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- W4234923906 abstract "Cervicogenic dizziness is a musculoskeletal disorder mainly characterised by dizziness and disequilibrium associated with neck pain. The pathophysiology is unclear and the neurophysiological basis remains to be ascertained. The aim of this study is to compare the vestibulo-ocular reflex and postural control between patients with cervicogenic dizziness and asymptomatic subjects, and to assess the association between debilitating dizziness and other psychosocial variables. A total of 20 patients and 22 asymptomatic subjects were selected. Vestibulo-ocular reflex was assessed by performing the head impulse test. Computerised dynamic posturography was used to evaluate the postural control by means of the sensory organisation test. In addition, subjects self-reported their degree of disability due to dizziness, cervical disability, kinesiophobia, and state of anxiety and depression. There were no differences in the vestibulo-ocular reflex (P > .05). However, we found differences with a medium-to-large effect size (d > 0.60) in variables related to proprioception and visual information integration; the former variable set was related to disability due to dizziness. Disability due to dizziness presents strong-to-moderate associations with cervical disability, kinesiophobia, and anxiety. Our data rule out changes in the vestibular system in cervicogenic dizziness, but they do point to proprioceptive impairment. According to our results, the association between dizziness-related disability and other psychosocial factors in cervicogenic dizziness is very relevant for clinical medicine and for future research projects. El mareo cervicogénico es una afección que se caracteriza por mareos y desequilibrio que se asocia a dolor de cuello. La fisiopatología no está clara, y es necesario conocer la base neurofisiológica del trastorno. El objetivo de estudio es comparar la actividad del reflejo vestíbulo-ocular y el control postural entre pacientes que presentan mareo cervicogénico y sujetos asintomáticos; además, se pretende evaluar la asociación entre la discapacidad por mareo con otras variables psicosociales. Se seleccionaron un total de 20 pacientes y 22 sujetos asintomáticos, a los que se realizó una valoración del reflejo vestíbulo-ocular con el test del impulso cefálico y una valoración del control postural mediante posturografía dinámica y el test de organización sensorial, además se evaluaron mediante autoinforme la discapacidad por mareo, la discapacidad cervical, el miedo al movimiento y el estado de ansiedad y depresión. No se encontraron diferencias en la actividad del reflejo vestíbulo-ocular (p > 0,05); a nivel del control postural se encontraron diferencias con un tamaño del efecto mediano-grande (d > 0,60) en variables relacionadas con la propiocepción e integración de la información visual, asociándose esta variable a la discapacidad por mareo. La discapacidad por mareo presentó asociaciones moderadas-fuertes con la discapacidad cervical, el miedo al movimiento y la ansiedad. Los resultados obtenidos descartan una alteración del sistema vestibular en el mareo cervicogénico, aunque sí se comprueba la existencia de una alteración propioceptiva. La asociación de la discapacidad por mareo con otras variables psicosociales a la vista de nuestros resultados debe tomarse en cuenta en la clínica y en futuras investigaciones." @default.
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- W4234923906 date "2018-03-01" @default.
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- W4234923906 title "Biobehavioural analysis of the vestibular system and posture control in patients with cervicogenic dizziness. A cross-sectional study" @default.
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- W4234923906 doi "https://doi.org/10.1016/j.nrleng.2016.06.006" @default.
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