The Effect of Balance Training on Cervical Sensorimotor Function and Neck Pain

ABSTRACT The authors’ aim was to evaluate the effect of balance training on cervical joint position sense in people with subclinical neck pain. Thirty-four participants were randomly assigned to balance training or to stay active. Sensorimotor function was determined before and after 5 weeks of training by assessing the ability to reproduce the neutral head position and a predefined rotated head position. After balance training, the intervention group showed improved joint repositioning accuracy and decreased pain whereas no effects were observed in the control group. A weak correlation was identified between reduced neck pain intensity and improved joint repositioning. The present data demonstrate that balance training can effectively improve cervical sensorimotor function and decrease neck pain intensity.

[1]  H. Flor.  New developments in the understanding and management of persistent pain , 2012, Current opinion in psychiatry.

[2]  Nicole Wenderoth,et al.  Brain Activity during Ankle Proprioceptive Stimulation Predicts Balance Performance in Young and Older Adults , 2011, The Journal of Neuroscience.

[3]  Mitchell L Cordova,et al.  Six weeks of balance training improves sensorimotor function in individuals with chronic ankle instability. , 2011, The Journal of orthopaedic and sports physical therapy.

[4]  Hannu Luomajoki,et al.  Cortical changes in chronic low back pain: current state of the art and implications for clinical practice. , 2011, Manual therapy.

[5]  P. Hodges,et al.  Driving plasticity in the motor cortex in recurrent low back pain , 2010, European journal of pain.

[6]  Arno Villringer,et al.  Dynamic Properties of Human Brain Structure: Learning-Related Changes in Cortical Areas and Associated Fiber Connections , 2010, The Journal of Neuroscience.

[7]  K. Pfeifer,et al.  Balance training for neuromuscular control and performance enhancement: a systematic review. , 2010, Journal of athletic training.

[8]  U Granacher,et al.  Balance Training and Multi-Task Performance in Seniors , 2010, International journal of sports medicine.

[9]  M. Revel,et al.  Comparison of visual and ultrasound based techniques to measure head repositioning in healthy and neck-pain subjects. , 2009, Manual therapy.

[10]  M. Baliki,et al.  Towards a theory of chronic pain , 2009, Progress in Neurobiology.

[11]  M. Djupsjöbacka,et al.  Journal of Neuroengineering and Rehabilitation Open Access a Novel Method for Neck Coordination Exercise – a Pilot Study on Persons with Chronic Non-specific Neck Pain , 2022 .

[12]  G. Yao,et al.  Association between cervicocephalic kinesthetic sensibility and frequency of subclinical neck pain. , 2008, Manual therapy.

[13]  John D. Childs,et al.  Neck pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association. , 2008, The Journal of orthopaedic and sports physical therapy.

[14]  G. Jull,et al.  Standing balance: a comparison between idiopathic and whiplash-induced neck pain. , 2008, Manual therapy.

[15]  A Gollhofer,et al.  Spinal and supraspinal adaptations associated with balance training and their functional relevance , 2008, Acta physiologica.

[16]  N. Vuillerme,et al.  Test-retest reliability of cervicocephalic relocation test to neutral head position , 2008, Physiotherapy theory and practice.

[17]  Jay Hertel,et al.  The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. , 2007, The Journal of orthopaedic and sports physical therapy.

[18]  A. Gollhofer,et al.  Differential reflex adaptations following sensorimotor and strength training in young elite athletes. , 2007, International journal of sports medicine.

[19]  A. Cresswell.  Cortical and spinal adaptations induced by balance training: correlation between stance stability and corticospinal activation , 2007 .

[20]  M. Faist,et al.  Cortical and spinal adaptations induced by balance training: correlation between stance stability and corticospinal activation , 2007, Acta physiologica.

[21]  Julia Treleaven,et al.  Retraining cervical joint position sense: The effect of two exercise regimes , 2007, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[22]  Wolfgang Taube,et al.  DIFFERENTIAL EFFECTS OF BALLISTIC VERSUS SENSORIMOTOR TRAINING ON RATE OF FORCE DEVELOPMENT AND NEURAL ACTIVATION IN HUMANS , 2007, Journal of strength and conditioning research.

[23]  F. Horak.  Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? , 2006, Age and ageing.

[24]  Julia Treleaven,et al.  The relationship of cervical joint position error to balance and eye movement disturbances in persistent whiplash. , 2006, Manual therapy.

[25]  M. Schieppati,et al.  Neck muscle fatigue and postural control in patients with whiplash injury , 2006, Clinical Neurophysiology.

[26]  G. Jull,et al.  Standing balance in persistent whiplash: a comparison between subjects with and without dizziness. , 2005, Journal of rehabilitation medicine.

[27]  Ian Brown,et al.  Effects of neck extensor muscles fatigue on balance. , 2004, Clinical biomechanics.

[28]  M Schieppati,et al.  Neck muscle fatigue affects postural control in man , 2003, Neuroscience.

[29]  F. Honegger,et al.  Trunk Sway Measures of Postural Stability During Clinical Balance Tests in Patients With Chronic Whiplash Injury Symptoms , 2003, Spine.

[30]  A. Apkarian,et al.  Cortical representation of pain: functional characterization of nociceptive areas near the lateral sulcus , 2000, Pain.

[31]  E. Takala,et al.  Active Treatment of Chronic Neck Pain: A Prospective Randomized Intervention , 2000, Spine.

[32]  M. Axe,et al.  The efficacy of perturbation training in nonoperative anterior cruciate ligament rehabilitation programs for physical active individuals. , 2000, Physical therapy.

[33]  M. Jensen,et al.  Comparative reliability and validity of chronic pain intensity measures , 1999, PAIN.

[34]  Niels Birbaumer,et al.  Extensive reorganization of primary somatosensory cortex in chronic back pain patients , 1997, Neuroscience Letters.

[35]  Jeffrey D. Boyling,et al.  Grieve's Modern Manual Therapy: The Vertebral Column , 1994 .

[36]  M. Revel,et al.  Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. , 1994, Archives of physical medicine and rehabilitation.

[37]  C. André-deshays,et al.  Cervicocephalic kinesthetic sensibility in patients with cervical pain. , 1991, Archives of physical medicine and rehabilitation.

[38]  Denise Taylor,et al.  Head and Neck Position Sense , 2008, Sports medicine.

[39]  Julia Treleaven,et al.  A therapeutic exercise approach for cervical disorders , 2004 .

[40]  B. K. Humphreys,et al.  The Effect of a Rehabilitation Exercise Program on Head Repositioning Accuracy and Reported Levels of Pain in Chronic Neck Pain Subjects , 2002 .

[41]  Régine Roll,et al.  From balance regulation to body orientation: two goals for muscle proprioceptive information processing? , 1999, Experimental Brain Research.

[42]  U. Rosenhall,et al.  Smooth pursuit neck torsion test: a specific test for cervical dizziness. , 1998, The American journal of otology.