The effect of neck torsion on postural stability in subjects with persistent whiplash

Yu, Li-Ju, Stokell, Raina and Treleaven, Julia (2011) The effect of neck torsion on postural stability in subjects with persistent whiplash. Manual Therapy, 16 4: 339-343. doi:10.1016/j.math.2010.12.006

Author Yu, Li-Ju
Stokell, Raina
Treleaven, Julia
Title The effect of neck torsion on postural stability in subjects with persistent whiplash
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2011-08
Sub-type Article (original research)
DOI 10.1016/j.math.2010.12.006
Volume 16
Issue 4
Start page 339
End page 343
Total pages 5
Place of publication Kidlington, U.K.
Publisher Churchill Livingstone
Collection year 2012
Language eng
Abstract Dysfunction of cervical receptors in neck disorders has been shown to lead to disturbances in postural stability. The neck torsion manoeuvre used in the smooth pursuit neck torsion (SPNT) test is thought to be a specific measure of neck afferent dysfunction on eye movement in those with neck pain. This study aimed to determine whether neck torsion could change balance responses in those with persistent whiplash-associated disorders (WADs). Twenty subjects with persistent WAD and 20 healthy controls aged between 18 and 50 years stood on a computerised force plate with eyes closed in comfortable stance under 5 conditions: neutral head, head turned to left and right and neck torsion to left and right. Root mean square (rms) amplitude of sway was measured in the anterioreposterior (AP) and medial elateral (ML) directions. The whiplash group had significantly greater rms amplitude in the AP direction following neck torsion compared to the control group (p < 0.03). The results show that the neck torsion manoeuvre may lead to greater postural deficits in individuals with persistentWAD and provides further evidence of neck torsion to identify abnormal cervical afferent input, as an underlying cause of balance disturbances in WAD. Further research is warranted.
Keyword Balance
Neck torsion
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Health and Rehabilitation Sciences Publications
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