Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain

Abstract Cervical-spine sensorimotor control is associated with chronicity and recurrence of neck pain (NP). Tests used to measure sensorimotor impairments lack consistency in studied parameters. Interpretation is often based on either a handful or numerous parameters, without considering their poss...

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Main Authors: Ziva Majcen Rosker, Jernej Rosker
Format: Article
Language:English
Published: Nature Portfolio 2024-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-57326-1
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author Ziva Majcen Rosker
Jernej Rosker
author_facet Ziva Majcen Rosker
Jernej Rosker
author_sort Ziva Majcen Rosker
collection DOAJ
description Abstract Cervical-spine sensorimotor control is associated with chronicity and recurrence of neck pain (NP). Tests used to measure sensorimotor impairments lack consistency in studied parameters. Interpretation is often based on either a handful or numerous parameters, without considering their possible interrelation. Different aspects of motor-control could be studied with different parameters, but this has not yet been addressed. The aim of this study was to determine if different parameters of cervical position (JPE) and movement (Butterfly) sense tests represent distinct components of motor-control strategies in patients with chronic NP. Principal component analysis performed on 135 patients revealed three direction-specific (repositioning from flexion, extension or rotations) and one parameter-specific (variability of repositioning) component for JPE, two difficulty-specific (easy or medium and difficult trajectory) and one movement-specific (undershooting a target) component for Butterfly test. Here we report that these components could be related to central (neck repositioning and control of cervical movement) and peripheral sensorimotor adaptations (variability of repositioning) present in NP. New technologies allow extraction of greater number of parameters of which hand-picking could lead to information loss. This study adds towards better identification of diverse groups of parameters offering potentially clinically relevant information and improved functional diagnostics for patients with NP.
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spelling doaj.art-3e0c27bef9ac4e3aa6d4763d0acac97c2024-04-14T11:16:43ZengNature PortfolioScientific Reports2045-23222024-04-0114111010.1038/s41598-024-57326-1Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck painZiva Majcen Rosker0Jernej Rosker1Faculty of Sport, University of LjubljanaFaculty of Health Sciences, University of PrimorskaAbstract Cervical-spine sensorimotor control is associated with chronicity and recurrence of neck pain (NP). Tests used to measure sensorimotor impairments lack consistency in studied parameters. Interpretation is often based on either a handful or numerous parameters, without considering their possible interrelation. Different aspects of motor-control could be studied with different parameters, but this has not yet been addressed. The aim of this study was to determine if different parameters of cervical position (JPE) and movement (Butterfly) sense tests represent distinct components of motor-control strategies in patients with chronic NP. Principal component analysis performed on 135 patients revealed three direction-specific (repositioning from flexion, extension or rotations) and one parameter-specific (variability of repositioning) component for JPE, two difficulty-specific (easy or medium and difficult trajectory) and one movement-specific (undershooting a target) component for Butterfly test. Here we report that these components could be related to central (neck repositioning and control of cervical movement) and peripheral sensorimotor adaptations (variability of repositioning) present in NP. New technologies allow extraction of greater number of parameters of which hand-picking could lead to information loss. This study adds towards better identification of diverse groups of parameters offering potentially clinically relevant information and improved functional diagnostics for patients with NP.https://doi.org/10.1038/s41598-024-57326-1
spellingShingle Ziva Majcen Rosker
Jernej Rosker
Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
Scientific Reports
title Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
title_full Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
title_fullStr Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
title_full_unstemmed Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
title_short Cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
title_sort cervicocephalic kinaesthesia reveals novel subgroups of motor control impairments in patients with neck pain
url https://doi.org/10.1038/s41598-024-57326-1
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