SERVİKAL DİSK HERNİASYONUYLA İLİŞKİLİ KRONİK BOYUN AĞRISI OLAN HASTALARDA İKİLİ GÖREVDE DENGE PERFORMANSI: KARŞILAŞTIRMALI BİR ÇALIŞMA
Öz
Amaç: Çalışmanın amacı, servikal disk herniasyonu (SDH) ile ilişkili kronik boyun ağrısı olan hastalar ve asemptomatik kontroller arasındaki ikili görevdeki denge performansını karşılaştırmaktı.
Yöntem: Bu kesitsel kontrollü çalışmaya SDH ile ilişkili kronik boyun ağrısı olan otuz iki hasta ve yaş/cinsiyet uyumlu yirmi üç asemptomatik kontrol katıldı. Modifiye Klinik Duyu Entegrasyon Testi (mKDET), atletik tek bacak testi (ATBT), stabilite limitleri (SL) ve düşme riski değerlendirmesi, bilişsel bir görevle ve bu görev olmadan gerçekleştirildi. İkili görev etkileşimi (İGE) değerlendirildi.
Sonuçlar: Bulgularımıza göre mKDET değerlerindeki değişim (gözler kapalı olarak sert bir zeminde ayakta durma dışında) ve düşme risk skorlarındaki değişim SDH grubunda kontrol grubuna göre daha fazlaydı (p<0,05). Ek olarak, mKDET değerlerinin İGE 'si (gözler kapalı bir zeminde ayakta durmak hariç) ve düşme riski skorları SDH grubunda kontrol grubuna göre daha yüksekti (p <0,05).
Tartışma: Çalışmanın sonuçları, SDH ile ilişkili kronik boyun ağrısı olan hastaların, ikili görev koşulları altında daha zayıf postüral kontrole ve artan düşme riskine sahip olduğunu göstermektedir. SDH ile ilişkili kronik boyun ağrısı olan hastalar denge ve postüral kontrolü artırmak için rehabilitasyon programına katılmalıdır.
Anahtar Kelimeler
Denge Servikal Disk Hernisi Özürlülük İkili Görev Postüral Kontrol
Proje Numarası
YOK
Kaynakça
- 1. Smith E, Cusack T, Cunningham C, Blake C. The Influence of a Cognitive Dual Task on the Gait Parameters of Healthy Older Adults: A Systematic Review and Meta-Analysis. J Aging Phys Act. 2017;25(4):671-86.
- 2. Fuster JM. Frontal lobe and cognitive development. J Neurocytol. 2002;31(3-5):373-85.
- 3. Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J. Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2011;35(3):715-28.
- 4. Kahya M, Moon S, Ranchet M, Vukas RR, Lyons KE, Pahwa R, et al. Brain activity during dual task gait and balance in aging and age-related neurodegenerative conditions: A systematic review. Exp Gerontol. 2019;128:110756.
- 5. Spindler M, Koch K, Borisov E, Özyurt J, Sörös P, Thiel C, et al. The Influence of Chronic Pain and Cognitive Function on Spatial-Numerical Processing. Front Behav Neurosci. 2018;12:165.
- 6. May A. [Chronic pain alters the structure of the brain]. Schmerz. 2009;23(6):569-75.
- 7. Hamacher D, Hamacher D, Schega L. A cognitive dual task affects gait variability in patients suffering from chronic low back pain. Exp Brain Res. 2014;232(11):3509-13.
- 8. Kressig RW, Herrmann FR, Grandjean R, Michel JP, Beauchet O. Gait variability while dual-tasking: fall predictor in older inpatients? Aging Clin Exp Res. 2008;20(2):123-30.
- 9. Ghai S, Ghai I, Effenberg AO. Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clin Interv Aging. 2017;12:557-77.
- 10. Wong JJ, Côté P, Quesnele JJ, Stern PJ, Mior SA. The course and prognostic factors of symptomatic cervical disc herniation with radiculopathy: a systematic review of the literature. Spine J. 2014;14(8):1781-9.
- 11. Meisingset I, Stensdotter AK, Woodhouse A, Vasseljen O. Neck motion, motor control, pain and disability: A longitudinal study of associations in neck pain patients in physiotherapy treatment. Man Ther. 2016;22:94-100.
- 12. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009;39(5):364-77.
- 13. Franchignoni F, Horak F, Godi M, Nardone A, Giordano A. Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest. J Rehabil Med. 2010;42(4):323-31.
- 14. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491-502.
- 15. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2009;34(16):1732-5.
- 16. Wrisley DM, Whitney SL. The effect of foot position on the modified clinical test of sensory interaction and balance. Arch Phys Med Rehabil. 2004;85(2):335-8.
- 17. Maribo T, Iversen E, Andersen NT, Stengaard-Pedersen K, Schiøttz-Christensen B. Intra-observer and interobserver reliability of One Leg Stand Test as a measure of postural balance in low back pain patients. J International Musculoskeletal Medicine. 2009;31(4):172-7.
- 18. Sung ES, Kim JH. The influence of ovulation on postural stability (Biodex Balance System) in young female. J Exerc Rehabil. 2018;14(4):638-42.
- 19. Prometti P, Olivares A, Gaia G, Bonometti G, Comini L, Scalvini S. Biodex Fall Risk Assessment in the Elderly With Ataxia: A New Age-Dependent Derived Index in Rehabilitation: An Observational Study. Medicine (Baltimore). 2016;95(10):e2977.
- 20. Negahban H, Mofateh R, Arastoo AA, Mazaheri M, Yazdi MJ, Salavati M, et al. The effects of cognitive loading on balance control in patients with multiple sclerosis. Gait Posture. 2011;34(4):479-84.
- 21. Plummer P, Eskes G. Measuring treatment effects on dual-task performance: a framework for research and clinical practice. Front Hum Neurosci. 2015;9:225.
- 22. Haddad JM, Rietdyk S, Claxton LJ, Huber JE. Task-dependent postural control throughout the lifespan. Exerc Sport Sci Rev. 2013;41(2):123-32.
- 23. Saadat M, Salehi R, Negahban H, Shaterzadeh MJ, Mehravar M, Hessam M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med J Islam Repub Iran. 2018;32:33.
- 24. Johansson J, Nordström A, Gustafson Y, Westling G, Nordström P. Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals. Age Ageing. 2017;46(6):964-70.
- 25. Kirmizi M, Yalcinkaya G, Sengul YS, Kalemci O, Angin S. Investigation of balance performance under different sensory and dual-task conditions in patients with chronic neck pain. Musculoskelet Sci Pract. 2021;56:102449.
- 26. Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: a systematic review. Physiotherapy. 2016;102(1):29-40.
- 27. Tsang CSL, Miller T, Pang MYC. Association between fall risk and assessments of single-task and dual-task walking among community-dwelling individuals with chronic stroke: A prospective cohort study. Gait Posture. 2022;93:113-8.
BALANCE PERFORMANCE IN DUAL TASK IN PATIENTS WITH CERVICAL DISC HERNIATION RELATED CHRONIC NECK PAIN: A COMPARATIVE STUDY
Öz
Purpose: The aim of the study was to compare balance performance in dual task between patients with cervical disc herniation (CDH) related chronic neck pain and asymptomatic controls.
Methods: Thirty-two patients with CDH related chronic neck pain and twenty-three age and sexmatched asymptomatic controls participated in this cross-sectional controlled study. The modified clinical test of sensory integration of balance (mCTSIB), athletic single leg test (ASLT), limits of stability (LOS), and fall risk assessment were performed with and without a cognitive task. Dual task interference (DTI) was assessed.
Results: According to our findings, the change in the mCTSIB values (except standing with eyes closed on a firm surface) and fall risk scores was greater in the CDH group compared to the control group (p<0.05). Additionally, the DTI of the mCTSIB values (except standing with eyes closed on a firm surface) and fall risk scores were higher in the CDH group than in the control group (p < 0.05).
Conclusions: The results of study suggest that patients with CDH related chronic neck pain have poorer postural control and increased fall risk under dual task conditions. Patients with CDH related chronic neck pain should participate in rehabilitation program to increase balance and postural control.
Anahtar Kelimeler
Balance Cervical Disc Herniation Disability Dual-Task Postural Control
Destekleyen Kurum
YOK
Proje Numarası
YOK
Teşekkür
Authors thank the participants.
Kaynakça
- 1. Smith E, Cusack T, Cunningham C, Blake C. The Influence of a Cognitive Dual Task on the Gait Parameters of Healthy Older Adults: A Systematic Review and Meta-Analysis. J Aging Phys Act. 2017;25(4):671-86.
- 2. Fuster JM. Frontal lobe and cognitive development. J Neurocytol. 2002;31(3-5):373-85.
- 3. Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J. Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2011;35(3):715-28.
- 4. Kahya M, Moon S, Ranchet M, Vukas RR, Lyons KE, Pahwa R, et al. Brain activity during dual task gait and balance in aging and age-related neurodegenerative conditions: A systematic review. Exp Gerontol. 2019;128:110756.
- 5. Spindler M, Koch K, Borisov E, Özyurt J, Sörös P, Thiel C, et al. The Influence of Chronic Pain and Cognitive Function on Spatial-Numerical Processing. Front Behav Neurosci. 2018;12:165.
- 6. May A. [Chronic pain alters the structure of the brain]. Schmerz. 2009;23(6):569-75.
- 7. Hamacher D, Hamacher D, Schega L. A cognitive dual task affects gait variability in patients suffering from chronic low back pain. Exp Brain Res. 2014;232(11):3509-13.
- 8. Kressig RW, Herrmann FR, Grandjean R, Michel JP, Beauchet O. Gait variability while dual-tasking: fall predictor in older inpatients? Aging Clin Exp Res. 2008;20(2):123-30.
- 9. Ghai S, Ghai I, Effenberg AO. Effects of dual tasks and dual-task training on postural stability: a systematic review and meta-analysis. Clin Interv Aging. 2017;12:557-77.
- 10. Wong JJ, Côté P, Quesnele JJ, Stern PJ, Mior SA. The course and prognostic factors of symptomatic cervical disc herniation with radiculopathy: a systematic review of the literature. Spine J. 2014;14(8):1781-9.
- 11. Meisingset I, Stensdotter AK, Woodhouse A, Vasseljen O. Neck motion, motor control, pain and disability: A longitudinal study of associations in neck pain patients in physiotherapy treatment. Man Ther. 2016;22:94-100.
- 12. Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009;39(5):364-77.
- 13. Franchignoni F, Horak F, Godi M, Nardone A, Giordano A. Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest. J Rehabil Med. 2010;42(4):323-31.
- 14. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491-502.
- 15. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2009;34(16):1732-5.
- 16. Wrisley DM, Whitney SL. The effect of foot position on the modified clinical test of sensory interaction and balance. Arch Phys Med Rehabil. 2004;85(2):335-8.
- 17. Maribo T, Iversen E, Andersen NT, Stengaard-Pedersen K, Schiøttz-Christensen B. Intra-observer and interobserver reliability of One Leg Stand Test as a measure of postural balance in low back pain patients. J International Musculoskeletal Medicine. 2009;31(4):172-7.
- 18. Sung ES, Kim JH. The influence of ovulation on postural stability (Biodex Balance System) in young female. J Exerc Rehabil. 2018;14(4):638-42.
- 19. Prometti P, Olivares A, Gaia G, Bonometti G, Comini L, Scalvini S. Biodex Fall Risk Assessment in the Elderly With Ataxia: A New Age-Dependent Derived Index in Rehabilitation: An Observational Study. Medicine (Baltimore). 2016;95(10):e2977.
- 20. Negahban H, Mofateh R, Arastoo AA, Mazaheri M, Yazdi MJ, Salavati M, et al. The effects of cognitive loading on balance control in patients with multiple sclerosis. Gait Posture. 2011;34(4):479-84.
- 21. Plummer P, Eskes G. Measuring treatment effects on dual-task performance: a framework for research and clinical practice. Front Hum Neurosci. 2015;9:225.
- 22. Haddad JM, Rietdyk S, Claxton LJ, Huber JE. Task-dependent postural control throughout the lifespan. Exerc Sport Sci Rev. 2013;41(2):123-32.
- 23. Saadat M, Salehi R, Negahban H, Shaterzadeh MJ, Mehravar M, Hessam M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med J Islam Repub Iran. 2018;32:33.
- 24. Johansson J, Nordström A, Gustafson Y, Westling G, Nordström P. Increased postural sway during quiet stance as a risk factor for prospective falls in community-dwelling elderly individuals. Age Ageing. 2017;46(6):964-70.
- 25. Kirmizi M, Yalcinkaya G, Sengul YS, Kalemci O, Angin S. Investigation of balance performance under different sensory and dual-task conditions in patients with chronic neck pain. Musculoskelet Sci Pract. 2021;56:102449.
- 26. Muir-Hunter SW, Wittwer JE. Dual-task testing to predict falls in community-dwelling older adults: a systematic review. Physiotherapy. 2016;102(1):29-40.
- 27. Tsang CSL, Miller T, Pang MYC. Association between fall risk and assessments of single-task and dual-task walking among community-dwelling individuals with chronic stroke: A prospective cohort study. Gait Posture. 2022;93:113-8.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Rehabilitasyon |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | YOK |
| Yayımlanma Tarihi | 20 Nisan 2024 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 35 Sayı: 1 |
