Abstract
Purpose: Chronic neck pain (CNP) may lead to problems, such as functional limitations, disability, and fatigue. Gait maintains postural orientation; It is important to investigate the effects of fatigue on walking in patients who subjectively define a certain level of fatigue, not for a certain period. This study aimed to investigate the effects of fatigue protocol on gait spatiotemporal characteristics in patients with CNP.
Methods: Fifty-three patients with CNP, and twenty-six healthy controls were included. The groups were matched with Propensity Score Matching in terms of age and fatigue threshold as 26 individuals. Pain intensity and disability were evaluated with the Visual Analog Scale, and Neck Disability Index, respectively. Gait assessment was recorded with OptoGait (1.6.4.0, Microgate, Bolzano, Italy) for one minute while individuals walked at their preferred speed on the treadmill. Individuals keep walking on the treadmill and fatigue levels were asked for Modified Borg Scale. While fatigue reached 4 points, gait assessment was recorded for one minute. A two-way repeated-measures ANOVA was used for interaction time-by-group.
Results: The median pain intensity was 7(4-9), and the disability was moderate in patients. Left step length, stride length, and cadence, showed significant, similar changes within the groups over time(p
Publisher
Turkish Journal of Physiotherapy and Rehabilitation
Subject
Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine
Reference30 articles.
1. 1. Uthaikhup, S., Sunkarat, S., Khamsaen, K., Meeyan, K., & Treleaven, J. The effects of head movement and walking speed on gait parameters in patients with chronic neck pain. Man Ther. 2014;19(2):137-41.
2. 2. Fishbain, D. A., Cutler, R. B., Cole, B., Lewis, J., Smets, E., Rosomoff, H. L., & Rosomoff, R. S. Are Patients with Chronic Low Back Pain or Chronic Neck Pain Fatigued? Pain Med. 2004;5(2):187-195.
3. 3. Bolton P.S. The somatosensory system of the neck and its effects on the central nervous system. J Manipulative Physiol Ther. 1998;21(8):553-563.
4. 4. Hill J.M. Increase in the discharge of muscle spindles during diaphragm fatigue. Brain Res. 2001;918(1):166-170.
5. 5. Paillard T. Effects of general and local fatigue on postural control: A review. Neurosci Biobehav Rev. 2012;36(1):162-176.