Neck Torsion Test

1964 ◽  
Vol 57 (sup189) ◽  
pp. 95-106
Keyword(s):  
Torsion Test ◽  
Neck Torsion

The evaluation of the neck torsion test in subjective examinations of patients with vertigo and/or hearing loss

2015 ◽  
Vol 69 (5) ◽  
pp. 16-21
Author(s):  
Piotr Niewiadomski ◽  
Hanna Zielinska-Blizniewska ◽  
Jarosław Miloński ◽  
Piotr Pietkiewicz ◽  
Jurek Olszewski
Keyword(s):  
Hearing Loss ◽  
Torsion Test ◽  
Neck Torsion

scholarly journals Cervical Injury Assessments for Concussion Evaluation: A Review

2016 ◽  
Vol 51 (12) ◽  
pp. 1037-1044 ◽  
Author(s):  
Kelly Cheever ◽  
Keisuke Kawata ◽  
Ryan Tierney ◽  
Anne Galgon
Keyword(s):  
Head And Neck ◽  
Torsion Test ◽  
Clinical Tests ◽  
Cervical Injury ◽  
Central Origin ◽  
Cervical Injuries ◽  
Biomechanical Forces ◽  
Differentiation Test ◽  
Neck Torsion ◽  
The Brain

Background: A concussion is a complex pathophysiologic process that is induced by biomechanical forces and affects the brain. Cervical injuries and concussion can share similar mechanisms and nearly identical symptoms or causes. Therefore, symptoms or causes alone may be insufficient to differentiate between patients with a concussion and patients with cervical injuries. Objective: To demonstrate the homogeneous causes and symptoms observed in patients with a concussion and patients with cervical injury and to provide information on clinical tests that can differentiate cervical injury from pathologic conditions of vestibular or central origin. Summary: Given that concussion and cervical injury share similar causes and symptoms, this information alone may be insufficient to diagnose a concussion. Clinical assessments, such as the cervical joint-reposition error test, smooth-pursuit neck-torsion test, head-neck differentiation test, cervical flexion-rotation test, and physical examination of the cervical spine, can be performed after a head and neck pathomechanical event to identify the presence of cervical injury. Differentiating between a concussion and cervical injury is clinically vital for timely and appropriate evidence-based treatment. Conclusions: Specific clinical tests should be used after a head and neck pathomechanical event to differentiate between symptoms due to a concussion and cervical injury. Continued research on the clinical utility of the 5 identified cervicogenic tests is also recommended.

scholarly journals Inter-Visit Reliability of Smooth Pursuit Neck Torsion Test in Patients with Chronic Neck Pain and Healthy Individuals

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 752
Author(s):  
Ziva Majcen Rosker ◽  
Miha Vodicar ◽  
Eythor Kristjansson
Keyword(s):  
Neck Pain ◽  
Smooth Pursuit ◽  
Torsion Test ◽  
Chronic Neck Pain ◽  
Neutral Position ◽  
Target Movement ◽  
Good Reliability ◽  
Interclass Correlation ◽  
Smallest Detectable Change ◽  
Neck Torsion

Visual disturbances are commonly reported in patients with neck pain. Smooth pursuit neck torsion (SPNT) test performed in neutral position and with trunk rotated under the stationary head has been used to discriminate between those with cervical component and those without. However, no studies investigated the reliability of the SPNT-test in patients with chronic neck pain and healthy controls. The aim of this study was to assess inter-visit reliability of the SPNT-test while applying different amplitudes and velocities of target movement. Thirty-two controls and thirty-one patients were enrolled in the study. The SPNT-test was performed in neutral position and through 45° torsion positions. The test was performed at 20°/s, 30°/s and 40°/s velocities and at 30°, 40° and 50° amplitudes of cyclic sinusoidal target movements. Interclass correlation coefficient and smallest detectable change were calculated for parameters of gain and SPNT-differences. In patients, moderate to good reliability was observed for gain at 40° and 50° amplitudes and for 20°/s and 30°/s velocities, while moderate to excellent reliability for gain was observed in controls. Both groups presented with moderate to good reliability for SPNT-difference. Our findings imply that amplitudes of 40° and 50° and velocities of 20°/s and 30°/s are the most reliable and should be applied in future studies assessing oculomotor functions during the SPNT test.

Diagnostic evaluation of neck torsion test in objective examination in patients with vertigo and/or hearing impairment

2017 ◽  
Vol 71 (5) ◽  
pp. 18-28 ◽  
Author(s):  
Piotr Niewiadomski ◽  
Marzena Bielińska ◽  
Piotr Pietkiewicz ◽  
Jurek Olszewski
Keyword(s):  
Blood Flow ◽  
Hearing Loss ◽  
Vertebral Artery ◽  
Doppler Ultrasound ◽  
Auditory Evoked Potentials ◽  
Torsion Test ◽  
Diagnostic Value ◽  
Control Group ◽  
Study Group ◽  
Neck Torsion

Introduction. The aim of the study was to evaluate the neck torsion test in objective examinations of patients with vertigo and/or hearing loss. Material and methods. The study was conducted in 100 patients, including 54 women and 46 men aged 17–79 years, who were divided into two groups: I – 50 patients, including 30 women and 20 men aged 17–79 years (mean age 49.92 years) with dizziness and/or hearing impairments, and confirmed asymmetry of intracranial vessels, II – 50 patients – the control group, including 24 women and 26 men aged 20–71 years without dizziness and/or hearing disorders and without disturbance in the construction of intracranial vessels. For each patient, the following tests were carried out: subjective, objective otorhinolaryngological, Doppler ultrasound specifying the diameter of vertebral and carotid arteries and the velocity of blood flow in these vessels, audiological diagnostics, including the examination of latency of waves I, III, V of the auditory evoked potentials of the brain stem, otoneurological diagnostics with used the neck torsion test. Results. It appears from the analysis of the material presented that the application of the neck torsion test in the Doppler ultrasound results in the fact that the difference in the mean systolic velocity of blood flow in vertebral artery is higher on the side opposite to the turning of the neck, and the increase in the average diastolic blood flow velocity in the vertebral artery on the side of the test being performed and its reduction on the opposite side in the study group, when compared to the control group. The value of the wave I, II, V latency in the ABR test during the neck torsion test is extended more in the study group than in the controls, on the side of the performed test. The performed neck torsion test in the VNG test increases the occurrence of both, square waves and nystagmus (much higher in the study group than in the controls). Conclusion. The application of the neck torsion test in the Doppler ultrasound, ABR and VNG test in patients with vertigo and/or hearing loss means that these tests become functional, thereby increasing their diagnostic value and may be used to monitor the rehabilitation of inner ear disorders.

Diagnostic evaluation of neck torsion test in objective examination in patients with vertigo and/or hearing-impairment

2017 ◽  
Vol 71 (3) ◽  
pp. 20-26
Author(s):  
Piotr Niewiadomski ◽  
Marzena Bielińska ◽  
Piotr Pietkiewicz ◽  
Jurek Olszewski
Keyword(s):  
Blood Flow ◽  
Hearing Loss ◽  
Vertebral Artery ◽  
Doppler Ultrasound ◽  
Auditory Evoked Potentials ◽  
Torsion Test ◽  
Diagnostic Value ◽  
Control Group ◽  
Study Group ◽  
Neck Torsion

Introduction. Introduction. The aim of the study was to evaluate the neck torsion test in objective examinations of patients with vertigo and/or hearing loss. Material and methods. The study was conducted in 100 patients, including 54 women and 46 men aged 17–79 years, who were divided into two groups: I – 50 patients, including 30 women and 20 men aged 17–79 years (mean age 49.92 years) with dizziness and/or hearing impairments, and confirmed asymmetry of intracranial vessels, II – 50 patients – control group, including 24 women and 26 men aged 20–71 years without dizziness and/or hearing disorders and without disturbance in the construction of intracranial vessels. For each patient, the following tests were carried out: subjective, objective otorhinolaryngological, Doppler ultrasound specifying diameter of vertebral and carotid arteries and the velocity of blood flow in these vessels, audiological diagnostics, including the examination of latency of waves I, III, V of the auditory evoked potentials of the brain stem, otoneurological diagnostics with used the neck torsion test. Results. It appears from the analysis of the material presented that the application of the neck torsion test in the Doppler ultrasound results in the fact that the difference in the mean systolic velocity of blood flow in vertebral artery is higher on the side opposite to the turning of the neck, and the increase in the average diastolic blood flow velocity in the vertebral artery on the side of the test being performed and its reduction on the opposite side in the study group, when compared to the control group. The value of the wave I, II, V latency in the ABR test during the neck torsion test is extended more in the study group than in the controls, on the side of the performed test. The performed neck torsion test in the VNG test increases the occurrence of both, square waves and nystagmus (much higher in the study group than in the controls). Conclussion. The application of the neck torsion test in the Doppler ultrasound, ABR and VNG test in patients with vertigo and/or hearing loss means that these tests become functional, thereby increasing their diagnostic value and may be used to monitor the rehabilitation of inner ear disorders.

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