Background. Non-Specific Neck Pain (NSNP) is a common condition that presents as cervical pain without an identifiable pathological cause, involving various neck structures. NSNP can alter muscle spindle sensitivity, cortical representation, and modulation of cervical afferent input, leading to dysfunction in the sensorimotor integration system, which includes the visual, vestibular, and somatosensory systems. This dysfunction can cause various changes, including balance disturbances and oculomotor issues, such as reduced gaze stability, altered saccadic movements, decreased smooth pursuit ability, and impaired oculocervical coordination. The assessment and rehabilitation of oculomotor disorders are essential to restore balance between the visual and motor systems. Objective. To investigate the literature on the use and effectiveness of oculomotor treatments in patients with Non-Specific Neck Pain, focusing on oculomotor disturbances. Study Design. Systematic review partially following the “PRISMA 2020 checklist” (doi:10.1136/bmj.n71). Eligibility Criteria. Randomized and non-randomized clinical trials exploring treatments for patients with Non-Specific Neck Pain. Search Sources. PubMed, Cinahl, Scopus and the references of selected articles. Results. The review included five studies with samples of patients affected by NSNP, evaluating outcomes such as pain, cervical disability, gaze stability, cervical Joint Position Error, and balance. Integrating oculomotor, cervical proprioception, and balance exercises improved these outcomes, enhancing motor control in the cervical region. Conclusions. Adding oculomotor, cervical proprioception, and balance exercises to traditional physical therapy is effective for patients with NSNP. Further studies are needed to evaluate the effectiveness of a treatment based solely on oculomotor exercises for NSNP patients, to determine which outcome measures show the greatest change, and to conduct long-term outcome monitoring.
Background. Il Non-Specific Neck Pain (NSNP) è una condizione comune che si manifesta come dolore cervicale senza una causa patologica identificabile che coinvolge diverse strutture del collo. Il NSNP può modificare la sensibilità del fuso muscolare, alterare la rappresentazione corticale e la modulazione dell'input afferente cervicale provocando una disfunzione del sistema di integrazione sensorimotoria, che comprende i sistemi visivo, vestibolare e somatosensoriale. Questa disfunzione può causare diverse alterazioni, tra cui disturbi dell’equilibrio e problemi oculomotori, come la riduzione della stabilità dello sguardo, alterazioni delle saccadi, diminuzione della capacità di inseguimento fluido e compromissione della coordinazione oculo-cervicale. La valutazione e la riabilitazione dei disturbi oculomotori sono fondamentali per ristabilire l’equilibrio tra il sistema visivo e quello motorio. Obiettivo. Indagare la letteratura riguardante l'uso e l'efficacia dei trattamenti oculomotori in pazienti con Non Specific Neck Pain con focus sui disturbi oculomotori. Disegno dello studio. Revisione sistematica seguendo parzialmente “checklist PRISMA 2020” (doi:10.1136/bmj.n71). Criteri di eleggibilità. Studi Clinici Randomizzati e non randomizzati che esplorano i trattamenti in pazienti con Non Specific Neck Pain. Fonti di ricerca. Pubmed, Cinahl, Scopus e bibliografia degli articoli selezionati. Risultati. La revisione ha incluso cinque studi con campioni di pazienti affetti da NSNP, valutando outcome come il dolore, la disabilità cervicale, la stabilità dello sguardo, la Joint Position Error cervicale e l’equilibrio. L'integrazione di esercizi oculomotori, di propriocezione cervicale e di equilibrio migliorano questi outcome, incrementando la capacità di controllo motorio della regione cervicale. Conclusioni. L’aggiunta di esercizi oculomotori, di propriocezione cervicale e di equilibrio al programma di fisioterapia tradizionale è efficace in pazienti con NSNP. Servirebbero ulteriori studi per valutare l’efficacia di un trattamento basato solo su esercizi oculomotori in pazienti con NSNP e quali misure di outcome sono soggette ad un maggior cambiamento, oltre che un monitoraggio dei risultati a lungo termine.
Revisione della letteratura sul trattamento del Non Specific Neck Pain con focus sui disturbi oculomotori.
BARBIERATO, NICOLA
2023/2024
Abstract
Background. Non-Specific Neck Pain (NSNP) is a common condition that presents as cervical pain without an identifiable pathological cause, involving various neck structures. NSNP can alter muscle spindle sensitivity, cortical representation, and modulation of cervical afferent input, leading to dysfunction in the sensorimotor integration system, which includes the visual, vestibular, and somatosensory systems. This dysfunction can cause various changes, including balance disturbances and oculomotor issues, such as reduced gaze stability, altered saccadic movements, decreased smooth pursuit ability, and impaired oculocervical coordination. The assessment and rehabilitation of oculomotor disorders are essential to restore balance between the visual and motor systems. Objective. To investigate the literature on the use and effectiveness of oculomotor treatments in patients with Non-Specific Neck Pain, focusing on oculomotor disturbances. Study Design. Systematic review partially following the “PRISMA 2020 checklist” (doi:10.1136/bmj.n71). Eligibility Criteria. Randomized and non-randomized clinical trials exploring treatments for patients with Non-Specific Neck Pain. Search Sources. PubMed, Cinahl, Scopus and the references of selected articles. Results. The review included five studies with samples of patients affected by NSNP, evaluating outcomes such as pain, cervical disability, gaze stability, cervical Joint Position Error, and balance. Integrating oculomotor, cervical proprioception, and balance exercises improved these outcomes, enhancing motor control in the cervical region. Conclusions. Adding oculomotor, cervical proprioception, and balance exercises to traditional physical therapy is effective for patients with NSNP. Further studies are needed to evaluate the effectiveness of a treatment based solely on oculomotor exercises for NSNP patients, to determine which outcome measures show the greatest change, and to conduct long-term outcome monitoring.File | Dimensione | Formato | |
---|---|---|---|
Barbierato Nicola.pdf
accesso riservato
Dimensione
778.86 kB
Formato
Adobe PDF
|
778.86 kB | Adobe PDF |
The text of this website © Università degli studi di Padova. Full Text are published under a non-exclusive license. Metadata are under a CC0 License
https://hdl.handle.net/20.500.12608/80536