHI-P, DHI-F, DHI-E; p = 0.009, MD: 11.4; p = 0.014, MD: 8.73 and p = 0.018, MD: 5.03, respectively), in TSK-17 (p = 0.017, MD: 17.56), and HADS, both in anxiety (p = 0.022, MD: 4.62) and depression (p = 0.02, MD: 7.31) subscale.

Conclusions

A possible common physiopathological background may impact on processes involved in both the JPE and VD behaviour, entangled in a vicious circle with the impaired subjective clinical and quality of life perception.

中文翻译：

---

关节位置误差、视觉依赖性和主观知觉在颈源性眩晕中的相互作用。

摘要

目的

由于颈椎关节位置误差 (JPE) 和视觉依赖 (VD) 可能反映颈部受体的上升输入改变，本研究的目的是测试这些参数如何受到颈源性头晕 (CGD) 患者的临床参数的影响与健康受试者相比。

材料和方法

93 名符合 CGD 纳入标准的受试者和 98 名年龄和性别匹配的健康受试者志愿者（分别接受宫颈复位和杆和椎间盘测试以评估 JPE 和 VD）进行了相互比较。还收集了颈椎活动度 (CROM)、头晕障碍量表 (DHI)、颈部残疾指数 (NDI)、颈部疼痛强度 (NPI)、坦帕运动恐惧症量表 (TSK-17) 和医院焦虑和抑郁量表 (HADS)在两组

结果

与健康参与者相比，发现 CGD 患者在右侧（p  = 0.008，平均差异，MD：2.88）和左侧（p  = 0.006，MD：2.55）旋转以及伸展（p  = 0.011, MD: 2.31)、屈曲 ( p  = 0.009, MD: 2.35) 和平均值 ( p  = 0.001, MD: 2.53) 以及在 +40° 和 -40° ( p  = 0.012, MD：分别为 0.85 和p  = 0.016，MD：0.82）和 CW 在 +40° 和 -40°（分别为p  = 0.018，MD：0.83 和p  = 0.015 MD：0.81）。CGD 患者还表现出主动屈曲时 CROM 度数的显着降低（p = 0.011, MD: -34.63), 延伸 ( p  = 0.018, MD: -21.67), 左 ( p  = 0.012, MD: -28.29) 和右 ( p  = 0.009, MD: -28.52) 旋转，和左 ( p  = 0.02，MD：-7.29）和右侧（p  = 0.021，MD：-5.05）侧屈。此外，这些患者的总 DHI 得分较高（p  = 0.007，MD：25.17）（以及相对 DHI-P、DHI-F、DHI-E；p  = 0.009，MD：11.4；p  = 0.014，MD：8.73 和p  = 0.018，MD：5.03，分别在 TSK-17（p  = 0.017，MD：17.56）和 HADS，焦虑（p  = 0.022，MD：4.62）和抑郁（p = 0.02，MD：7.31) 子量表。

结论

一个可能的常见病理生理学背景可能会影响 JPE 和 VD 行为所涉及的过程，从而陷入与主观临床和生活质量感知受损的恶性循环中。