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Rehabilitation program for traumatic chronic cervical pain associated with unsteadiness: a single case study

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Descarreaux, Martin et Cadieux, Rosalie et Champagne, Annick et Lafond, Danik (2008). Rehabilitation program for traumatic chronic cervical pain associated with unsteadiness: a single case study. Chiropractic and Osteopathy, 16 (1). p. 15. ISSN 1011-8617 1746-1340 DOI 10.1186/1746-1340-16-15

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Résumé

Abstract Background Neck problems are often recurring or chronic. After pain, unsteadiness and balance problems are among the most frequent symptoms reported by chronic neck pain (CNP) patients. Altered sensorimotor control of the cervical spine and sensorimotor integration problems affecting postural control have been observed in CNP patients. Very few data are available regarding the post-intervention effects of rehabilitation programs on postural control in CNP. Case presentation This is a case study of a traumatic CNP patient (a 45-year old female) with postural unsteadiness who participated in an 8-week rehabilitation program combining therapeutic exercises with spinal manipulative therapy. Pre-intervention data revealed that the postural control system was challenged when postural control sensory inputs were altered, particularly during the head-extended-backward condition. Post-intervention centre of pressure measurements indicated a drastic reduction in postural sway during trials with changes in neck orientation. Conclusion This case report indicates that an 8-week rehabilitation program combining therapeutic exercises with spinal manipulative therapy may have had an effect on improvement of postural control in a trauma CNP patient with unsteadiness. These results warrant further studies to investigate the relationships between pain amelioration, sensorimotor control of the cervical spine, muscle fitness and postural steadiness.

Type de document: Article
Mots-clés libres: Internal Medicine Rc31-1245 Medicine Diseases of the Musculoskeletal System Rc925-935 Specialties of Internal Medicine Rc581-951
Date de dépôt: 05 avr. 2019 17:59
Dernière modification: 05 avr. 2019 17:59
Version du document déposé: Version officielle de l'éditeur
URI: http://depot-e.uqtr.ca/id/eprint/8624

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