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Effects of different treatments on postural performance in patients with cervical root compression. A randomized prospective study assessing the importance of the neck in postural control

Persson, Liselott LU ; Karlberg, Mikael LU and Magnusson, Måns LU (1996) In Journal of Vestibular Research 6(6). p.439-453
Abstract
Patients with cervical root compression were used as a "model" to investigate the possible importance of neck disorders and cervical sensory information in postural control. We assessed postural performance with posturography before and after treatment in 71 consecutive patients with MRI-verified cervical root compression without medullary compression. The patients were randomized to surgery (n = 22), physiotherapy (n = 24) or treatment with cervical collars (n = 25). There were no differences in postural performance or pain intensity between the groups before treatment. After treatment, the surgery group manifested significant improved postural performance and reduced neck pain scores, as compared to the two conservative treatment groups,... (More)
Patients with cervical root compression were used as a "model" to investigate the possible importance of neck disorders and cervical sensory information in postural control. We assessed postural performance with posturography before and after treatment in 71 consecutive patients with MRI-verified cervical root compression without medullary compression. The patients were randomized to surgery (n = 22), physiotherapy (n = 24) or treatment with cervical collars (n = 25). There were no differences in postural performance or pain intensity between the groups before treatment. After treatment, the surgery group manifested significant improved postural performance and reduced neck pain scores, as compared to the two conservative treatment groups, and their postural performance had improved to the same level manifested by healthy controls. The conservative treatment groups manifested no consistent significant changes in postural performance or pain scores. Decreased muscular tension due to reduction of cervical pain after surgery and normalization of cervical proprioception are suggested as possible explanations of the improved postural control. (Less)
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organization
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Contribution to journal
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published
subject
keywords
Female, Humans, Male, Middle Aged, Neck Muscles, Neck Pain, Nerve Compression Syndromes, Orthopedic Equipment, Physical Therapy Modalities, Posture, Prospective Studies, Spinal Nerve Roots, Splints, Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't
in
Journal of Vestibular Research
volume
6
issue
6
pages
15 pages
publisher
IOS Press
external identifiers
  • pmid:8968971
  • scopus:0030443635
ISSN
1878-6464
language
English
LU publication?
yes
id
5c30a35d-9661-4271-a456-d605dfa3d61d (old id 1110050)
date added to LUP
2008-07-29 09:17:23
date last changed
2017-06-18 04:28:43
@article{5c30a35d-9661-4271-a456-d605dfa3d61d,
  abstract     = {Patients with cervical root compression were used as a "model" to investigate the possible importance of neck disorders and cervical sensory information in postural control. We assessed postural performance with posturography before and after treatment in 71 consecutive patients with MRI-verified cervical root compression without medullary compression. The patients were randomized to surgery (n = 22), physiotherapy (n = 24) or treatment with cervical collars (n = 25). There were no differences in postural performance or pain intensity between the groups before treatment. After treatment, the surgery group manifested significant improved postural performance and reduced neck pain scores, as compared to the two conservative treatment groups, and their postural performance had improved to the same level manifested by healthy controls. The conservative treatment groups manifested no consistent significant changes in postural performance or pain scores. Decreased muscular tension due to reduction of cervical pain after surgery and normalization of cervical proprioception are suggested as possible explanations of the improved postural control.},
  author       = {Persson, Liselott and Karlberg, Mikael and Magnusson, Måns},
  issn         = {1878-6464},
  keyword      = {Female,Humans,Male,Middle Aged,Neck Muscles,Neck Pain,Nerve Compression Syndromes,Orthopedic Equipment,Physical Therapy Modalities,Posture,Prospective Studies,Spinal Nerve Roots,Splints,Clinical Trial,Comparative Study,Journal Article,Randomized Controlled Trial,Research Support, Non-U.S. Gov't},
  language     = {eng},
  month        = {11},
  number       = {6},
  pages        = {439--453},
  publisher    = {IOS Press},
  series       = {Journal of Vestibular Research},
  title        = {Effects of different treatments on postural performance in patients with cervical root compression. A randomized prospective study assessing the importance of the neck in postural control},
  volume       = {6},
  year         = {1996},
}