BALANCE PERFORMANCE IN DUAL TASK IN PATIENTS WITH CERVICAL DISC HERNIATION RELATED CHRONIC NECK PAIN: A COMPARATIVE STUDY

Abstract

Purpose: The aim of the study was to compare balance performance in dual task between patients with cervical disc herniation (CDH) related chronic neck pain and asymptomatic controls. Methods: Thirty-two patients with CDH related chronic neck pain and twenty-three age and sexmatched asymptomatic controls participated in this cross-sectional controlled study. The modified clinical test of sensory integration of balance (mCTSIB), athletic single leg test (ASLT), limits of stability (LOS), and fall risk assessment were performed with and without a cognitive task. Dual task interference (DTI) was assessed. Results: According to our findings, the change in the mCTSIB values (except standing with eyes closed on a firm surface) and fall risk scores was greater in the CDH group compared to the control group (p<0.05). Additionally, the DTI of the mCTSIB values (except standing with eyes closed on a firm surface) and fall risk scores were higher in the CDH group than in the control group (p < 0.05). Conclusions: The results of study suggest that patients with CDH related chronic neck pain have poorer postural control and increased fall risk under dual task conditions. Patients with CDH related chronic neck pain should participate in rehabilitation program to increase balance and postural control.

Keywords

• Balance
• Cervical Disc Herniation
• Disability
• Dual-Task
• Postural Control

SERVİKAL DİSK HERNİASYONUYLA İLİŞKİLİ KRONİK BOYUN AĞRISI OLAN HASTALARDA İKİLİ GÖREVDE DENGE PERFORMANSI: KARŞILAŞTIRMALI BİR ÇALIŞMA

Öz

Amaç: Çalışmanın amacı, servikal disk herniasyonu (SDH) ile ilişkili kronik boyun ağrısı olan hastalar ve asemptomatik kontroller arasındaki ikili görevdeki denge performansını karşılaştırmaktı. Yöntem: Bu kesitsel kontrollü çalışmaya SDH ile ilişkili kronik boyun ağrısı olan otuz iki hasta ve yaş/cinsiyet uyumlu yirmi üç asemptomatik kontrol katıldı. Modifiye Klinik Duyu Entegrasyon Testi (mKDET), atletik tek bacak testi (ATBT), stabilite limitleri (SL) ve düşme riski değerlendirmesi, bilişsel bir görevle ve bu görev olmadan gerçekleştirildi. İkili görev etkileşimi (İGE) değerlendirildi. Sonuçlar: Bulgularımıza göre mKDET değerlerindeki değişim (gözler kapalı olarak sert bir zeminde ayakta durma dışında) ve düşme risk skorlarındaki değişim SDH grubunda kontrol grubuna göre daha fazlaydı (p<0,05). Ek olarak, mKDET değerlerinin İGE 'si (gözler kapalı bir zeminde ayakta durmak hariç) ve düşme riski skorları SDH grubunda kontrol grubuna göre daha yüksekti (p <0,05). Tartışma: Çalışmanın sonuçları, SDH ile ilişkili kronik boyun ağrısı olan hastaların, ikili görev koşulları altında daha zayıf postüral kontrole ve artan düşme riskine sahip olduğunu göstermektedir. SDH ile ilişkili kronik boyun ağrısı olan hastalar denge ve postüral kontrolü artırmak için rehabilitasyon programına katılmalıdır.

Anahtar Kelimeler

• Denge
• Servikal Disk Hernisi
• Özürlülük
• İkili Görev
• Postüral Kontrol

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