颈痛患者椎管狭窄程度是否影响颈椎本体感觉?

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Onur Engin, Ayse Sezgi Kizilirmak Karatas, Betul Taspinar, Ferruh Taspinar
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引用次数: 0

摘要

背景颈椎狭窄是颈椎疼痛患者的一个重要问题,它可能导致本体感觉问题。目的探讨颈椎狭窄程度对颈椎本体感觉和颈椎活动度的影响。方法选取111例以颈椎疼痛为临床表现并行颈椎磁共振成像的患者作为研究对象。使用Pa颈椎活动度(CROM)装置测量患者的ROM。用关节位置误差(JPE)测量本体感觉。采用中性头位和目标头位试验评估JPE。根据Kang分级系统检测狭窄程度。采用Kruskal-Wallis试验比较不同阶段颈椎狭窄患者的关节位置误差。结果无狭窄29例(%26),轻度狭窄31例(28%),中度狭窄31例(28%),重度狭窄20例(18%)。根据中性头位测试,不同狭窄程度患者的右侧侧屈(0级:1.67[0.67-4.67]vs. 2级:4.67[2.3-10.0],p = 0.009)和屈曲(0级:8.0[2.67-10.0]vs. 3级:12.66[8.33-17.67],p = 0.011)差异均有统计学意义。在所有运动平面中,头对目标的jpe也存在显著差异
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does the degree of stenosis affect cervical proprioception in patients with cervical pain?

BackgroundCervical stenosis is an important problem in patients with cervical pain, which may cause proprioception problems.ObjectiveThis study aims to evaluate the effect of the degree of cervical stenosis on cervical proprioception and cervical range of motion (ROM).MethodA total of 111 patients presenting with cervical pain and undergoing cervical magnetic resonance imaging were included in the study. The ROM of the patients was measured with the Pa Cervical Range of Motion (CROM) device. Proprioception was evaluated with measurement of joint position error (JPE). JPE was assessed with neutral head position and target head position tests. The severity of stenosis was detected according to the Kang grading system. The Kruskal-Wallis test is used to compare joint position error in patients with different cervical stenosis stages.ResultsTwenty nine(%26) patients had no stenosis, 31 (28%) had mild stenosis, 31 (28%) had moderate stenosis, and 20 (18%) had severe stenosis. According to the neutral head positioning test, there was a significant difference in right lateral flexion between patients with different degrees of stenosis (grade 0: 1.67[0.67-4.67] vs. grade 2: 4.67[2.3-10.0], p = 0.009) and in flexion (grade 0: 8.0[2.67-10.0] vs. grade 3: 12.66[8.33-17.67], p = 0.011). There was also a significant difference in head-to-target JPEs in all motion planes(p < 0.05).ConclusionDegree of cervical stenosis significantly affects cervical proprioception and cervical ROM. The study's findings may guide clinicians in developing effective rehabilitation programs for proprioception in cervical stenosis and encourage further research on intervention effects at different stages of the disease.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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