Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history

IF 2.2 3区医学 Q1 REHABILITATION Physical Therapy in Sport Pub Date : 2024-07-11 DOI:10.1016/j.ptsp.2024.07.002

Katherine L. Smulligan , Patrick Carry , Andrew C. Smith , Carrie Esopenko , Christine M. Baugh , Julie C. Wilson , David R. Howell

{"title":"Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history","authors":"Katherine L. Smulligan , Patrick Carry , Andrew C. Smith , Carrie Esopenko , Christine M. Baugh , Julie C. Wilson , David R. Howell","doi":"10.1016/j.ptsp.2024.07.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To investigate dizziness, vestibular/oculomotor symptoms, and cervical spine proprioception among adults with/without a concussion history.</p></div><div><h3>Methods</h3><p>Adults ages 18–40 years with/without a concussion history completed: dizziness handicap inventory (DHI), visio-vestibular exam (VVE), and head repositioning accuracy (HRA, assesses cervical spine proprioception). Linear regression models were used to assess relationships between (1) concussion/no concussion history group and VVE, HRA, and DHI, and (2) DHI with HRA and VVE for the concussion history group.</p></div><div><h3>Results</h3><p>We enrolled 42 participants with concussion history (age = 26.5 <span><math><mrow><mo>±</mo></mrow></math></span> 4.5 years, 79% female, mean = 1.4<span><math><mrow><mo>±</mo></mrow></math></span> 0.8 years post-concussion) and 46 without (age = 27.0<span><math><mrow><mo>±</mo></mrow></math></span> 3.8 years, 74% female). Concussion history was associated with worse HRA (<span><math><mrow><mi>β</mi></mrow></math></span> = 1.23, 95% confidence interval [CI]: 0.77, 1.68; p < 0.001), more positive VVE subtests (<span><math><mrow><mi>β</mi></mrow></math></span> = 3.01, 95%CI: 2.32, 3.70; p < 0.001), and higher DHI scores (<span><math><mrow><mi>β</mi></mrow></math></span> = 9.79, 95%CI: 6.27, 13.32; p < 0.001) after covariate adjustment. For the concussion history group, number of positive VVE subtests was significantly associated with DHI score (<span><math><mrow><mi>β</mi></mrow></math></span> = 3.78, 95%CI: 2.30, 5.26; p < 0.001) after covariate adjustment, while HRA error was not (<span><math><mrow><mi>β</mi></mrow></math></span> = 1.10, 95%CI: −2.32, 4.51; p = 0.52).</p></div><div><h3>Conclusions</h3><p>Vestibular/oculomotor symptom provocation and cervical spine proprioception impairments may persist chronically (i.e., 3 years) after concussion. Assessing dizziness, vestibular/oculomotor and cervical spine function after concussion may inform patient-specific treatments to address ongoing dysfunction.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"69 ","pages":"Pages 33-39"},"PeriodicalIF":2.2000,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical Therapy in Sport","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1466853X24000737","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To investigate dizziness, vestibular/oculomotor symptoms, and cervical spine proprioception among adults with/without a concussion history.

Methods

Adults ages 18–40 years with/without a concussion history completed: dizziness handicap inventory (DHI), visio-vestibular exam (VVE), and head repositioning accuracy (HRA, assesses cervical spine proprioception). Linear regression models were used to assess relationships between (1) concussion/no concussion history group and VVE, HRA, and DHI, and (2) DHI with HRA and VVE for the concussion history group.

Results

We enrolled 42 participants with concussion history (age = 26.5 $\pm$ 4.5 years, 79% female, mean = 1.4 $\pm$ 0.8 years post-concussion) and 46 without (age = 27.0 $\pm$ 3.8 years, 74% female). Concussion history was associated with worse HRA ( $β$ = 1.23, 95% confidence interval [CI]: 0.77, 1.68; p < 0.001), more positive VVE subtests ( $β$ = 3.01, 95%CI: 2.32, 3.70; p < 0.001), and higher DHI scores ( $β$ = 9.79, 95%CI: 6.27, 13.32; p < 0.001) after covariate adjustment. For the concussion history group, number of positive VVE subtests was significantly associated with DHI score ( $β$ = 3.78, 95%CI: 2.30, 5.26; p < 0.001) after covariate adjustment, while HRA error was not ( $β$ = 1.10, 95%CI: −2.32, 4.51; p = 0.52).

Conclusions

Vestibular/oculomotor symptom provocation and cervical spine proprioception impairments may persist chronically (i.e., 3 years) after concussion. Assessing dizziness, vestibular/oculomotor and cervical spine function after concussion may inform patient-specific treatments to address ongoing dysfunction.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

颈椎本体感觉和前庭/耳蜗运动功能：对有脑震荡病史和无脑震荡病史的年轻人进行比较的观察研究

目的研究有/无脑震荡病史的成年人的头晕、前庭/耳廓运动症状和颈椎本体感觉。方法 18-40 岁有/无脑震荡病史的成年人完成头晕障碍量表（DHI）、视觉前庭检查（VVE）和头部复位准确性（HRA，评估颈椎本体感觉）。线性回归模型用于评估(1)脑震荡/无脑震荡病史组与VVE、HRA和DHI之间的关系，以及(2)脑震荡病史组的DHI与HRA和VVE之间的关系。结果我们招募了42名有脑震荡病史的参与者（年龄=26.5±4.5岁，79%为女性，平均=1.4±0.8年脑震荡后）和46名无脑震荡病史的参与者（年龄=27.0±3.8岁，74%为女性）。经过协变量调整后，脑震荡史与更差的 HRA（β = 1.23，95% 置信区间 [CI]：0.77，1.68；p < 0.001）、更积极的 VVE 副测试（β = 3.01，95%CI：2.32，3.70；p < 0.001）和更高的 DHI 分数（β = 9.79，95%CI：6.27，13.32；p < 0.001）相关。对于脑震荡病史组，经过协变量调整后，VVE 子测试的阳性次数与 DHI 评分显著相关（β = 3.78，95%CI：2.30，5.26；p <；0.001），而 HRA 误差与之无关（β = 1.10，95%CI：-2.32，4.51；p = 0.52）、3年）。评估脑震荡后的头晕、前庭/耳蜗运动和颈椎功能可为针对患者的治疗提供依据，以解决持续存在的功能障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.