KRONİK İDİYOPATİK BOYUN AĞRILI BİREYLERDE TEK VE ÇİFT GÖREV YÜRÜYÜŞÜ SIRASINDA SPASYOTEMPORAL YÜRÜME PARAMETRELERİ, PELVİK HAREKETLER VE PELVİK SİMETRİ

Year 2022, , 195 - 202, 20.12.2022

Hatice Ayan Karataş , Bilge Kara , Reşat Serhat Erbayraktar

https://doi.org/10.21653/tjpr.1019582

Abstract

Amaç: Boyun ağrısı yürüme bozuklukları ile ilişkilidir. Bu çalışmanın ilk amacı, Kronik İdiyopatik Boyun Ağrısı (CINP) olan kişilerde tekli ve ikili görev durumunda spasyotemporal yürüme parametrelerini, pelvik hareketleri ve pelvik simetriyi incelemek ve bunları sağlıklı bireylerle (HS) karşılaştırmaktır. Çalışmanın ikinci amacı ise CINP'li kişilerde yeti yitimi ve yürüyüş arasındaki ilişkiyi incelemektir.
Yöntem: Çalışmaya 31 CINP'li birey (ortalama yaş 22,06±1,38 yıl, 18-56 yaş aralığında) ve 24 sağlıklı birey (ortalama yaş 22,60±1,51 yıl, 18-43 yaş aralığında) katıldı. CINP grubu Boyun Özürlülük İndeksi'ni tamamladı. Tüm katılımcılar 10 m'lik bir mesafeyi iki farklı şekilde yürüdüler ve başlangıç noktasına geri döndüler: (1) İlk olarak başları düz, normal yürüyüş hızında, (2) ikinci olarak ise başları düz, normal yürüyüş hızında, ellerinde bir tepsi taşıyarak. Spasyotemporal parametreleri (hız, kadans, adım uzunluğu), pelvik hareketleri (tilt, oblikite, rotasyon) ve pelvik simetriyi değerlendirmek için giyilebilir hareket analiz sistemi BTS G-Walk kullanıldı.
Sonuçlar: Tek görev yürüyüşü sırasında, CINP grubu sağlıklı gruba göre anlamlı olarak daha düşük yürüme hızına, daha kısa adım uzunluğuna ve daha kötü pelvik tilt simetrisine sahipti (p<0,05), ancak gruplar arasında pelvik hareketlerde anlamlı farklılık yoktu (p<0,05). İkili görev sırasında, CINP grubu sağlıklı gruba göre anlamlı ölçüde daha düşük kadans, yürüme hızı ve adım uzunluğuna, anlamlı olarak artmış pelvik hareketlere (tilt, oblikite, rotasyon) ve anlamlı olarak daha kötü pelvik rotasyon simetrisine sahipti (p<0,05).
Tartışma: CINP'li kişilerde sağlıklı bireylere kıyasla daha yavaş yürüyüş, daha düşük adım uzunluğu, azalmış pelvik simetri ve artmış pelvik hareketler vardı. İki grup arasındaki yürüyüş ve pelvik hareketlerdeki farklılıklar, ikili görev yürüyüşü sırasında, tekli görev yürüyüşüne göre daha belirgindi.

Keywords

Kronik idiyopatik boyun ağrısı, İkili görev, Yürüyüş, Pelvik hareket.

SPATIOTEMPORAL GAIT PARAMETERS, PELVIC MOVEMENTS AND PELVIC SYMMETRY DURING WALKING WITH SINGLE AND DUAL-TASKS IN INDIVIDUALS WITH CHRONIC IDIOPATHIC NECK PAIN

Abstract

Purpose: Neck pain is associated with gait disturbances. The first aim of this study was to examine spatiotemporal gait parameters, pelvic movements and pelvic symmetry during single and dual task conditions in persons with Chronic Idiopathic Neck Pain (CINP) compared to healthy subjects (HS). The second aim was to investigate the relationship between disability and gait in persons with CINP.
Methods: Thirty-one individuals with CINP (mean age 22.06±1.38 years, range 18-56 years) and 24 HS (mean age 22.60±1.51 years, range 18-43 years) participated in the study. CINP group completed Neck Disability Index. All participants performed 10-meter walking test in two conditions: (1) walking with head straight at usual speed, (2) walking with head straight at usual speed while carrying a tray. The BTS G-Walk wearable sensor was used to assess spatiotemporal parameters (speed, cadence, step length), pelvic movements (tilt, obliquity, rotation), and pelvic symmetry.
Results: During single task gait, the CINP group had significantly lower walking speed, shorter stride length and worse pelvic tilt symmetry (p<0.05), but pelvic movements did not differ significantly according to the HS (p<0.05). During dual task condition, the CINP group had significantly lower cadence, gait speed and stride length, significantly increased pelvic movements and significantly worse pelvic rotation symmetry compared to HS (p<0.05).
Conclusion: Patients with CINP had a slower gait, lower stride length, decreased pelvic symmetry and increased pelvic movements compared to HS. Differences in gait and pelvic movements between the two groups were more pronounced during the dual task gait than single task gait.

Keywords

Chronic idiopathic neck pain, Dual task, gait, Pelvic movement

References

• 1. Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The Burden and Determinants of Neck Pain in the General Population. Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther [Internet]. 2009;32(2 SUPPL.): S46–60. Available from: http://dx.doi.org/10.1016/j.jmpt.2008.11.010
• 2. Tsakitzidis G, Dankaerts W, Remmen R, Royen P Van. Jaarboek Fysiotherapie Kinesitherapie 2012. Jaarb Fysiother Kinesither 2012. 2012;(January 2012).
• 3. LeBrasseur NK. Gait as an Integrative Measure and Predictor of Health Across Species. Vol. 74, The journals of gerontology. Series A, Biological sciences and medical sciences. United States; 2019. p. 1411–2.
• 4. Poole E, Treleaven J, Jull G. The influence of neck pain on balance and gait parameters in community-dwelling elders. Man Ther. 2008;13(4):317–24.
• 5. Kirmizi M, Simsek IE, Elvan A, Akcali O, Angin S. Gait speed and gait asymmetry in individuals with chronic idiopathic neck pain. Musculoskelet Sci Pract. 2019 Jun 1;41:23–7.
• 6. Uthaikhup S, Sunkarat S, Khamsaen K, Meeyan K, Treleaven J. The effects of head movement and walking speed on gait parameters in patients with chronic neck pain. Man Ther. 2014;19(2):137–41.
• 7. Beurskens R, Bock O. Age-related deficits of dual-task walking: a review. Neural Plast. 2012;2012:131608.
• 8. Liston MB, Bergmann JH, Keating N, Green DA, Pavlou M. Postural prioritization is differentially altered in healthy older compared to younger adults during visual and auditory coded spatial multitasking. Gait Posture. 2014 Jan;39(1):198–204.
• 9. Liu YC, Yang YR, Tsai YA, Wang RY. Cognitive and motor dual task gait training improve dual task gait performance after stroke - A randomized controlled pilot trial. Sci Rep. 2017;7(1):1–8.
• 10. Agmon M, Kodesh E, Kizony R. The effect of different types of walking on dual-task performance and task prioritization among community-dwelling older adults. Sci World J. 2014;2014.
• 11. Bayot M, Dujardin K, Tard C, Defebvre L, Bonnet CT, Allart E, et al. The interaction between cognition and motor control: A theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning. Neurophysiol Clin [Internet]. 2018;48(6):361–75. Available from: http://dx.doi.org/10.1016/j.neucli.2018.10.003
• 12. Alsultan F, De Nunzio AM, Rushton A, Heneghan NR, Falla D. Variability of neck and trunk movement during single- and dual-task gait in people with chronic neck pain. Clin Biomech [Internet]. 2020;72(November 2019):31–6. Available from: https://doi.org/10.1016/j.clinbiomech.2019.11.019
• 13. Falla D, Gizzi L, Parsa H, Dieterich A, Petzke F. People with chronic neck pain walk with a stiffer spine. J Orthop Sports Phys Ther. 2017;47(4):268–77.
• 14. Lewis CL, Laudicina NM, Khuu A, Loverro KL. The Human Pelvis: Variation in Structure and Function During Gait. Anat Rec (Hoboken). 2017 Apr;300(4):633–42.
• 15. Bejek Z, Paróczai R, Illyés A, Kiss RM. The influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2006 Jul;14(7):612–22.
• 16. Vernon H. The Neck Disability Index: State-of-the-Art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491–502.
• 17. Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglý N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2008 May;33(11): E362-5.
• 18. Vítečková S, Horáková H, Poláková K, Krupička R, Růžička E, Brožová H. Agreement between the GAITRite R System and the Wearable Sensor BTS G-Walk R for measurement of gait parameters in healthy adults and Parkinson’s disease patients. PeerJ. 2020;2020(5).
• 19. De Ridder R, Lebleu J, Willems T, De Blaiser C, Detrembleu C, Roosen P. Concurrent Validity of a Commercial Wireless Trunk Tri-Axial Accelerometer System for Gait Analysis. J Sport Rehabil. 2019;8:1–13.
• 20. Kim CH, Chu H, Park C, Kang GH, Seo J, Sung KK, et al. Comparison of recovery patterns of gait patterns according to the paralyzed side in Korean stroke patients protocol for a retrospective chart review. Med (United States). 2018;97(35):0–3.
• 21. Treleaven J, Jull G, LowChoy N. The relationship of cervical joint position error to balance and eye movement disturbances in persistent whiplash. Man Ther. 2006 May;11(2):99–106.
• 22. Rix GD, Bagust J. Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil. 2001 Jul;82(7):911–9.
• 23. Saadat M, Salehi R, Negahban H, Shaterzadeh MJ. Mjiri-32-33. 2018;2018.
• 24. Michaelson P, Michaelson M, Jaric S, Latash ML, Sjölander P, Djupsjöbacka M. Vertical posture and head stability in patients with chronic neck pain. J Rehabil Med. 2003 Sep;35(5):229–35.
• 25. Field S, Treleaven J, Jull G. Standing balance: a comparison between idiopathic and whiplash-induced neck pain. Man Ther. 2008 Jun;13(3):183–91.
• 26. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008 Feb;13(1):2–11.
• 27. Sittikraipong K, Silsupadol P, Uthaikhup S. Slower reaction and response times and impaired hand-eye coordination in individuals with neck pain. Musculoskelet Sci Pract [Internet]. 2020;50(October):102273. Available from: https://doi.org/10.1016/j.msksp.2020.102273
• 28. Uthaikhup S, Jull G, Sungkarat S, Treleaven J. The influence of neck pain on sensorimotor function in the elderly. Arch Gerontol Geriatr. 2012;55(3):667–72.
• 29. Bagheri R, Parhampour B, Pourahmadi M, Fazeli SH, Takamjani IE, Akbari M, et al. The Effect of Core Stabilization Exercises on Trunk-Pelvis Three-Dimensional Kinematics during Gait in Non-Specific Chronic Low Back Pain. Spine (Phila Pa 1976). 2019;44(13):927–36.
• 30. Seay JF, Van Emmerik REA, Hamill J. Low back pain status affects pelvis-trunk coordination and variability during walking and running. Clin Biomech [Internet]. 2011;26(6):572–8. Available from: http://dx.doi.org/10.1016/j.clinbiomech.2010.11.012
• 31. Lamoth CJC, Meijer OG, Daffertshofer A, Wuisman PIJM, Beek PJ. Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2006 Jan;15(1):23–40.
• 32. Lee HY, Wang JE, Chang HL, He YC, Chu MM, Chen LF. The association between asymmetric hip mobility and neck pain in young adults. J Manipulative Physiol Ther [Internet]. 2013;36(6):364–8. Available from: http://dx.doi.org/10.1016/j.jmpt.2013.06.001
• 33. Bayot M, Dujardin K, Tard C, Defebvre L, Bonnet CT, Allart E, et al. The interaction between cognition and motor control: A theoretical framework for dual-task interference effects on posture, gait initiation, gait and turning. Neurophysiol Clin. 2018 Dec;48(6):361–75.
• 34. Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J. Cognitive motor interference while walking: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2011 Jan;35(3):715–28.
• 35. Simoni D, Rubbieri G, Baccini M, Rinaldi L, Becheri D, Forconi T, et al. Different motor tasks impact differently on cognitive performance of older persons during dual-task tests. Clin Biomech (Bristol, Avon). 2013 Jul;28(6):692–6.