Investigation of gait symmetry, cervical joint position sense, cervical range of motion and functional disability in individuals with chronic idiopathic neck pain

Yıl 2024, Cilt: 11 Sayı: 3, 171 - 179, 19.12.2024

Hatice Ayan , Bilge Kara , Reşat Serhat Erbayraktar

https://doi.org/10.15437/jetr.1430664

Öz

Purpose: Gait asymmetry has not been adequately clarified in Chronic Idiopathic Neck Pain (CINP). Cervical position sense is important to maintain gait function. However, the association between gait symmetry and cervical position sense is unknown. The first aim is to evaluate gait symmetry, cervical joint position error (JPE), cervical range of motion (ROM), and functionality in persons with CINP and compare them with healthy controls (HC). The second aim is to investigate the relationship between gait symmetry and cervical JPE, ROM, and functional disability in CINP.
Methods: 35 persons with CINP (27 females, eight males, mean age 25.48 ± 8.69 years) and 34 HC (25 females, nine males, mean age 25.76±7.96 years) were included. Gait symmetry was assessed with a wearable sensor gait device. Cervical JPE and ROM were evaluated with the Cervical Range of Motion (CROM) device. Neck Disability Index (NDI) was used for functional disability.
Results: Persons with CINP had significantly worse gait symmetry, cervical JPE, and lower cervical range of motion in all directions (p<0.01). In the CINP group, gait symmetry had significant, negative weak and moderate correlations with the cervical JPE (flexion, extension, right lateral flexion, r=-0.387, -0.459, -0.443, p<0.05) and NDI (r=-0.493, p<0.05).
Conclusion: This study showed that gait symmetry, cervical position sense, and range of motion were negatively affected in individuals with CINP compared to the healthy controls, and that the decrease in gait symmetry was associated with the increase in cervical joint position error and functional disability. Improving cervical position sense may be effective in increasing gait symmetry in persons with chronic idiopathic neck pain.
Keywords: Neck pain, Gait, Position sense.

Anahtar Kelimeler

Neck pain, Gait, Position sense

Kronik idiopatik boyun ağrılı bireylerde yürüyüş simetrisi, servikal eklem pozisyon hissi, servikal hareket açıklığı ve fonksiyonel yeti yitiminin araştırılması

Öz

Amaç: Kronik idiopatik boyun ağrısında (KİBA) yürüyüş asimetrisi yeterince aydınlatılmamıştır. Yürüyüş fonksiyonunun sürdürülmesinde servikal pozisyon duyusu önemlidir. Ancak KİBA'da yürüyüş simetrisi ile servikal pozisyon duyusu arasındaki ilişki bilinmemektedir. Çalışmamızın ilk amacı KİBA’lı bireylerde yürüyüş simetrisini, eklem pozisyon hatasını (JPE), servikal hareket açıklığını (ROM) ve fonksiyonel yeti yitimini değerlendirmek ve bunları sağlıklı kontrollerle (HC) karşılaştırmaktı. İkinci amacımız ise KİBA‘lı bireylerde yürüyüş simetrisi ile servikal JPE, ROM ve fonksiyonel yeti yitimi arasındaki ilişkiyi araştırmaktı.
Yöntem: 35 KİBA’lı birey (27 kadın, 8 erkek, ortalama yaş 25,48 ± 8,69 yıl) ve 34 HC (25 kadın, 9 erkek, ortalama yaş 25,76 ± 7,96 yıl) çalışmaya dahil edildi. Yürüme simetrisi, giyilebilir sensörlü yürüyüş cihazı ile değerlendirildi. Servikal pozisyon hissi ve ROM, Servikal Hareket Açıklığı (CROM) cihazı ile değerlendirildi. Fonksiyonel yeti yitimi için Boyun Özürlülük İndeksi (BÖİ) kullanıldı.
Bulgular: KİBA’lı bireylerde anlamlı derecede daha kötü yürüyüş simetrisi, daha kötü servikal JPE ve tüm yönlerde daha az servikal hareket açıklığı vardı (p<0.01). CINP grubunda yürüyüş simetrisi, servikal JPE (fleksiyon, ekstansiyon, sağ lateral fleksiyon, r=-0,387, -0,459, -0,443, p<0,05) ve BÖİ (r=-0,493, p<0,05) ile anlamlı, zayıf ve orta düzeyde negatif korelasyona sahipti.
Sonuç: Bu çalışma, KİBA’lı bireylerde, yürüyüş simetrisinin, servikal pozisyon hissinin ve eklem hareket açıklığının, sağlıklı bireylere göre olumsuz yönde etkilendiğini, yürüyüş simetrisindeki azalmanın, servikal eklem pozisyon hatasındaki ve fonksiyonel yeti yitimindeki artışla ilişkili olduğunu gösterdi. Kronik idyopatik boyun ağrısı olan bireylerde servikal pozisyon hissinin iyileştirilmesi, yürüyüş simetrisinin arttırılmasında etkili olabilir.

Anahtar Kelimeler

Boyun ağrısı, Yürüyüş, Pozisyon hissi

Kaynakça

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