Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Neck Extensor Muscles Fatigue on Postural Control Using Balance Master


Affiliations
1 MGM College of Physiotherapy, Kamothe, Navi Mumbai, India
2 L.T.M.C. and Sion Hospital, Sion, Mumbai, India
     

   Subscribe/Renew Journal


Background: Poor postural performance is observed in patients suffering from neck pain and following Whiplash injuries. Fatigued muscles following the neck pathology are unable to transmit somatosensory information to the central nervous system, and hence upright postural control may be compromised. Hence there is need to investigate neck muscles fatigue and balance.

Objectives: 1.To assess the dynamic endurance of neck extensors till fatigue sets in.

2. To study the postural control pre and post fatigue in neck extensors.

Methods: 50 healthy students participated in the study. Balance assessment was done on balance master with modified clinical test of sensory interaction and balance. Fatigue was induced in neck extensor muscles using pressure biofeedback apparatus in supine position. The posturographic data of sway velocity was obtained pre and post fatigue & analyzed with paired't' test.

Results: Postural sway velocities in mCTSIB test showed significant difference after inducing fatigue in neck extensors (mean 0.14+0.22, P

Conclusion: It is speculated that from the fatigued neck muscles, altered sensory input leading to abnormal central processing may compromise balance, thereby reflecting a notable change in postural sway.


Keywords

Fatigues, Postural Control, Sway Velocity
Subscription Login to verify subscription
User
Notifications
Font Size


  • Kauffman, Nashner Lewis. Balance is critical parameter in orthopedic rehabilitation. Orthopadic Physical Therapy Clinics of North America.New Technologies in Physical Therapy. March 1997;(6-1)

  • Lewis Nashner. The anatomic basis of balance in orthopedics. Orthopedic physical therapy clinics of North America. March 2002;(11-1)

  • Blackburn TML, Voight , A matter of balance. Rehabilitation Therapies. June 2001.

  • Guyton C, Hall JE. Textbook of medical physiology. Chapter 49, 50, 51, 52, 55, 9th Edition

  • Mark Morningstar. Reflex control of the spine and posture, a review of literature from a chiropractic perspective. Chiropractic Osteopathy journal 2005; (13-16).

  • Sharon Thomas. Functional Efficiency of the vestibular system in the performance of standing balance Sept. 2004.

  • Shumway – Cook, Motor control: Theory of practical Application, 2nd edition, 1995.

  • Neurocom Internantional – The clinical test for the sensory interaction of balance – Description and definations.

  • Stapley D.J. Neck muscle fatigue & postural control in patients which whiplash injury. Clinical Neurophysiology March 2006, (117-3): 610-622.


Abstract Views: 505

PDF Views: 0




  • Effect of Neck Extensor Muscles Fatigue on Postural Control Using Balance Master

Abstract Views: 505  |  PDF Views: 0

Authors

Reshma S. Gurav
MGM College of Physiotherapy, Kamothe, Navi Mumbai, India
Rajashree V. Naik
L.T.M.C. and Sion Hospital, Sion, Mumbai, India

Abstract


Background: Poor postural performance is observed in patients suffering from neck pain and following Whiplash injuries. Fatigued muscles following the neck pathology are unable to transmit somatosensory information to the central nervous system, and hence upright postural control may be compromised. Hence there is need to investigate neck muscles fatigue and balance.

Objectives: 1.To assess the dynamic endurance of neck extensors till fatigue sets in.

2. To study the postural control pre and post fatigue in neck extensors.

Methods: 50 healthy students participated in the study. Balance assessment was done on balance master with modified clinical test of sensory interaction and balance. Fatigue was induced in neck extensor muscles using pressure biofeedback apparatus in supine position. The posturographic data of sway velocity was obtained pre and post fatigue & analyzed with paired't' test.

Results: Postural sway velocities in mCTSIB test showed significant difference after inducing fatigue in neck extensors (mean 0.14+0.22, P

Conclusion: It is speculated that from the fatigued neck muscles, altered sensory input leading to abnormal central processing may compromise balance, thereby reflecting a notable change in postural sway.


Keywords


Fatigues, Postural Control, Sway Velocity

References