Vpliv bolečine v vratu na občutek za položaj sklepov vratne hrbtenice pri pacientih z nespecifičnimi bolečinami v vratu - pregled literature : diplomsko delo

Pegam, Nika (author), Hlebš, Sonja (mentor)

Uvod: Propriocepcija vratu je občutek za položaj glave ali vratu v prostoru. Za doseganje tega je potrebno sodelovanje aferentnih in eferentnih receptorjev, ki so odgovorni za nadzor drže in gibanja. V vratni hrbtenici omogočajo zaznavanje položaja mišična vretena, v manjši meri pa še GTO, receptorji v koži ter sklepni receptorji. Pri različnih okvarah gibalnega sistema se količina informacij, ki prihajajo iz okvarjenih področij zmanjša. Pri ljudeh s kroničnimi bolečinami vratu se zmanjšana količina prenosa aferentnih informacij izrazi kot vrtoglavica, nestabilnost, motnje ravnotežja, vida, propriocepcije vratu in nadzora gibanja glave ter oči. Moteno delovanje somatosenzoričnih receptorjev je vzrok za zmanjšan občutek za položaj sklepa in kinestezije. Namen: Namen diplomskega dela je s pregledom literature predstaviti izsledke raziskav o vplivu bolečine v vratu na občutek za položaj sklepov vratne hrbtenice pri pacientih z nespecifičnimi bolečinami v vratu. Metode dela: Raziskovalne članke v angleščini smo iskali v podatkovnih zbirkah MEDLINE, PUBmed, Elsevier, Cochrane Library in ScienceDirect. Uporabili smo iskalne kombinacije ključnih besed »neck pain«, »cervical joint position sense«, »neck proprioception« in »physiotherapy«. Rezultati: V pregled literature je bilo vključenih devet raziskav. Za ocenjevanje občutka za položaj sklepa so bili uporabljeni različni postopki, skupen vsem pregledanim raziskavam pa je bil postopek merjenja natančnosti vračanja glave v izhodiščni položaj. Rezultati petih raziskav so pokazali, da so imeli preiskovanci z bolečinami v vratu pri ocenjevanju slabše rezultate kot preiskovanci v primerjalni skupini brez bolečin. Razlik med preiskovanci z bolečinami v vratu ter zdravimi preiskovanci avtorji niso zaznali v štirih od devetih raziskav. Razprava in sklep: Rezultati pregledanih raziskav so heterogeni in nakazujejo potrebo po nadaljnjem raziskovanju na tem področju. Na rezultate ocenjevanja občutka za položaj sklepa lahko vplivajo različni dejavniki.

• Language: Slovenian
• Keywords: bolečina v vratu, občutek za položaj sklepa, propriocepcija vratu, fizioterapija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• PID: 20.500.12556/RUL-111981
• COBISS.SI-ID: 5711723
• Publication date in RUL: 18.10.2019

Secondary language

• Language: English
• Title: Effect of neck pain on cervical joint position sense in people with non-specific neck pain - literature review : diploma work

Abstract

Introduction: Cervical proprioception is the sense of position of the head or neck in space, describing the complex interaction between afferent and efferent receptors to monitor the position and movement. In the cervical spine, this sense has its neurological basis in muscle spindles and, to a lesser extent, in tendon organs (Golgi receptors), cutaneous receptors, and joint receptors. With different locomotor system disorders, the amount of afferent information coming from the defective area is reduced. This results in impaired function of all the activities in which the defective segment is involved. During movement in a healty joint, the elongation and contraction of the nearby structures occures. Those changes affect mechanoreceptors that respond to stimuli properly. Different disorders directly affect somatosensory receptors, whose main task is to transmit sensory information to the central nervous system. Dysfunction of the somatosensory receptors is the cause for joint position error. Puropose: The purpose of this diploma work was to present research findings on the effect of neck pain on cervical joint position sense in people with non-specific neck pain. Methods: The method, used in this paper, was a literature review. Research papers included in the review, were selected according to a set of criteria. Results: Eight research papers were included in the literature review. Various procedures were applied to assess the cervical joint position sense. The head to neutral reposition test was common to all the selected research papers. The results of five studies showed that the test results of subjects with neck pain were worse than subjects in the comparison group. Discussion and conclusion: Results of the included studies are very heterogeneous and indicate the need for further research in this field. The results of assessing cervical joint position sense can be affected by various factors. No differences between subjects with neck pain and healthy subjects were detected by authors in three out of eight research papers.

• Keywords: neck pain, cervical joint position sense, neck proprioception, physiotherapy