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Trunk sway measures of postural stability during clinical balance tests in patients with chronic whiplash injury symptoms

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Trunk sway measures of postural stability during clinical balance tests in patients with chronic whiplash injury symptoms

Auteurs : Henrik Sjöström [Suisse] ; John H. J. Allum [Suisse] ; Mark G. Carpenter [Canada] ; Allan L. Adkin [Canada] ; Flurin Honegger [Suisse] ; Thierry Ettlin [Suisse]

Source :

Spine : (Philadelphia, PA. 1976) [ 0362-2436 ] ; 2003.

RBID : Pascal:04-0029721

Descripteurs français

Pascal (Inist)
- Traumatisme, Rachis cervical, Cervical syndrome, Chronique, Symptomatologie, Stabilité, Posture, Evaluation, Oscillation, Tronc, Essai, Etude comparative, Homme.
Wicri :
- topic : Traumatisme, Essai, Homme.

English descriptors

KwdEn :
- Cervical spine, Cervical syndrome, Chronic, Comparative study, Evaluation, Human, Oscillation, Posture, Stability, Symptomatology, Test, Trauma, Trunk.

Abstract

Study Design. Trunk away occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. Objectives. To examine if population specific trunk sway patterns for stance and gait could be identified for chronic whiplash injury patients. of Background Data. Our previous work has established that it is possible to identify specific patterns of stance and gait deficits for vestibular loss (both acute and compensated) patients and those with Parkinson's disease. Our question was whether it was possible to use the same stance and gait tasks to identify patterns of trunk sway differences with respect to those of healthy subjects and individuals with a chronic whiplash injury. Methods. Twenty-five subjects with history of whiplash injury and 170 healthy age-matched control subjects participated in the study. Trunk sway angular displacements in chronic whiplash patients were assessed for a number of stance and gait tasks similar to those of the Tinetti and Clinical Test of Sensory interaction and Balance (CTSIB) protocols. We used a lightweight, easy-to-attach, body-worn apparatus to measure trank angular displacements and velocities in the roll (lateral) and the pitch (forward-backward) planes. Results. Data analysis revealed several significant differences between the two groups. A pattern could be identified, showing greater trunk sway for stance tasks and for complex gait tasks that required task-specific gaze control such as walking up and down stairs. Trunk sway was less, however, for simple gait tasks that demanded large head movements but no task-specific gaze control, such as walking while rotating the head. Conclusions. Subjects who have a chronic whiplash injury show a characteristic pattern at trunk away that is different from that of other patient groups with balance disorders. Balance was most unstable during gait involving task-specific head movements which possibly enhance a pathologic vestibulo-cervical interaction.

Affiliations:

Canada, Suisse

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Le document en format XML

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<term>Evaluation</term>
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<term>Oscillation</term>
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<front><div type="abstract" xml:lang="en">Study Design. Trunk away occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. Objectives. To examine if population specific trunk sway patterns for stance and gait could be identified for chronic whiplash injury patients. of Background Data. Our previous work has established that it is possible to identify specific patterns of stance and gait deficits for vestibular loss (both acute and compensated) patients and those with Parkinson's disease. Our question was whether it was possible to use the same stance and gait tasks to identify patterns of trunk sway differences with respect to those of healthy subjects and individuals with a chronic whiplash injury. Methods. Twenty-five subjects with history of whiplash injury and 170 healthy age-matched control subjects participated in the study. Trunk sway angular displacements in chronic whiplash patients were assessed for a number of stance and gait tasks similar to those of the Tinetti and Clinical Test of Sensory interaction and Balance (CTSIB) protocols. We used a lightweight, easy-to-attach, body-worn apparatus to measure trank angular displacements and velocities in the roll (lateral) and the pitch (forward-backward) planes. Results. Data analysis revealed several significant differences between the two groups. A pattern could be identified, showing greater trunk sway for stance tasks and for complex gait tasks that required task-specific gaze control such as walking up and down stairs. Trunk sway was less, however, for simple gait tasks that demanded large head movements but no task-specific gaze control, such as walking while rotating the head. Conclusions. Subjects who have a chronic whiplash injury show a characteristic pattern at trunk away that is different from that of other patient groups with balance disorders. Balance was most unstable during gait involving task-specific head movements which possibly enhance a pathologic vestibulo-cervical interaction.</div>
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Trunk sway measures of postural stability during clinical balance tests in patients with chronic whiplash injury symptoms

Trunk sway measures of postural stability during clinical balance tests in patients with chronic whiplash injury symptoms

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri