Influence of Cervical Spine Manipulation on Neck Joint Position Sense error in patients with chronic neck pain.
Iã Ferreira Miranda; Daniel Facchini; Eliane Fátima Manfio
Abstract
Introduction: Cervical joint dysfunction may interfere with the sensorimotor afferent response, interfering with neck neck Joint Position Sense error (JPS). Objective: The aim of this study was to evaluate the influence of Cervical Spine Manipulation (CSM) on neck JPS error in patients with chronic neck pain. Method: 21 patients with chronic neck pain were divided into 2 groups: Spinal Manipulation Group (MG) or Sham Group (SG) who received 4 sessions of CSM and Sham CSM respectively. JPS was assessed in three different time frames: 1) pre-intervention; 2) Right after the first intervention (post-intervention 1); and 3) After a chronic intervention (post-intervention 2). The outcome measured in this study was the head reposition accuracy test with the Revel’s Test. Results: The JPS showed no significant differences between pre- and post-intervention 1 and 2 for any of the assessed groups. Conclusion: We conclude that, for this sample, neither the CSM nor the Sham CSM statistically changed the JPS error for neither groups. We believe that the changes in JPS after CSM were concealed because the ability of other sensory system information to compensate for inadequacies in any other component. Therefore, more studies have to be done with a stronger methodological rigor, clinical prediction rule for spinal manipulation, bigger sample and a blind assessment.
Keywords
References
1. Lent R. Cem Bilhões de Neurônios. 2nd ed. Atheneu, editor. 2010.
2. Machado A. Neuroanatomia Funcional. 2nd ed. Atheneu, editor. São Paulo; 2003.
3. Pinsault N, Vuillerme N. Degradation of cervical joint position sense following muscular fatigue in humans. Spine (Phila Pa 1976). United States; 2010 Feb;35(3):294–297. PMID: 20075783
4. Lee H-M, Liau J-J, Cheng C-K, Tan C-M, Shih J-T. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech [Internet]. 2003 Nov [cited 2015 Mar 25];18(9):843–847. Available from: http://www.sciencedirect.com/science/article/pii/S0268003303001517
5. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. UNITED STATES; 1991 Apr;72(5):288–291. PMID: 2009044
6. Fisher AR, Bacon CJ, Mannion JVH. The effect of cervical spine manipulation on postural sway in patients with nonspecific neck pain. J Manipulative Physiol Ther [Internet]. 2015 Jan [cited 2016 May 16];38(1):65–73. Available from: http://www.sciencedirect.com/science/article/pii/S0161475414002176 PMID: 25467613
7. Cavanaugh JM, Lu Y, Chen C, Kallakuri S. Pain generation in lumbar and cervical facet joints. J Bone Joint Surg Am. United States; 2006 Apr;88 Suppl 2:63–67. PMID: 16595446
8. Boyd-Clark LC, Briggs C a, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002;27(7):694–701. PMID: 11923661
9. Cheng C-H, Chien A, Hsu W-L, Yen L-W, Lin Y-H, Cheng H-YK. Changes of postural control and muscle activation pattern in response to external perturbations after neck flexor fatigue in young subjects with and without chronic neck pain. Gait Posture [Internet]. 2015 Mar [cited 2016 May 19];41(3):801–7. Available from: http://www.sciencedirect.com/science/article/pii/S0966636215000417 PMID: 25759283
10. Taylor HH, Murphy B. The Effects of Spinal Manipulation on Central Integration of Dual Somatosensory Input Observed After Motor Training: A Crossover Study. J Manipulative Physiol Ther. 2010;33(4):261–272. PMID: 20534312
11. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther [Internet]. 2008 Feb [cited 2015 May 4];13(1):2–11. Available from: http://www.sciencedirect.com/science/article/pii/S1356689X07001191 PMID: 17702636
12. Palmgren PJ, Sandström PJ, Lundqvist FJ, Heikkilä H. Improvement after chiropractic care in cervicocephalic kinesthetic sensibility and subjective pain intensity in patients with nontraumatic chronic neck pain. J Manipulative Physiol Ther [Internet]. 2006 Feb [cited 2015 Jan 20];29(2):100–6. Available from: http://www.sciencedirect.com/science/article/pii/S0161475405003659 PMID: 16461168
13. Ruhe A, Fejer R, Walker B. Altered postural sway in patients suffering from non-specific neck pain and whiplash associated disorder - A systematic review of the literature. Chiropr Man Therap [Internet]. BioMed Central Ltd; 2011;19(1):13. Available from: http://chiromt.com/content/19/1/13 PMID: 21609469
14. Phillip Page, Clare Frank RL. Assessment and Treatment of Muscle Imbalance: The Janda Approach. Human Kinetics; 2010.
15. Rogers RG. The effects of spinal manipulation on cervical kinesthesia in patients with chronic neck pain: a pilot study. J Manipulative Physiol Ther. UNITED STATES; 1997 Feb;20(2):80–85. PMID: 9046455
16. Heikkilä H V., Wenngren B-I. Cervicocephalic kinesthetic sensibility, active range of cervical motion, and oculomotor function in patients with whiplash injury. Arch Phys Med Rehabil [Internet]. 1998 Sep [cited 2015 Apr 8];79(9):1089–1094. Available from: http://www.sciencedirect.com/science/article/pii/S0003999398901769
17. Palmgren PJ, Lindeberg A, Nath S, Heikkilä H. Head Repositioning Accuracy and Posturography Related to Cervical Facet Nerve Blockade and Spinal Manipulative Therapy in Healthy Volunteers: A Time Series Study. J Manipulative Physiol Ther [Internet]. 2009 Mar [cited 2015 Apr 8];32(3):193–202. Available from: http://www.sciencedirect.com/science/article/pii/S0161475409000499
18. MIRANDA I, FACCHINI D, MANFIO E. Influence of the cervical spine manipulation in the neck disability index in patients with chronic neck pain : A preliminary study Influência da manipulação articular cervical no índice de incapacidade do pescoço em pacientes com dor cervical crônica : Um. Man Ther Posturology Rehabil J. 2015;13(August):1–5.
19. Bryans R, Decina P, Descarreaux M, Duranleau M, Marcoux H, Potter B, Ruegg RP, Shaw L, Watkin R, White E. Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther [Internet]. 2014 Jan [cited 2015 Jan 11];37(1):42–63. Available from: http://www.sciencedirect.com/science/article/pii/S0161475413002376 PMID: 24262386
20. Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol [Internet]. 2010 Dec [cited 2015 Jan 28];24(6):783–92. Available from: http://www.sciencedirect.com/science/article/pii/S1521694211000246 PMID: 21665126
21. Borghouts JA., Koes BW, Vondeling H, Bouter LM. Cost-of-illness of neck pain in The Netherlands in 1996. Pain [Internet]. 1999 Apr [cited 2015 Feb 10];80(3):629–636. Available from: http://www.sciencedirect.com/science/article/pii/S0304395998002681
22. National Board of Chiropractic Examiners. New Information and Trends in Chiropractic Practice 1991 through 2014. 2015.
23. Haavik H, Murphy B. The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. J Electromyogr Kinesiol [Internet]. 2012 Oct [cited 2015 Mar 24];22(5):768–76. Available from: http://www.sciencedirect.com/science/article/pii/S1050641112000430 PMID: 22483612
24. Haavik H, Murphy B. Subclinical neck pain and the effects of cervical manipulation on elbow joint position sense. J Manipulative Physiol Ther [Internet]. 2011 Feb [cited 2015 Feb 10];34(2):88–97. Available from: http://www.sciencedirect.com/science/article/pii/S0161475410003611 PMID: 21334540
25. Paulus I, Brumagne S. Altered interpretation of neck proprioceptive signals in persons with subclinical recurrent neck pain. J Rehabil Med. Sweden; 2008 Jun;40(6):426–432. PMID: 18509556
26. Pinsault N, Vuillerme N, Pavan P. Cervicocephalic relocation test to the neutral head position: assessment in bilateral labyrinthine-defective and chronic, nontraumatic neck pain patients. Arch Phys Med Rehabil. United States; 2008 Dec;89(12):2375–2378. PMID: 19061750
27. Roren A, Mayoux-Benhamou M-A, Fayad F, Poiraudeau S, Lantz D, Revel M. Comparison of visual and ultrasound based techniques to measure head repositioning in healthy and neck-pain subjects. Man Ther [Internet]. 2009 Jun [cited 2015 Mar 29];14(3):270–7. Available from: http://www.sciencedirect.com/science/article/pii/S1356689X0800057X PMID: 18514016
28. Teng C-C, Chai H, Lai D-M, Wang S-F. Cervicocephalic kinesthetic sensibility in young and middle-aged adults with or without a history of mild neck pain. Man Ther. Scotland; 2007 Feb;12(1):22–28. PMID: 16777468
29. Wibault J, Vaillant J, Vuillerme N, Dedering Å, Peolsson A. Using the cervical range of motion (CROM) device to assess head repositioning accuracy in individuals with cervical radiculopathy in comparison to neck- healthy individuals. Man Ther [Internet]. 2013 Oct [cited 2015 Mar 15];18(5):403–409. Available from: http://www.sciencedirect.com/science/article/pii/S1356689X13000337
30. Daligadu J, Haavik H, Yielder PC, Baarbe J, Murphy B. Alterations in cortical and cerebellar motor processing in subclinical neck pain patients following spinal manipulation. J Manipulative Physiol Ther [Internet]. 2013 Oct [cited 2015 Feb 10];36(8):527–37. Available from: http://www.sciencedirect.com/science/article/pii/S0161475413002030 PMID: 24035521
31. Saraiva MC. Manual de técnicas quiropraticas. 2nd ed. Novo Hamburgo, Brazil: Feevale University; 2006.
32. Palmer College of Chiropractic Technique Department. PALMER COLLEGE OF CHIROPRACTIC. 1998.
33. Vernon H, MacAdam K, Marshall V, Pion M, Sadowska M. Validation of a sham manipulative procedure for the cervical spine for use in clinical trials. J Manipulative Physiol Ther [Internet]. 2005 Jan [cited 2015 Feb 10];28(9):662–6. Available from: http://www.sciencedirect.com/ science/article/pii/S0161475405003015 PMID: 16326235
34. Vernon HT, Triano JJ, Ross JK, Tran SK, Soave DM, Dinulos MD. Validation of a novel sham cervical manipulation procedure. Spine J [Internet]. 2012 Nov [cited 2015 Jan 18];12(11):1021–8. Available from: http://www.sciencedirect.com/science/article/pii/S1529943012012855 PMID: 23158966
35. Vernon H, Triano JT, Soave D, Dinulos M, Ross K, Tran S. Retention of blinding at follow-up in a randomized clinical study using a sham-control cervical manipulation procedure for neck pain: secondary analyses from a randomized clinical study. J Manipulative Physiol Ther [Internet]. 2013 Oct [cited 2015 Jan 18];36(8):522–6. Available from: http://www.sciencedirect.com/science/article/pii/S0161475413001991 PMID: 24011656
36. Côté P, Cassidy JD, Carroll LJ, Kristman V. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain [Internet]. 2004 Dec [cited 2015 Jan 10];112(3):267–73. Available from: http://www.sciencedirect.com/science/article/pii/S0304395904004269 PMID: 15561381
37. Pickar JG. Neurophysiological effects of spinal manipulation. Spine J. United States; 2002;2(5):357–371. PMID: 14589467
38. Schellingerhout JM, Verhagen AP, Heymans MW, Pool JJM, Vonk F, Koes BW, Wilhelmina de Vet HC. Which subgroups of patients with non-specific neck pain are more likely to benefit from spinal manipulation therapy, physiotherapy, or usual care? Pain. Netherlands; 2008 Oct;139(3):670–680. PMID: 18774225
39. Tseng Y-L, Wang WTJ, Chen W-Y, Hou T-J, Chen T-C, Lieu F-K. Predictors for the immediate responders to cervical manipulation in patients with neck pain. Man Ther [Internet]. 2006 Nov [cited 2015 Mar 2];11(4):306–15. Available from: http://www.sciencedirect.com/science/article/pii/S1356689X05001244 PMID: 16380287
40. Saavedra-Hernández M, Ssavedra-Hernández M, Castro-Sánchez AM, Fernández-de-Las-Peñas C, Cleland JA, Ortega-Santiago R, Arroyo-Morales M. Predictors for identifying patients with mechanical neck pain who are likely to achieve short-term success with manipulative interventions directed at the cervical and thoracic spine. J Manipulative Physiol Ther [Internet]. 2011 Jan [cited 2014 Dec 19];34(3):144–52. Available from: http://www.sciencedirect.com/science/article/pii/S0161475411000406 PMID: 21492749
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