Movement Disorders (revue)

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Postural responses to continuous unilateral neck muscle vibration in standing patients with cervical dystonia

Identifieur interne : 002C69 ( Main/Exploration ); précédent : 002C68; suivant : 002C70

Postural responses to continuous unilateral neck muscle vibration in standing patients with cervical dystonia

Auteurs : Marco Bove [Italie] ; Giampaolo Brichetto [Italie] ; Giovanni Abbruzzese [Italie] ; Roberta Marchese [Italie] ; Marco Schieppati [Italie]

Source :

RBID : ISTEX:86BDA730F3DED4FAFDC0C3D3C6944AF5008D5A93

Descripteurs français

English descriptors

Abstract

Several observations support the notion that integration of neck proprioceptive input is impaired in cervical dystonia (CD). An example is the inconsistent or opposite to normal effect of lateral neck muscle vibration on body rotation during stepping. We hypothesized that lateral neck vibration produces abnormal responses also in a static task. Normal subjects and patients with CD stood quietly with eyes closed, without or with vibration applied to the sternocleidomastoid muscle, and center of foot pressure and body sway were recorded by a dynamometric platform. Patients had a larger than normal sway under control condition. They showed little or no postural responses to vibration. When body tilt occurred, it was rarely in the frontal plane as in normal subjects, but in the sagittal plane. No relationship existed between vibration‐induced tilt during stance and body rotation during stepping. Therefore, in CD, proprioceptive neck input is less used for the construction of the postural vertical during quiet stance than it is used for the definition of the subjective straight ahead during a dynamic task. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21357


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Several observations support the notion that integration of neck proprioceptive input is impaired in cervical dystonia (CD). An example is the inconsistent or opposite to normal effect of lateral neck muscle vibration on body rotation during stepping. We hypothesized that lateral neck vibration produces abnormal responses also in a static task. Normal subjects and patients with CD stood quietly with eyes closed, without or with vibration applied to the sternocleidomastoid muscle, and center of foot pressure and body sway were recorded by a dynamometric platform. Patients had a larger than normal sway under control condition. They showed little or no postural responses to vibration. When body tilt occurred, it was rarely in the frontal plane as in normal subjects, but in the sagittal plane. No relationship existed between vibration‐induced tilt during stance and body rotation during stepping. Therefore, in CD, proprioceptive neck input is less used for the construction of the postural vertical during quiet stance than it is used for the definition of the subjective straight ahead during a dynamic task. © 2007 Movement Disorder Society</div>
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