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Experimentally induced deep cervical muscle pain distorts head on trunk orientation

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An Erratum to this article was published on 01 August 2013

Abstract

Purpose

We wanted to explore the specific proprioceptive effect of cervical pain on sensorimotor control. Sensorimotor control comprises proprioceptive feedback, central integration and subsequent muscular response. Pain might be one cause of previously reported disturbances in joint kinematics, head on trunk orientation and postural control. However, the causal relationship between the impact of cervical pain on proprioception and thus on sensorimotor control has to be established.

Methods

Eleven healthy subjects were examined in their ability to reproduce two different head on trunk targets, neutral head position (NHP) and 30° target position, with a 3D motion analyser before, directly after and 15 min after experimentally induced neck pain. Pain was induced by hypertonic saline infusion at C2/3 level in the splenius capitis muscle on one side (referred to as “injected side”).

Results

All subjects experienced temporary pain and the head repositioning error increased significantly during head repositioning to the 30° target to the injected side (p = 0.011). A post hoc analysis showed that pain interfered with proprioception to the injected side during acute pain (p < 0.001), but also when the pain had waned (p = 0.002). Accuracy decreased immediately after pain induction for the 30° target position to the side where pain was induced (3.3 → 5.3°, p = 0.033), but not to the contralateral side (4.9 → 4.1°, p = 0.657). There was no significant impact of pain on accuracy for NHP. A sensory mismatch appeared in some subjects, who experienced dizziness.

Conclusions

Acute cervical pain distorts sensorimotor control with side-specific changes, but also has more complex effects that appear when pain has waned.

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Acknowledgments

This research was supported by ALF, Department of Oto-Rhino-Laryngology, Lund University Hospital, Lund, Sweden; The Swedish Medical Research Council, Stockholm, Sweden; The Crafoord Foundation, Lund, Sweden and Region Skåne Council’s Research.

Conflict of interest

No benefits in any form have been received by any commercial party related to the subject of this manuscript.

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Authors and Affiliations

  1. Unit for Specialized Pain Rehabilitation, Department of Rehabilitation Medicine, Skåne University Hospital, 221 85, Lund, Sweden

    Malmström Eva-Maj & Westergren Hans

  2. Department of Otorhinolaryngology, Clinical Sciences, Lund University, 22185, Lund, Sweden

    Malmström Eva-Maj, Fransson Per-Anders, Karlberg Mikael & Magnusson Måns

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  1. Malmström Eva-Maj
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  2. Westergren Hans
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Correspondence to Malmström Eva-Maj.

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Eva-Maj, M., Hans, W., Per-Anders, F. et al. Experimentally induced deep cervical muscle pain distorts head on trunk orientation. Eur J Appl Physiol 113, 2487–2499 (2013). https://doi.org/10.1007/s00421-013-2683-y

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