Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury.
Identifieur interne : 001160 ( Main/Exploration ); précédent : 001159; suivant : 001161Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury.
Auteurs : Pascal Madeleine [Danemark] ; Hanne Prietzel ; Heine Svarrer ; Lars Arendt-NielsenSource :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Cervicalgie (induit chimiquement), Cervicalgie (physiopathologie), Cou (physiopathologie), Femelle (MeSH), Humains (MeSH), Injections musculaires (MeSH), Maladie chronique (MeSH), Mouvements de la tête (physiologie), Mâle (MeSH), Privation sensorielle (physiologie), Scapulalgie (induit chimiquement), Scapulalgie (physiopathologie), Solution saline hypertonique (administration et posologie), Solution saline hypertonique (effets indésirables), Traumatismes cervicaux en coup de fouet (physiopathologie), Équilibre postural (physiologie), Études cas-témoins (MeSH).
- MESH :
- administration et posologie : Solution saline hypertonique.
- effets indésirables : Solution saline hypertonique.
- induit chimiquement : Cervicalgie, Scapulalgie.
- physiologie : Mouvements de la tête, Privation sensorielle, Équilibre postural.
- physiopathologie : Cervicalgie, Cou, Scapulalgie, Traumatismes cervicaux en coup de fouet.
- Adulte, Femelle, Humains, Injections musculaires, Maladie chronique, Mâle, Études cas-témoins.
English descriptors
- KwdEn :
- Adult (MeSH), Case-Control Studies (MeSH), Chronic Disease (MeSH), Female (MeSH), Head Movements (physiology), Humans (MeSH), Injections, Intramuscular (MeSH), Male (MeSH), Neck (physiopathology), Neck Pain (chemically induced), Neck Pain (physiopathology), Postural Balance (physiology), Saline Solution, Hypertonic (administration & dosage), Saline Solution, Hypertonic (adverse effects), Sensory Deprivation (physiology), Shoulder Pain (chemically induced), Shoulder Pain (physiopathology), Whiplash Injuries (physiopathology).
- MESH :
- chemical , administration & dosage : Saline Solution, Hypertonic.
- chemical , adverse effects : Saline Solution, Hypertonic.
- chemically induced : Neck Pain, Shoulder Pain.
- physiology : Head Movements, Postural Balance, Sensory Deprivation.
- physiopathology : Neck, Neck Pain, Shoulder Pain, Whiplash Injuries.
- Adult, Case-Control Studies, Chronic Disease, Female, Humans, Injections, Intramuscular, Male.
Abstract
OBJECTIVES
To quantify neck mobility and posture with and without various postural perturbations.
DESIGN
A multivariable 2-group study with repeated measures and treatments.
SETTING
A human performance laboratory.
PARTICIPANTS
Eleven patients with chronic whiplash injury (mean age, 33.3+/-6.7 y; weight, 73.4+/-11.4 kg; height, 173.3+/-7.2 cm) with a sex- and age-matched control group (mean age, 33.1+/-6.8 y; weight, 68+/-12.5 kg; height, 171.5+/-6.3 cm).
INTERVENTIONS
Neck mobility and the effects of postural perturbations affecting the visual, vestibular, cutaneous, proprioceptive, and nociceptive systems were measured.
MAIN OUTCOME MEASURES
Active range of motion, neck position sense, and postural activity.
RESULTS
We found significantly reduced neck mobility and increased postural activity in the patient group compared with the control group. In patients, there was significantly greater postural activity with eyes closed, eyes open and speaking, and eyes closed with Achilles' tendons vibrations compared with eyes open with no vibrations. In the controls, there was no significant effect of experimental muscle pain on postural activity.
CONCLUSIONS
Patients with chronic whiplash injury had a protective response to neck movement and different tuning, sequencing, and execution of the postural synergies probably because of excessive reliance on visual input despite a possible deficit and altered vestibular and/or proprioceptive activity. In healthy volunteers, the pain induced by a single bolus injection of hypertonic saline was probably too limited in intensity and spreading to decrease postural stability.
DOI: 10.1016/j.apmr.2003.03.003
PubMed: 15031829
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Prietzel</name></author><author><name sortKey="Svarrer, Heine" sort="Svarrer, Heine" uniqKey="Svarrer H" first="Heine" last="Svarrer">Heine Svarrer</name></author><author><name sortKey="Arendt Nielsen, Lars" sort="Arendt Nielsen, Lars" uniqKey="Arendt Nielsen L" first="Lars" last="Arendt-Nielsen">Lars Arendt-Nielsen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15031829</idno><idno type="pmid">15031829</idno><idno type="doi">10.1016/j.apmr.2003.03.003</idno><idno type="wicri:Area/Main/Corpus">001185</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001185</idno><idno type="wicri:Area/Main/Curation">001185</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001185</idno><idno type="wicri:Area/Main/Exploration">001185</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury.</title><author><name sortKey="Madeleine, Pascal" sort="Madeleine, Pascal" uniqKey="Madeleine P" first="Pascal" last="Madeleine">Pascal Madeleine</name><affiliation wicri:level="4"><nlm:affiliation>Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark. pm@smi.auc.dk</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Center for Sensory-Motor Interaction, Aalborg University, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author><author><name sortKey="Prietzel, Hanne" sort="Prietzel, Hanne" uniqKey="Prietzel H" first="Hanne" last="Prietzel">Hanne Prietzel</name></author><author><name sortKey="Svarrer, Heine" sort="Svarrer, Heine" uniqKey="Svarrer H" first="Heine" last="Svarrer">Heine Svarrer</name></author><author><name sortKey="Arendt Nielsen, Lars" sort="Arendt Nielsen, Lars" uniqKey="Arendt Nielsen L" first="Lars" last="Arendt-Nielsen">Lars Arendt-Nielsen</name></author></analytic><series><title level="j">Archives of physical medicine and rehabilitation</title><idno type="ISSN">0003-9993</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Chronic Disease (MeSH)</term><term>Female (MeSH)</term><term>Head Movements (physiology)</term><term>Humans (MeSH)</term><term>Injections, Intramuscular (MeSH)</term><term>Male (MeSH)</term><term>Neck (physiopathology)</term><term>Neck Pain (chemically induced)</term><term>Neck Pain (physiopathology)</term><term>Postural Balance (physiology)</term><term>Saline Solution, Hypertonic (administration & dosage)</term><term>Saline Solution, Hypertonic (adverse effects)</term><term>Sensory Deprivation (physiology)</term><term>Shoulder Pain (chemically induced)</term><term>Shoulder Pain (physiopathology)</term><term>Whiplash Injuries (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Cervicalgie (induit chimiquement)</term><term>Cervicalgie (physiopathologie)</term><term>Cou (physiopathologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Injections musculaires (MeSH)</term><term>Maladie chronique (MeSH)</term><term>Mouvements de la tête (physiologie)</term><term>Mâle (MeSH)</term><term>Privation sensorielle (physiologie)</term><term>Scapulalgie (induit chimiquement)</term><term>Scapulalgie (physiopathologie)</term><term>Solution saline hypertonique (administration et posologie)</term><term>Solution saline hypertonique (effets indésirables)</term><term>Traumatismes cervicaux en coup de fouet (physiopathologie)</term><term>Équilibre postural (physiologie)</term><term>Études cas-témoins (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Saline Solution, Hypertonic</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Saline Solution, Hypertonic</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Solution saline hypertonique</term></keywords><keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Neck Pain</term><term>Shoulder Pain</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Solution saline hypertonique</term></keywords><keywords scheme="MESH" qualifier="induit chimiquement" xml:lang="fr"><term>Cervicalgie</term><term>Scapulalgie</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mouvements de la tête</term><term>Privation sensorielle</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Head Movements</term><term>Postural Balance</term><term>Sensory Deprivation</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Cervicalgie</term><term>Cou</term><term>Scapulalgie</term><term>Traumatismes cervicaux en coup de fouet</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Neck</term><term>Neck Pain</term><term>Shoulder Pain</term><term>Whiplash Injuries</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Case-Control Studies</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Injections, Intramuscular</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Injections musculaires</term><term>Maladie chronique</term><term>Mâle</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To quantify neck mobility and posture with and without various postural perturbations.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A multivariable 2-group study with repeated measures and treatments.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>A human performance laboratory.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Eleven patients with chronic whiplash injury (mean age, 33.3+/-6.7 y; weight, 73.4+/-11.4 kg; height, 173.3+/-7.2 cm) with a sex- and age-matched control group (mean age, 33.1+/-6.8 y; weight, 68+/-12.5 kg; height, 171.5+/-6.3 cm).</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>Neck mobility and the effects of postural perturbations affecting the visual, vestibular, cutaneous, proprioceptive, and nociceptive systems were measured.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Active range of motion, neck position sense, and postural activity.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We found significantly reduced neck mobility and increased postural activity in the patient group compared with the control group. In patients, there was significantly greater postural activity with eyes closed, eyes open and speaking, and eyes closed with Achilles' tendons vibrations compared with eyes open with no vibrations. In the controls, there was no significant effect of experimental muscle pain on postural activity.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Patients with chronic whiplash injury had a protective response to neck movement and different tuning, sequencing, and execution of the postural synergies probably because of excessive reliance on visual input despite a possible deficit and altered vestibular and/or proprioceptive activity. In healthy volunteers, the pain induced by a single bolus injection of hypertonic saline was probably too limited in intensity and spreading to decrease postural stability.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15031829</PMID><DateCompleted><Year>2004</Year><Month>04</Month><Day>08</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-9993</ISSN><JournalIssue CitedMedium="Print"><Volume>85</Volume><Issue>3</Issue><PubDate><Year>2004</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Archives of physical medicine and rehabilitation</Title><ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation></Journal><ArticleTitle>Quantitative posturography in altered sensory conditions: a way to assess balance instability in patients with chronic whiplash injury.</ArticleTitle><Pagination><MedlinePgn>432-8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To quantify neck mobility and posture with and without various postural perturbations.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A multivariable 2-group study with repeated measures and treatments.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">A human performance laboratory.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Eleven patients with chronic whiplash injury (mean age, 33.3+/-6.7 y; weight, 73.4+/-11.4 kg; height, 173.3+/-7.2 cm) with a sex- and age-matched control group (mean age, 33.1+/-6.8 y; weight, 68+/-12.5 kg; height, 171.5+/-6.3 cm).</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Neck mobility and the effects of postural perturbations affecting the visual, vestibular, cutaneous, proprioceptive, and nociceptive systems were measured.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Active range of motion, neck position sense, and postural activity.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We found significantly reduced neck mobility and increased postural activity in the patient group compared with the control group. In patients, there was significantly greater postural activity with eyes closed, eyes open and speaking, and eyes closed with Achilles' tendons vibrations compared with eyes open with no vibrations. In the controls, there was no significant effect of experimental muscle pain on postural activity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Patients with chronic whiplash injury had a protective response to neck movement and different tuning, sequencing, and execution of the postural synergies probably because of excessive reliance on visual input despite a possible deficit and altered vestibular and/or proprioceptive activity. In healthy volunteers, the pain induced by a single bolus injection of hypertonic saline was probably too limited in intensity and spreading to decrease postural stability.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Madeleine</LastName><ForeName>Pascal</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Center for Sensory-Motor Interaction, Aalborg University, Aalborg, Denmark. pm@smi.auc.dk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prietzel</LastName><ForeName>Hanne</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Svarrer</LastName><ForeName>Heine</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Arendt-Nielsen</LastName><ForeName>Lars</ForeName><Initials>L</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal 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MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019416" MajorTopicYN="N">Head Movements</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007273" MajorTopicYN="N">Injections, Intramuscular</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009333" MajorTopicYN="N">Neck</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019547" MajorTopicYN="N">Neck Pain</DescriptorName><QualifierName UI="Q000139" MajorTopicYN="N">chemically induced</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012462" MajorTopicYN="N">Saline Solution, Hypertonic</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012683" MajorTopicYN="N">Sensory Deprivation</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020069" MajorTopicYN="N">Shoulder Pain</DescriptorName><QualifierName UI="Q000139" MajorTopicYN="N">chemically induced</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014911" MajorTopicYN="N">Whiplash Injuries</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>3</Month><Day>20</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>4</Month><Day>9</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>3</Month><Day>20</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15031829</ArticleId><ArticleId IdType="pii">S0003-9993(03)00887-6</ArticleId><ArticleId IdType="doi">10.1016/j.apmr.2003.03.003</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Danemark</li></country><region><li>Jutland du Nord</li></region><settlement><li>Aalborg</li></settlement><orgName><li>Université d'Aalborg</li></orgName></list><tree><noCountry><name sortKey="Arendt Nielsen, Lars" sort="Arendt Nielsen, Lars" uniqKey="Arendt Nielsen L" first="Lars" last="Arendt-Nielsen">Lars Arendt-Nielsen</name><name sortKey="Prietzel, Hanne" sort="Prietzel, Hanne" uniqKey="Prietzel H" first="Hanne" last="Prietzel">Hanne Prietzel</name><name sortKey="Svarrer, Heine" sort="Svarrer, Heine" uniqKey="Svarrer H" first="Heine" last="Svarrer">Heine Svarrer</name></noCountry><country name="Danemark"><region name="Jutland du Nord"><name sortKey="Madeleine, Pascal" sort="Madeleine, Pascal" uniqKey="Madeleine P" first="Pascal" last="Madeleine">Pascal Madeleine</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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