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Cervicocephalic relocation test to evaluate cervical proprioception in adolescent idiopathic scoliosis

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Abstract

Purpose

Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine associated with disturbed postural control. Cervical proprioception participates in controlling orthostatic posture via its influence on head stabilization. We hypothesized that patients with AIS exhibit altered cervical proprioception.

Methods

We conducted a case–control study to evaluate cervical proprioception using the cervicocephalic relocation test (CRT) in 30 adolescents with AIS (15.5 ± 1.5 years; Cobb 24.8° ± 9.5°) versus 14 non-scoliotic controls (14.6 ± 2.0 years). CRT evaluates cervical proprioception by measuring the capacity to relocate the head on the trunk after active rotation of the head in the transversal plane without visual control. Each subject performed ten right and then ten left head rotations.

Results

The CRT results were pathological in 12 AIS patients (40 %). The CRT mean was significantly different between AIS patients with a pathological CRT (5° ± 1.4° for right rotation; 4.2° ± 0.9° for left rotation) compared with AIS patients with a normal CRT (2.7° ± 0.6° for right rotation; 2.9° ± 0.8° for left rotation) or with the control group (3.5° ± 2.1° for right rotation; 3.1° ± 1.2° for left rotation).

Conclusion

Cervical proprioception is impaired in certain AIS patients. This anomaly may worsen the prognosis of AIS (headache; balance disorders; worsened spinal deformity; complication after spinal fusion). We recommend systematic screening for altered cervical proprioception in AIS patients.

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Acknowledgments

The authors are grateful to the HARPS Association members for their helpful comments.

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Authors and Affiliations

  1. Service de Médecine Physique et de Réadaptation, Centre Hospitalier Saint Philibert, Lille, France

    Marc-Alexandre Guyot, Olivier Agnani, Cécile Donze & Jean-Francois Catanzariti

  2. Université Nord de France, 59000, Lille, France

    Marc-Alexandre Guyot, Olivier Agnani, Laurent Peyrodie, Demaille Samantha, Cécile Donze & Jean-Francois Catanzariti

  3. UCLille, 59000, Lille, France

    Marc-Alexandre Guyot, Olivier Agnani, Laurent Peyrodie, Demaille Samantha, Cécile Donze & Jean-Francois Catanzariti

  4. Groupe Hospitalier de l’Institut Catholique de Lille, Lille, France

    Marc-Alexandre Guyot, Olivier Agnani, Laurent Peyrodie, Cécile Donze & Jean-Francois Catanzariti

  5. Hautes Etudes d’Ingénieur Unité de Traitement des Signaux Biomédicaux, Lille, France

    Jean-Francois Catanzariti

  6. Soins de Suite et de Réadaptation Pédiatrique Marc Sautelet, 59650, Villeneuve d’Ascq, France

    Jean-Francois Catanzariti

  7. Service de Rhumatologie, CHRU de Lille, Lille, France

    Jean-Francois Catanzariti

Authors
  1. Marc-Alexandre Guyot
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  2. Olivier Agnani
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  3. Laurent Peyrodie
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  4. Demaille Samantha
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  5. Cécile Donze
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  6. Jean-Francois Catanzariti
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Corresponding author

Correspondence to Jean-Francois Catanzariti.

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The authors have no potential conflict of interest, real or perceived. There was no study sponsor, in study design, collection, analysis, interpretation of data, writing of the report, and the decision to submit the paper for publication.

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Guyot, MA., Agnani, O., Peyrodie, L. et al. Cervicocephalic relocation test to evaluate cervical proprioception in adolescent idiopathic scoliosis. Eur Spine J 25, 3130–3136 (2016). https://doi.org/10.1007/s00586-016-4551-z

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  • DOI: https://doi.org/10.1007/s00586-016-4551-z

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