Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 2 | Page No. 1389-1393
Date of Publication: 11-04-2016
DOI: 10.16965/ijpr.2015.205
THE EFFECT OF WEARING HEADSCARVES ON CERVICAL SPINE PROPRIOCEPTION
Samiah F. Alqabbani 1, Eric G. Johnson *2, Noha S. Daher 3, Shilpa B. Gaikwad 4, SukrutDeshpande 5.
1 Doctor of Science in Physical Therapy Student, Loma Linda University, School of Allied Health Professions, Department of Physical Therapy, Loma Linda, California.
*2 Professor, Loma Linda University, School of Allied Health Professions, Department of Physical Therapy, Loma Linda, California.
3 Associate Professor, Loma Linda University, School of Allied Health Professions, Loma Linda, California.
4 PhD in Rehabilitation Science Student, School of Allied Health Professions, Loma Linda University, California.
5 Post-Professional Doctor of Physical Therapy Student, Loma Linda University, School of Allied Health Profession, Department of Physical Therapy, Loma Linda, California.
E-Mail:ejohnson@llu.edu
Background: Proprioception plays an important role in sensorimotor control of posture and movement. Impairments in cervical proprioception have been demonstrated in subjects with whiplash-associated disorder, patients with age-related degeneration, and patients with articular diseases or spondylosis. The joint position error test is widely used to measure head repositioning accuracy.
Objective: The purpose of this pilot study was to compare cervical spine joint position error in females who routinely wear headscarves to females that do not wear headscarves.
Methods: Twelve females with mean age 27.5±4.0 years were divided into two groups: females who routinely wear headscarves (n=6), and females who never wear headscarves (n=6). Joint position error was measured using a head-mounted laser while subjects were seated. The tasks involved relocating the head to neutral after flexion, extension, right rotation, and left rotation. A total of six trials were done for each direction.
Results: The joint position error was higher in females wearing headscarves compared to females who do not wear them in the cumulative joint position error score (8.2±1.0 vs. 4.4±1.0, p=0.06) as well as during head rotation to the right (9.3±1.6 vs. 3.1±1.6, p=0.06).
Conclusion: Wearing headscarves may increase the cervical joint position error and can negatively impact postural control. However, further studies are needed to confirm this finding.
Key Words: Cervical spine, proprioception, joint position error, headscarves.
References
- Burgess, P.R., Wei J.Y., & Clark F.J. Signaling of kinesthetic information by peripheral sensory receptors. Ann. Rev. Neurosci, 1982;5:171-87.
- Amonoo-Kuofi, H.S. The densities of muscle spindles in the medial, intermediate, and lateral columns of human intrinsic postvertebral muscles. J Anat. 1983;136(3):509-519.
- Treleaven, J., Jull, G. & Sterling, M. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med, 2003;35:36-43.
- Armstrong, B., Mcnair, P. & Taylor, D. Head and neck position sense. Sports Med. 2008;38:101-17.
- Feipel, V., Salvia, P., Klein, H. & Rooze, M. Head repositioning accuracy in patients with whiplash-associated disorders. Spine (Phila Pa 1976) 2006;31:E51-8.
- Grip, H., Sundelin, G., Gerdle, B. & Karlsson, J. S. 2007. Variations in the axis of motion during head repositioning--a comparison of subjects with whiplash-associated disorders or non-specific neck pain and healthy controls. Clin Biomech (Bristol, Avon),2007;22:865-73.
- Loudon, J. K., Ruhl, M. & Field, E. Ability to reproduce head position after whiplash injury. Spine (Phila Pa 1976), 1997;22:865-8.
- Revel, M., Andre-Deshays, C., & Minguet, M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil, 1991;72: 288-291.
- Swait, Gabrielle BA, Rushton, Alison Beverley, Miall, R Christopher, Newell, David. Evaluation of Cervical Proprioceptive Function: Optimizing Protocols and Comparison Between Tests in Normal Subjects. Spine: 15 November 2007;32(24): E692-E701 doi: 10.1097/BRS.0b013e31815a5a1b
- Revel, M., Minguet, M., Gregoy, P., Vaillant, J. & Manuel, J. L. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil,1994;75: 895-9.
- Treleaven, J., Jull, G. & Lowchoy, N. The relationship of cervical joint position error to balance and eye movement disturbances in persistent whiplash. Man Ther, 2006;11(2): 99-106.
- Owens, E. F., Jr., Henderson, C. N., Gudavalli, M. R. & Pickar, J. G. Head repositioning errors in normal student volunteers: a possible tool to assess the neck's neuromuscular system. Chiropr Osteopat, 2006;14(1): 5.
- Kristjansson, E., Dall'alba, P., & Jull, G. A study of five cervicocephalic relocation tests in three different subject groups. clin rehabil,2003;768–774.
- Lee H, Nicholson LL, Adams Rd, Bae SS. Proprioception and rotation range sensitization associated with subclinical neck pain. Spine 2005;30(3), 60–67.
- Lee, H., Wang, J.,Yao, G. & Wang, S. Association between cervicocephalic kinesthetic sensibility and frequency of subclinical neck pain. Manual Therapy, 2008;13:419–425.
- Sterling, M., Jull, G., Vicenzino, B., Kenardy, J. & Darnell, R. Development of motor system dysfunction following whiplash injury. Pain, 2003;103: 65-73.
- Teng, C., Chai, H., Lai, D., And Wanga, S. Cervicocephalic kinesthetic sensibility in young and middle-aged adults with or without a history of mild neck pain. Manual Therapy, 2007;12 (1): 22–28.
- Siu, E. H. K. & Wing, T. C. T. The relationship between cervical range of motion, head-repositioning accuracy, and postural stability in healthy adults. Int J Therapy Rehab, 2013;9–17.
Samiah F. Alqabbani, Eric G. Johnson, Noha S. Daher, Shilpa B. Gaikwad, SukrutDeshpande. THE EFFECT OF WEARING HEADSCARVES ON CERVICAL SPINE PROPRIOCEPTION. Int J Physiother Res 2016;4(2):1389-1393. DOI: 10.16965/ijpr.2015.205
