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Effect of Collar on Balance in Vertebrobasilar Insufficiency Patients


Affiliations
1 Department of Physiotherapy, India
2 M.P.T (Neurological Disorders) Department of Physiotherapy Guru Jambheshwar University of Science and Technology, India
     

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Purpose of Study: The purpose of the study is to assess the effect of wearing collar on balance response and to determine whether hard collar or soft collar shows improvement in balance in patients suffering from Vertebrobasilar Insufficiency (VBI). The study is clinically significant to help determine type of cervical collar to be prescribed in patients suffering from VBI with balance problems.

Methodology: 40 subjects were included after screening for vertebrobasilar insufficiency and were assigned into two groups with 20 subjects in each group. Group A was given Philadelphia collar and Group B was given soft collar. Balance response before and after wearing collar was analysed using Berg Balance Scale.

Data analyses and result: Mann Whitney U test was used for analyses of data. Data of pre post Berg Balance score of soft collar and hard collar was measured by Wilcox- on signed rank test.

Conclusion: soft collar is more effective then hard collar in improving balance of patients suffering from VBI.


Keywords

Balance, Soft Cervical Collar, Philadelphia Collar
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  • Manohar.M.Panjabi, The stabilizing system of spine. Part1. Function, dysfunction, adaptation and enhancement. Journal of spinal disorders and techniques. 1992; 5(4): 383-389
  • N.Schikora.H.Klunter, S.Delank, Katrine Eysel- Gosepath, Influence of cervical spine stabilization via stiff neck on the postural system in healthy patients:compensation or decompensation of system.Eur aur Otorhinolaryngol. 2010; 67: 1623-1628
  • Alwin Brown, Evaluation and management of cervical spine syndrome. Journal of national medical association. 1975; 67(5):375-378.
  • L.C.G.Persson,U.Moritz,L.Brandt,C.- A,Karlsson,Cervical radiculopathy:pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy and collar. European spinal journal. 1997;6(4): 256-266.
  • O.G.B.Nwaorgu, P. A. Onakaoya, M. A. Usman. Cervical vertigo and cervical spondylosis- a need for adequate evaluation. Nigerian journal of medicine, 2003; 12(3):140-4
  • Suraj kumar, G Venu Vendhan, Dr Sachin Awasthi, Madhusudan Tiwari, Prof VP Sharma, Relationship between fear of falling, balance, impairment and functional mobility in community dwelling elderly people. Indian Journal of Physical Medicine and Rehabilitation.2008;19(2); 48-52.
  • Dvorak,Jiri, Antinnes JA, Panjabi M, Loustalot D, Bonomo M., Age and gender related normal motion of cervical spine. Spine. 1992; 17(10): 393-398
  • Ten Have HA, Eulderink F, Degenerative changes in cervical spine and their relationship to mobility. Journal of pathology. 1980; 132(2):135-159.
  • Hagen KB, Harms-Ringdahl K, Enger NO, Hedenstad R, Morten H. (1997), Relationship between subjective neck disorders and cervical spine stability and motion related pain in machine operators. Spine. 1997; 22(13): 1501-7.
  • Dall’Alba PT, Sterling MM, Treleaven JM, Edwards SL, Jull GA, Cervical Range of Motion Discriminates Between Asymptomatic Persons and Those with Whiplash. Spine. 2001; 26(9): 2090-2094.
  • Zeliha Unlu, Lale Cerrahoglu, Asim Aslan, Serdar Tarhan, Efficacy of Collar Treatment for Patients with Cervical Spondylatrosis Complaining of Vertigo. J.Phys Ther.Scien. 2001;13: 115-120.
  • Abdulla Ahmed Eyadeh, Maria Kondeva, Musaed Faraj Khamees, Fawsia M Hussein, Neck pain, neck mobility and alignment of cervical spine in 30 patients with cervical strain. Kuwait medical journal. 2004; 36(3): 186-190.
  • Abbed KM, Coumans JV. cervical radiculopathy: pathophysiology, presentation and clinical evaluation. Neurosurgery. 2007;60: 28-34. 14. Fujita N, Ueda T, Yamanaka T, Inui H, Minami Y, Miyahara H, et.al. Clinical application of ultrasonic blood rheography in vertebral artery for vertigo.Acte otolaryngol suppl. 1995;519: 178-183.
  • Gomez CR, Cruz-Flores S, Malkoff MD, Sauer CM, Burch CM.. Isolated vertigo as a manifestation of vertebrobasilar ischaemia. Neurology. 1996;47: 94-97.
  • Morales C, De Marinis A, Labatut G, Vásquez I, Aravena F. Clinical significance of cervical arthropathy in patients with vertigo. Rev Med.Chi. 1990;118: 657-661.
  • Troost BT .Dizziness and vertigo in vertebrobasilar disease: Part 1. Peripheral and systemic causes of dizziness. Current concepts of cerebrovascular disease. Stroke. 1980;11: 301-303
  • Odkvist LM, Bergenius J.Drop attacks in Meniere’s disease. Acta Otolaryngol. 1988; 455: 82-85.
  • Allan G.J. Terrett, Current concepts in vertebrobasilar complications following spinal manipulation, 2nd edition. Norwalk, 2001
  • Van der Velde, Benign paroxysmal positional vertigo. Part 1, J. Can Chiropr.Assoc. 1999; 43: 31-40.
  • Chen TS, Wang WH, Song W. Clinical research of vestibular autorotation test for patients with vertebrobasilar insufficiency. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2006; 41(10): 721-5.
  • Arnetoli G, Amadori A, Stefani P, Nuzzaci G, Sonography of vertebral arteries in De Kleyne Position in subjects and patients with vertebrobasilar patients with transient ischaemic attacks. Angiology. 1980; 40(8): 716-720.
  • Odkvist I, Odkvist LM. Physiotherapy in vertigo. Acta Otolaryngol. 1988; 435: 74-76.
  • Cerrahoglu L, The effects of physical therapy on clinical, odimetrical and Doppler ultrasonographic findings in VBI. J Rheu Med Rehab. 1995; 6: 158-164.
  • E S Bracher, C I Almeida, R R Almeida, A C Duprat, C B Bracher (). A combined approach for the treatment of vertigo. J Manipulative Physiol.Ther. 2000; 23(2): 96-100.
  • Burl MM, Williams JG, Nayak US. Effects of cervical collar on standing balance. Arch Phys Med Rehabil. 1992;73: 1181-1185.
  • James CY, Riemann BL, Munkasy BA, Joyner AB. Comparison of cervical spine motion during application among 4 rigid immobilization collars. Journal of athletic training. 2004;39(2): 138-145.
  • Krusen EM. Cervical pain syndromes. Arch Phys Med Rehabil. 1968; 7: 376-382.
  • Rowland LP. Surgical treatment of cervical spondylotic myelopathy: time for controlled trial. Neurology.1992; 42: 5-13.
  • Asavasopon S, Jankoski J, Godges JJ. Clinical diagnosis of VBI: Resident’s case problem.JOSPT. 2005;35(10):645-50
  • Lee H, Yi HA, Baloh RW. Sudden bilateral deafness with vertigo as sole manifestation of vertebrobasilar insufficiency Neurol Neurosurg Psychiatry. 2003; 74: 539-541.
  • Rosengart A, Hedges TR 3rd, Teal PA, DeWitt LD, Wu JK, Wolpert S,.,et al. Intermittent downbeat nystagmus due to vertebral artery compression.Neurology.1993;43: 216-218.
  • Michael G, Vertigo and imbalance. Journal of neurological sciences. 2005; 22(2): 123-142.
  • William F House, Neurotologic manifestations of Microvascular Hypofunctions. Am J OTOL. 1995;16(1): 34-8.

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  • Effect of Collar on Balance in Vertebrobasilar Insufficiency Patients

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Authors

Jaspreet Kaur
Department of Physiotherapy, India
Manoj Malik
M.P.T (Neurological Disorders) Department of Physiotherapy Guru Jambheshwar University of Science and Technology, India
Inderpreet Kaur
M.P.T (Neurological Disorders) Department of Physiotherapy Guru Jambheshwar University of Science and Technology, India

Abstract


Purpose of Study: The purpose of the study is to assess the effect of wearing collar on balance response and to determine whether hard collar or soft collar shows improvement in balance in patients suffering from Vertebrobasilar Insufficiency (VBI). The study is clinically significant to help determine type of cervical collar to be prescribed in patients suffering from VBI with balance problems.

Methodology: 40 subjects were included after screening for vertebrobasilar insufficiency and were assigned into two groups with 20 subjects in each group. Group A was given Philadelphia collar and Group B was given soft collar. Balance response before and after wearing collar was analysed using Berg Balance Scale.

Data analyses and result: Mann Whitney U test was used for analyses of data. Data of pre post Berg Balance score of soft collar and hard collar was measured by Wilcox- on signed rank test.

Conclusion: soft collar is more effective then hard collar in improving balance of patients suffering from VBI.


Keywords


Balance, Soft Cervical Collar, Philadelphia Collar

References