Unterscheiden sich Patienten mit episodischer Migräne ohne Aura hinsichtlich der zervikalen muskuloskelettalen Funktion von einer symptomfreien Kontrollgruppe ohne Migräne?

2021 ◽  
Vol 25 (01) ◽  
pp. 33-45
Author(s):  
Simon Schneider ◽  
Heike Kubat ◽  
Ute Steinhoff
Keyword(s):  
Position Error ◽  
Joint Position ◽  
Klinische Tests ◽  
Single Leg Stance ◽  
Whiplash Associated Disorders

ZusammenfassungKopfschmerzen stellen für viele Menschen eine große Beeinträchtigung dar. Ziel der Arbeit war es, klinische Tests, die bereits bei Patienten mit Nackenschmerzen oder Whiplash Associated Disorders (WAD) angewandt werden, bei Migränepatienten ohne Aura im Vergleich mit einer symptomfreien Kontrollgruppe durchzuführen.Im Rahmen einer Querschnittstudie wurden die Ergebnisse aus 2 Fragebögen und 6 klinischen Tests von Patienten mit episodischer Migräne (n = 23) mit den Ergebnissen einer symptomfreien Kontrollgruppe (n = 15) verglichen. Die Ergebnisse zeigten hoch signifikante Unterschiede (p < 0,001) zwischen den Gruppen für die Fragebögen und signifikante Unterschiede bei den Kopf-Auge-Bewegungskontrolltests, dem Joint-Position-Error-Test, Zervikalen Flexions-Rotations-Test, Fukuda-Stepping-Test (Merkmal > 45° Körperrotation) sowie dem Kraniozervikalen Flexionstest. Kein signifikanter Unterschied (p > 0,05) zeigte sich bei dem Fukuda-Stepping-Test (Merkmal > 1 m Vorwärtsgehen) sowie für den Single-Leg-Stance.Verschiedene sensomotorische, okulomotorische und muskuloskelettale Auffälligkeiten konnten bei Patienten mit episodischer Migräne ohne Aura in dieser Studie aufgezeigt werden. Für therapeutische Prozesse sollten daher die Tests in Untersuchungsabläufe integriert werden. Es bedarf jedoch weiterer Studien, um die Effektivität von Therapien, die auf diese Dysfunktionen Einfluss nehmen, zu bewerten.

Immediate effects of thoracic manipulation on cervical joint position sense in individuals with mechanical neck pain: A randomized controlled trial

2021 ◽  
pp. 1-9
Author(s):  
Emin Ulas Erdem ◽  
Banu Ünver ◽  
Eda Akbas ◽  
Gizem Irem Kinikli
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Cervical Region ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Arm Pain ◽  
Neck Function

BACKGROUND: Performing thoracic manipulations for neck pain can result in immediate improvements in neck function. OBJECTIVE: The aim of this study was to investigate the immediate effects of thoracic manipulation on cervical joint position sense and cervical range of motion in individuals with chronic mechanical neck pain. METHODS: Eighty male volunteers between 18–25 years and having chronic or recurrent neck or shoulder pain of at least 3 months duration with or without arm pain were randomized into two groups: Thoracic Manipulation Group (TMG:50) and Control Group (CG:30), with a pretest-posttest experimental design. The TMG was treated with thoracic extension manipulation while the CG received no intervention. Cervical joint position error and cervical range of motion of the individuals were assessed at baseline and 5 minutes later. RESULTS: There was no difference in demographic variables such as age (p= 0.764), Body Mass Index (p= 0.917) and Neck Pain Disability Scale (NPDS) scores (p= 0.436) at baseline outcomes between TMG and CGs. Joint position error outcomes between the two groups following intervention were similar in all directions at 30 and 50 degrees. Differences in range of motion following intervention in neck flexion (p< 0.001) and right rotation (p= 0.004) were higher in TMG compared to CG. CONCLUSIONS: A single session of thoracic manipulation seems to be inefficient on joint position sense in individuals with mild mechanical neck pain. However, thoracic manipulation might be an effective option to increase flexion and rotation of the cervical region as an adjunctive to treatment.

Reciprocal roles of joint position error, visual dependency and subjective perception in cervicogenic dizziness

2020 ◽  
Vol 37 (4) ◽  
pp. 262-270
Author(s):  
Alessandro Micarelli ◽  
Andrea Viziano ◽  
Pasquale Carlino ◽  
Ivan Granito ◽  
Riccardo Xavier Micarelli ◽  
...  
Keyword(s):  
Position Error ◽  
Subjective Perception ◽  
Joint Position ◽  
Cervicogenic Dizziness

Joint position error after neck protraction-retraction movements in healthy office workers: a cross-sectional study

2020 ◽  
Vol 72 ◽  
pp. 102633
Author(s):  
Helen Pürckhauer ◽  
Fabian M. Rast ◽  
Corinne Nicoletti ◽  
Markus J. Ernst
Keyword(s):  
Cross Sectional Study ◽  
Position Error ◽  
Office Workers ◽  
Joint Position ◽  
Sectional Study ◽  
Cross Sectional

Estimation of joint position error

2017 ◽  
Author(s):  
Valentina Agostini ◽  
Samanta Rosati ◽  
Gabriella Balestra ◽  
Marco Trucco ◽  
Lorenzo Visconti ◽  
...  
Keyword(s):  
Position Error ◽  
Joint Position

scholarly journals THU0624-HPR COMPARISON OF WRIST PROPRIOCEPTION, GRIP STRENGTH AND PINCH STRENGTH IN PATIENTS WITH PSORIATIC ARTHRITIS AND RHEUMATOID ARTHRITIS: PRELIMINARY STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 555.2-555
Author(s):  
M. Köprülüoğlu ◽  
İ. Naz Gürşan ◽  
D. Solmaz ◽  
E. Otman ◽  
E. Durak Ediboglu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Grip Strength ◽  
Disease Duration ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Pinch Strength ◽  
Joint Position ◽  
Hand Dynamometer ◽  
Dominant Side

Background:Hand articular damage occurs in rheumatoid arthritis (RA) and functional ability deteriorates as the disease progresses. Limitation of hand motion, oedema, pain etc. factors contribute to reduce grip strength, pinch strength and joint position sense; this problems contribute to function and disability. Following RA, affecting grip and pinch strength (1) and joint position sense (2) was reported former research. But there is a little knowledge about disabilitiy of hand functions in psoriatic arthritis (PsA).Objectives:To compare joint position sense, grip strength and pinch strength in patient with PsA and RA.Methods:In our cross sectional study, 23 RA patients [Mean age; 52.7±12.6, Women:20(87.0%)] who were classified according to the ACR 2010 criteria and 19 PsA patients [Mean age 53.5±12.6, Women:14 (%73.7)] who were classified according to the CASPAR criteria were included.It was recorded demographic and clinical data of patients. Wrist position sense was evaluated by goniometric re-position error test (in 30◦ wrist extansion, 3 repeat). Grip strenght was examined using a hand dynamometer (Lafayette Proffessional Hand Dynamometer, USA) and pinch strength (two point, three point, lateral) was evaluated by pinchmeter (Lafayette,USA).Results:Patients were similar in terms of age, gender, disease duration, morning stiffness duration, pain of hand joints, number of tender and swallen joints and disease activity (p>0.05). RA patients had longer disease duration (p=0.004) and lower ESR levels (p=0.046) compared to PsA. Grip and pinch strength were found similar in both dominant and non-dominant side between RA and PsA patients (Table 1). Wrist joint position error was higher in PsA group in non-dominant side (p=0.011).Table 1.Comparison of Groups for Grip and Pinch Strength and Joint Position SenseVariablesRA(n=23)Median(IQR)PsA(n=19)Median(IQR)p*Grip StrengthDominantNon-dominant20(14/25)20(14/25)25(20/29)21(15/26)0.1090.404Pinch StrengthDominant2 Point3 PointLateralNondominant2 Point3 PointLateral3.1(2.2/3.8)3(2.3/4.0)3.4(3.0/4.2)3(1.9/3.7)2.8(2.3/3.8)2.9(2.5/4.0)3(2.2/3.4)3.4(2.5/4.20)3.5(2.6/4.5)3(2.4/3.7)3.1(2.3/4.2)3.2(2.4/4.2)0.8100.4710.8400.7140.7230.561Joint Position ErrorDominantNon-dominant6(5/7)6(3/8)7(5/9)8(6/11)0.2340.011Data have shown as median (interquartile range 25-75) *Mann Whitney-U TestConclusion:Our study showed that patients with PsA had hand impairment as much as RA patients. We think, hand assessment in patients with PsA rehabilitation programme is essential for clinicians. There is need future studies including asymptomatic healthy group to interpret of results in detailed.References:[1]VLIET, TP Vlieland, et al. Determinants of hand function in patients with rheumatoid arthritis. The Journal of rheumatology, 1996, 23.5: 835-840.[2]FERRELL, W. R.; CRIGHTON, A.; STURROCK, R. D. Position sense at the proximal interphalangeal joint is distorted in patients with rheumatoid arthritis of finger joints. Experimental Physiology: Translation and Integration, 1992, 77.5: 675-680.Disclosure of Interests:None declared

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