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Title: ASSOCIATION OF CERVICAL PROPRIOCEPTION AND BALANCE AMONG VESTIBULAR DYSFUNCTION PATIENTS; A CROSS SECTIONAL STUDY
Authors: Muhammad Zeeshan Anwar, Uzra Batool, Muhammad Shahwaiz, Aqsa Arif, Hira Rafique, Hafiz Muddassir Riaz
Journal: Insights-Journal of Health and Rehabilitation
| Category | From | To |
|---|---|---|
| Y | 2024-10-01 | 2025-12-31 |
Publisher: Health And Research Insights (SMC-Private) Limited
Country: Pakistan
Year: 2024
Volume: 2
Issue: 2
Language: English
DOI: 10.71000/bk5grc10
Keywords: VertigoDizzinessProprioceptionBalance DisordersPostural BalanceVestibular DiseasesVestibulo-Ocular Reflex
Background: Balance in humans relies on the integration of somatosensory, visual, and vestibular sensory systems, which work together to compensate for deficits in any one system. Vestibular disorders arise from pathologies affecting the vestibular apparatus in the middle ear or the central nervous system. Common symptoms include nystagmus, vertigo, imbalance, nausea, and headache, significantly impacting quality of life and postural stability.
Objective: To determine the association between cervical proprioception deficits and balance impairments among various vestibular dysfunctions, including benign paroxysmal positional vertigo (BPPV), Meniere’s disease, unilateral vestibular dysfunction, and bilateral vestibular dysfunction.
Methods: This cross-sectional study included 71 participants selected through purposive sampling over a six-month period. Cervical proprioception was measured using the Cervical Joint Position Error Test (CJPET), while balance deficits were evaluated with the Berg Balance Scale (BBS). Participants were categorized into three risk levels based on BBS scores: low fall risk (51–56), moderate fall risk (40–50), and high fall risk (<40). Age, gender, and BMI data were recorded, and statistical analysis was conducted to identify correlations between cervical joint position errors in flexion, extension, and rotation with balance outcomes.
Results: The mean age of participants was 37.36 ± 7.35 years. Males constituted 64.8% of the sample, while females accounted for 35.2%. Most participants (81.6%) had normal BMI, 9.9% were underweight, and 8.5% were overweight. Significant correlations were found between balance impairments and cervical joint position errors in flexion (p = 0.025) and extension (p = 0.039), but no significant correlations were observed for left (p = 0.590) or right (p = 0.421) rotational movements.
Conclusion: Cervical proprioception deficits in flexion and extension movements are significantly associated with balance impairments in patients with vestibular dysfunctions, while rotational movements showed no significant relationship. These findings highlight the importance of targeting specific cervical movements in therapeutic interventions for balance disorders.
To determine the association between cervical proprioception deficits and balance impairments among various vestibular dysfunctions.
A cross-sectional study involving 71 participants with clinically confirmed vestibular dysfunction. Cervical proprioception was measured using the Cervical Joint Position Error Test (CJPET), and balance was assessed with the Berg Balance Scale (BBS). Participants were categorized by fall risk based on BBS scores. Demographic data (age, gender, BMI) were collected. Statistical analysis was performed to identify correlations between cervical joint position errors (flexion, extension, rotation) and balance outcomes.
graph TD;
A["Recruit 71 participants with vestibular dysfunction"];
B["Collect demographic data: age, gender, BMI"];
C["Measure cervical proprioception using CJPET"];
D["Assess balance using Berg Balance Scale BBS"];
E["Categorize participants by fall risk based on BBS"];
F["Analyze correlations between CJPET errors and BBS scores"];
G["Significant correlation found?"];
G -- Yes --> H["Report significant association for flexion/extension"];
G -- No --> I["Report no significant association for rotation"];
H --> J["Conclusion on cervical proprioception and balance"];
I --> J;
The study supports the role of cervical proprioception in postural control, particularly in flexion and extension movements, which are significantly associated with balance impairments in vestibular dysfunction patients. Rotational movements of the neck showed less influence on balance outcomes. The findings suggest that targeting specific cervical movements in therapeutic interventions could be beneficial for improving balance in this population.
Significant correlations were found between balance impairments and cervical joint position errors in flexion (p = 0.025) and extension (p = 0.039). No significant correlations were observed for rotational movements (left p = 0.590, right p = 0.421). The mean age of participants was 37.36 ± 7.35 years, with 64.8% being male. Most participants (81.6%) had normal BMI.
Cervical proprioception deficits in flexion and extension movements are significantly associated with balance impairments in patients with vestibular dysfunctions. Rotational cervical movements did not show a significant relationship with balance. These findings emphasize the importance of assessing and potentially targeting specific cervical movements in therapeutic interventions for balance disorders in individuals with vestibular dysfunction.
- The study included 71 participants. (Confirmed in Methods and Results)
- Males constituted 64.8% of the sample. (Confirmed in Results)
- Significant correlations were found between balance impairments and cervical joint position errors in flexion (p = 0.025) and extension (p = 0.039). (Confirmed in Results)
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