A comparative study of the effect of soft and hard cervical collars on static postural stability in healthy young subjects

Document Type : Original article

Authors

1 MSc in Physiotherapy, Dept. of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Assistant Professor of Physiotherapy, Dept. of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran (corresponding author) minoo_kh@yahoo.com

3 Associate Professor of Physiotherapy, Dept. of Physiotherapy, Faculty of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran

4 Lecturer of Physiotherapy, PhD student of orthosis prosthesis, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 MSc in Biostatistics, Faculty of Rehabilitation Sciences. Shahid beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Using cervical collars is one of the treatment methods for releaving cervical pain. The effect of limb orthotics on proprioception and postural stability has been suggested. There is not sufficient studies about the effect of cervical collars on static and dynamic stability, and the effect of soft and hard collars have not been compared with one another. The objective of this study is investigating and comparing the immediate effect of soft and hard cervical collars on static postural stability in healthy young subjects.
 
Methods & Materials: This quasi experimental study through repeated measure method has been conducted on 65 healthy young male and female college students. Static stability was evaluated by modified Clinical Test for Sensory Interaction and Balance (CTSIB) in conditions without collar and by soft and hard cervical collars and were compared between the conditions.
 
Results: In standing position on firm surface with closed eyes, both soft and hard collars decreased the stability and there was not any significant difference among collars. In standing positions on soft surface with closed and opened eyes, using none of the soft and hard collars did not change the stability.
 
Conclusion: Our results suggest that in static conditions, without vision, both collars decrease the stability in healthy young subjects. So considering the evaluation of stability and prevention of balance disturbance during the collar prescription seems to be necessary.

Keywords

References

  1. Lusardi MM، Nielsen CC. Orthotics and Prosthetics in Rehabilitation، 2nd edi. St Louis، MO: Elsevier 2007; 416-417.
  2. Barkoukis V،  Sykaras E، Costa F،  Tsorbatzoudis. Effectiveness of taping and bracing in balance. Perceptual and motor skills 2002; 94(2):566-74.
  3. McNair PJ، Heine PJ.Trunk proprioception: enhancement through lumbar bracing. Arch Phys Med Rehabil. 1999; 80(1):96-9.
  4. Spanos S، Brunswic M، Billis E.The effect of taping on the proprioception of the ankle in a non-weight bearing position، amongst injured athletes. The Foot 2008; 18(1):25–33.
  5. Strimpakos N.The assessment of the cervical spine.J Bodyw Mov Ther 2011; 15(1):114-24.
  6. Malmström E.M،Klberg M، Fransson PA، Lindbladh J، Magnusson M.Cervical proprioception is sufficient for head orientation after bilateral vestibular loss. Eur J Appl Physiol 2009; 107(1):73-81.
  7. Poole E، Treleaven J، Jull G.The influence of neck pain on balance and gait parameters in community-dwelling elders.Man Ther  2008;13(4):317-24
  8. Missaoui B، Portero P، Bendaya S، Hanktie O، Thoumie P.Posture and equilibrium in orthopedic and rheumatologic diseases.Neurophysiol Clin 2008 ;38(6):447-457
  9. Gosselin G، Rassoulian H، Brown I.Effects of neck extensor muscles fatigue on balance. Clin Biomech 2004; 19(5):473–479
  10. Treleaven J.Sensorimotor disturbances in neck disorders affecting postural stability، head and eye movment control.Man Ther 2008; 13(1):266–275
  11. Bove M، Bonzano L، Trompetto C، Abbruzzese G، Schieppati M.The postural disorientation induced by neck muscle vibration subsides on lightly touching a stationary surface or aiming at it، Neuroscience. 2006; 143(4):1095-103.
  12. Vaugoyeau M، Viel S، Amblard B، Azulay JP، Assaiante C .Proprioceptive contribution of postural control as assessed from very slow oscillations of the support in healthy human. Gait Posture 2008; 27(2):294-302.
  13. Kavounoudias A، Gilhodes JC، Roll R، Roll JP.From balance regulation to body orientation: two goals for muscle proprioceptive information processing? Exp Brain Res 1999; 124(1):80-8.
  14. Spanos S، Brunswic M، Billis E.The effect of taping on the proprioception of the ankle in a non-weight bearing position، amongst injured athletes. The Foot 2008; 18(1):25–33.
  15. Rezaei I، Razeghi M، Taghizadeh S، Ghaem H.The effect of semi rigid cervical collars on single and double leg standing balance. Gait Posture 2009 (30):S1–S153
  16. McNair PJ، Stanley SN، and Strauss GR. Knee bracing: effects on propriception. Arch Phys Med Rehabil 1996; 77(3):287-9.
  17. Liaw M، Chen C، Chen J.Effects of Knight-Taylor brace on balance performance in osteoporotic patients with vertebral compression fracture، J Back Musculoskelet Rehabil 2009; 22(2):75-81
  18. Sadeghi H، Allard P. Sadeghi & Allard-Nacob Meeting-summer 2008. [Homepage on the Internet]. 2008 [cited 2012 May 12]. Available from: http://www.asbweb.org/conferences/2008/abstracts/150.pdf
  19. Karlberg M، Magnusson M، Johansson R.Effects of restrained cervical mobility on voluntary eye movements and postural control. Acta Otolaryngol 1991; 111(4):664-70.
  20. Burl، M.M.، Williams، J.G.، Nayak، U.S.L. The effect of cervical collars on walking balance.. Physiotherapy 1992; 78(1):19-22 
  21. Richardson JK. Ross ADM. Riley B. Rhodes RL.Halo vest effect on balance. Arch Phys Med Rehabil2000; 81(3):255-7.
  22. Burl MM، Williams JG، Laxman Nayak US. Effects of cervical collars on standing balance، Arch phys med rehabil 1992; 73(12):1181-1185  
  23. Noroozi A.The effect of heel height on static and dynamic balance in young healthy women. [Msc thesis]. Tehran: International branch of Shahid Beheshti University of medical sciences. 1388; pp 30-50 [In Persian]
  24. Brumagne S، Cordo P، Verschueren S.Proprioceptive weighting changes in persons with low back pain and elderly persons during upright standing. Neurosci Lett 2004 5; 366(1):63-6. [In Persian]
  25. Claeys K، Brumagne S، Dankaerts W، Kiers H، Janssens L. Decreased variability in postural control strategies in young people with non-specific low back pain is associated with altered proprioceptive reweighting. Eur J Appl Physiol 2011; 111(1):115-23.
The Scientific Journal of Rehabilitation Medicine
Volume 1, Issue 4 - Serial Number 4
January and February 2013
Pages 1-7

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History

  • Receive Date: 13 July 2012
  • Revise Date: 23 September 2012
  • Accept Date: 29 November 2012
  • First Publish Date: 21 December 2012

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