Associations between pressure pain threshold in the neck and postural control in patients with dizziness or neck pain - a cross-sectional study.
Identifieur interne : 000164 ( Main/Curation ); précédent : 000163; suivant : 000165Associations between pressure pain threshold in the neck and postural control in patients with dizziness or neck pain - a cross-sectional study.
Auteurs : Mari K. Knapstad [Norvège] ; Frederik K. Goplen [Norvège] ; Tove Ask [Norvège] ; Jan S. Skouen [Norvège] ; Stein Helge G. Nordahl [Norvège]Source :
- BMC musculoskeletal disorders [ 1471-2474 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Cervicalgie (physiopathologie), Cervicalgie (psychologie), Cervicalgie (étiologie), Cou (physiopathologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Posture (physiologie), Pression (effets indésirables), Sensation vertigineuse (complications), Sensation vertigineuse (physiopathologie), Seuil nociceptif (physiologie), Équilibre postural (physiologie), Études prospectives (MeSH), Études transversales (MeSH).
- MESH :
- effets indésirables : Pression, Sensation vertigineuse.
- physiologie : Posture, Seuil nociceptif, Équilibre postural.
- physiopathologie : Cervicalgie, Cou, Sensation vertigineuse.
- psychologie : Cervicalgie.
- étiologie : Cervicalgie.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Études prospectives, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Cross-Sectional Studies (MeSH), Dizziness (complications), Dizziness (physiopathology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Neck (physiopathology), Neck Pain (etiology), Neck Pain (physiopathology), Neck Pain (psychology), Pain Threshold (physiology), Postural Balance (physiology), Posture (physiology), Pressure (adverse effects), Prospective Studies (MeSH).
- MESH :
- adverse effects : Pressure.
- complications : Dizziness.
- etiology : Neck Pain.
- physiology : Pain Threshold, Postural Balance, Posture.
- physiopathology : Dizziness, Neck, Neck Pain.
- psychology : Neck Pain.
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prospective Studies.
Abstract
BACKGROUND
It is theorized that neck pain may cause reduced postural control due to the known physiological connection between the receptors in the cervical spine and the vestibular system. The purpose of this study was to examine whether the pressure pain threshold in the neck is associated with postural sway in patients with dizziness or neck pain.
METHODS
Consecutive patients with dizziness (n = 243) and neck pain (n = 129) were recruited from an otorhinolaryngological department and an outpatient spine clinic, respectively. All subjects underwent static posturography. Pressure pain thresholds were measured at four standardized points in the neck, and generalized pain was assessed using the American College of Rheumatology tender points. The relationship between postural sway and pressure pain threshold was analyzed by linear regression, and the covariates included age, sex, and generalized pain.
RESULTS
In the dizzy group, there was a small, inverse relationship between pressure pain thresholds and sway area with eyes closed, after adjusting for age, sex, and generalized pain (bare platform; lower neck, p = 0.002, R
CONCLUSION
Our findings indicate that the pressure pain threshold in the neck is associated with postural sway in patients suffering from dizziness after adjusting for age, sex, and generalized pain, but only with closed eyes. The association was small and should be interpreted with caution.
TRIAL REGISTRATION
Trial registration: Clinicaltrial.gov NCT03531619. Retrospectively registered 22 May 2018.
DOI: 10.1186/s12891-019-2922-4
PubMed: 31707980
PubMed Central: PMC6844061
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Nordahl</name><affiliation wicri:level="1"><nlm:affiliation>Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, University of Bergen, Bergen, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Clinical Medicine, University of Bergen, Bergen</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC musculoskeletal disorders</title><idno type="eISSN">1471-2474</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Dizziness (complications)</term><term>Dizziness (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Neck (physiopathology)</term><term>Neck Pain (etiology)</term><term>Neck Pain (physiopathology)</term><term>Neck Pain (psychology)</term><term>Pain Threshold (physiology)</term><term>Postural Balance (physiology)</term><term>Posture (physiology)</term><term>Pressure (adverse effects)</term><term>Prospective Studies (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Cervicalgie (physiopathologie)</term><term>Cervicalgie (psychologie)</term><term>Cervicalgie (étiologie)</term><term>Cou (physiopathologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Posture (physiologie)</term><term>Pression (effets indésirables)</term><term>Sensation vertigineuse (complications)</term><term>Sensation vertigineuse (physiopathologie)</term><term>Seuil nociceptif (physiologie)</term><term>Équilibre postural (physiologie)</term><term>Études prospectives (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Pressure</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dizziness</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pression</term><term>Sensation vertigineuse</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Neck Pain</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Posture</term><term>Seuil nociceptif</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Pain Threshold</term><term>Postural Balance</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Cervicalgie</term><term>Cou</term><term>Sensation vertigineuse</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Neck</term><term>Neck Pain</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Cervicalgie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neck Pain</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cervicalgie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Études prospectives</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>It is theorized that neck pain may cause reduced postural control due to the known physiological connection between the receptors in the cervical spine and the vestibular system. The purpose of this study was to examine whether the pressure pain threshold in the neck is associated with postural sway in patients with dizziness or neck pain.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Consecutive patients with dizziness (n = 243) and neck pain (n = 129) were recruited from an otorhinolaryngological department and an outpatient spine clinic, respectively. All subjects underwent static posturography. Pressure pain thresholds were measured at four standardized points in the neck, and generalized pain was assessed using the American College of Rheumatology tender points. The relationship between postural sway and pressure pain threshold was analyzed by linear regression, and the covariates included age, sex, and generalized pain.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>In the dizzy group, there was a small, inverse relationship between pressure pain thresholds and sway area with eyes closed, after adjusting for age, sex, and generalized pain (bare platform; lower neck, p = 0.002, R</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Our findings indicate that the pressure pain threshold in the neck is associated with postural sway in patients suffering from dizziness after adjusting for age, sex, and generalized pain, but only with closed eyes. The association was small and should be interpreted with caution.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION</b></p><p>Trial registration: Clinicaltrial.gov NCT03531619. Retrospectively registered 22 May 2018.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31707980</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>30</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>30</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2474</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>Nov</Month><Day>10</Day></PubDate></JournalIssue><Title>BMC musculoskeletal disorders</Title><ISOAbbreviation>BMC Musculoskelet Disord</ISOAbbreviation></Journal><ArticleTitle>Associations between pressure pain threshold in the neck and postural control in patients with dizziness or neck pain - a cross-sectional study.</ArticleTitle><Pagination><MedlinePgn>528</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12891-019-2922-4</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It is theorized that neck pain may cause reduced postural control due to the known physiological connection between the receptors in the cervical spine and the vestibular system. The purpose of this study was to examine whether the pressure pain threshold in the neck is associated with postural sway in patients with dizziness or neck pain.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Consecutive patients with dizziness (n = 243) and neck pain (n = 129) were recruited from an otorhinolaryngological department and an outpatient spine clinic, respectively. All subjects underwent static posturography. Pressure pain thresholds were measured at four standardized points in the neck, and generalized pain was assessed using the American College of Rheumatology tender points. The relationship between postural sway and pressure pain threshold was analyzed by linear regression, and the covariates included age, sex, and generalized pain.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the dizzy group, there was a small, inverse relationship between pressure pain thresholds and sway area with eyes closed, after adjusting for age, sex, and generalized pain (bare platform; lower neck, p = 0.002, R<sup>2</sup> = 0.068; upper neck, p = 0.038, R<sup>2</sup> = 0.047; foam rubber mat; lower neck, p = 0.014, R<sup>2</sup> = 0.085). The same inverse relationship was found between pressure pain thresholds in the neck and the Romberg ratio on a bare platform after adjusting for age, sex and generalized pain (upper neck, p = 0.15, R<sup>2</sup> = 0.053; lower neck, p = 0.002, R<sup>2</sup> = 0.069). Neither of these relationships were present in the neck pain group.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our findings indicate that the pressure pain threshold in the neck is associated with postural sway in patients suffering from dizziness after adjusting for age, sex, and generalized pain, but only with closed eyes. The association was small and should be interpreted with caution.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">Trial registration: Clinicaltrial.gov NCT03531619. Retrospectively registered 22 May 2018.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Knapstad</LastName><ForeName>Mari K</ForeName><Initials>MK</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-0039-7154</Identifier><AffiliationInfo><Affiliation>Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway. mariknap@hotmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical Medicine, University of Bergen, Bergen, Norway. mariknap@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goplen</LastName><ForeName>Frederik K</ForeName><Initials>FK</Initials><AffiliationInfo><Affiliation>Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical Medicine, University of Bergen, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ask</LastName><ForeName>Tove</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skouen</LastName><ForeName>Jan S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, The Outpatient Spine Clinic, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nordahl</LastName><ForeName>Stein Helge G</ForeName><Initials>SHG</Initials><AffiliationInfo><Affiliation>Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical Medicine, University of Bergen, Bergen, Norway.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT03531619</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Musculoskelet Disord</MedlineTA><NlmUniqueID>100968565</NlmUniqueID><ISSNLinking>1471-2474</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009333" MajorTopicYN="N">Neck</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019547" MajorTopicYN="N">Neck Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017288" MajorTopicYN="N">Pain Threshold</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011312" MajorTopicYN="N">Pressure</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Dizziness</Keyword><Keyword MajorTopicYN="N">Neck pain</Keyword><Keyword MajorTopicYN="N">Posturography</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>05</Month><Day>23</Day></PubMedPubDate><PubMedPubDate 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