Inter-Visit Reliability of Smooth Pursuit Neck Torsion Test in Patients with Chronic Neck Pain and Healthy Individuals.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked DownloadVisual disturbances are commonly reported in patients with neck pain. Smooth pursuit neck torsion (SPNT) test performed in neutral position and with trunk rotated under the stationary head has been used to discriminate between those with cervical component and those without. However, no studies investigated the reliability of the SPNT-test in patients with chronic neck pain and healthy controls. The aim of this study was to assess inter-visit reliability of the SPNT-test while applying different amplitudes and velocities of target movement. Thirty-two controls and thirty-one patients were enrolled in the study. The SPNT-test was performed in neutral position and through 45° torsion positions. The test was performed at 20°/s, 30°/s and 40°/s velocities and at 30°, 40° and 50° amplitudes of cyclic sinusoidal target movements. Interclass correlation coefficient and smallest detectable change were calculated for parameters of gain and SPNT-differences. In patients, moderate to good reliability was observed for gain at 40° and 50° amplitudes and for 20°/s and 30°/s velocities, while moderate to excellent reliability for gain was observed in controls. Both groups presented with moderate to good reliability for SPNT-difference. Our findings imply that amplitudes of 40° and 50° and velocities of 20°/s and 30°/s are the most reliable and should be applied in future studies assessing oculomotor functions during the SPNT test. Keywords: neck pain; oculomotor functions; reliability; smooth pursuit neck torsion test.Slovenian Research Agency - Sloveni

The Effect of Height on Drop Jumps in Relation to Somatic Parameters and Landing Kinetics

selected somatic parameters on the landing kinetics of rebound jumps in force and power production, performed by male and female student athletes. Twenty female and forty male students with a sports background participated in the experiment (mean and standard deviation (± SD): age 20.28 ± 1.31 years, height 166.78 ± 5.29 cm, mass 62.23 ± 7.21 kg and 21.18 ± 1.29, 182.18 ± 6.43, 78.65 ± 7.09). Each participant performed three maximal jumps on two independent and synchronized force platforms (Bilateral Tensiometric Platform S2P) at each of the two assigned drop-jump heights (20-, and 40-, cm for female and 30-, and 60-, cm for the male special platform). Significant between-sex differences were observed in all variables of selected somatics, with men outperforming women. Statistically significant differences were noted in four parameters, between men and women, in both DJs from 20/40 and 30/60 cm. The height of the jump was 6 cm and 4 cm higher for men. A slightly higher statistical significance (p = 0.011) was demonstrated by the relative strength (% BW) generated by the left limb in both men and women. Only women showed a significant relationship between body mass, body height, and five parameters, dropping off of a 20 cm box. In men, only the left leg—relative maximal F (p =−0.45)—showed a relationship with body mass. There were no relationships between the above-mentioned dependencies in both groups, in jumps from a higher height: 40 cm and 60 cm. From a practical application, the DJ with lower 20/30 cm or higher 40/60 cm (women/men) respectively emphasizes either the force or power output via an increase in the velocity component of the rebound action or increased height of the DJ jump

Pupillometric parameters of alertness during unpredictable but not predictable smooth pursuit neck torsion test are altered in patients with neck pain disorders : a cross-sectional study

Funding Information: This research was funded by Slovenian Research Agency within the research programs; Kinesiology of monostructural, polystructural and conventional sports No P5-0147, KINSPO – Kinesiology for the effectiveness and prevention of musculoskeletal injuries in sports No P5-0443 and Basic research for developing speech database and technology for Slovenian language J7-4642. Publisher Copyright: © 2023, The Author(s).Despite commonly investigated predictable smooth-pursuit neck-torsion tasks (SPNT) in neck pain patients, unpredictable conditions have been seldom investigated but are indicative of preserved oculomotor functions during neck torsion. Although not previously studied, some speculations about compensatory cognitive mechanisms such as increased phasic alertness during unpredictable tasks were suggested. The aim of this study was to investigate eye movement accuracy and pupillometric responses during predictable and unpredictable SPNT test in neck pain patients and asymptomatic controls. Eye movements (gain and SPNT-difference) and pupillometry indicative of tonic (average and relative pupil diameter) and phasic (index of cognitive activity-ICA) alertness were measured in 28 idiopathic neck pain patients and 30 asymptomatic individuals using infrared video-oculography during predictable and unpredictable SPNT test. Gain in unpredictable SPNT test was lower as compared to predictable tasks and presented with similar levels in neutral and neck torsion positions, but not in the predictable SPNT test. ICA was lower during neutral position in all tasks in patients as compared to control group but increased during neck torsion positions in unpredictable tasks. Relative pupil diameters presented with no differences between the groups or neck positions, but the opposite was observed for average pupil diameter. Higher ICA indicates an increase in phasic alertness in neck pain patients despite no alterations in oculomotor control during SPNT test. This is the first study to indicate cognitive deficits in oculomotor task in neck pain patients. The latter could negatively affect other tasks where additional cognitive resources must be involved.Peer reviewe

Ethics and Natural Science through Paul Ricoeur's Hermeneutics

Paul Ricoeur's well-known perspective on philosophical hermeneutics could also be applied in the understanding of natural sciences. This should resemble dialectic between explanation and understanding, which would enable the kind of objectivity that is claimed in all areas of science. Therefore, science could be viewed as an epistemological activity focused on modeling and confirmation of theory, as well as a theoretical practice that operates alongside other technological, ethical, and political practices. From epistemological perspective we will look for a role of hermeneutics in natural science. Explanation and understanding connect natural science with hermeneutics. Through a narrative position of Ricoeur's hermeneutics, we can understand the connection between science and its responsibility

Sport-Specific Habitual Adaptations in Neck Kinesthetic Functions Are Related to Balance Controlling Mechanisms

Whilst the importance of trunk, lower and upper extremities for the efficiency of maintaining body sway is well documented, the effects of cervical spine function have been seldom investigated. Afferent information from high density proprioceptors located in the cervical spine can alter postural balance, however the effects of sport’s specific habitual adaptation on balance performance have not yet been investigated. Twenty-seven taekwondo fighters and thirty controls performed unilateral balance tasks while facing forward and during neck torsion balance test while standing on the force plate. Neck kinesthesia was measured with the Head-to-Neutral Relocation test and the Butterfly test with motion-inertial unit. Differences between balance tasks were analyzed using two-way ANOVA. Additionally, correlations between body sway parameters and neck kinesthesia were studied using Pearson correlation coefficient. No differences were found between forward facing and neck torsion balance tasks in taekwondo fighters. However, correlations were found between balance on the non-preferred leg and neck kinesthesia. On the contrary, healthy individuals presented with statistically significant differences between both balance tasks and correlations between balance and neck kinesthesia. Taekwondo fighters seem to present with habitual adaptations in balance control, that differ from non-trained individuals

Relationship between Cervicocephalic Kinesthetic Sensibility Measured during Dynamic Unpredictable Head Movements and Eye Movement Control or Postural Balance in Neck Pain Patients

Cervical afferent input is believed to affect postural balance and oculomotor control in neck pain patients, but its relationship to cervicocephalic kinesthesia, describing movement sense, has not yet been studied. The aim of this study was to analyze the relationship of two aspects of cervicocephalic kinesthesia to postural balance and oculomotor control in neck torsion positions. Forty-three idiopathic neck pain patients referred from orthopedic outpatient clinics and forty-two asymptomatic controls were enrolled in the study. A force plate was used to measure center-of-pressure movements during parallel stances under neutral and neck torsion maneuvers. Video-oculography was used to assess eye movements during smooth pursuit neck torsion test (SPNTT), while kinesthetic awareness was measured using the Butterfly test and head-to-neutral relocation test. Multiple regression was used to describe relationships between tests. Body sway in the anterior–posterior direction was related to Butterfly parameters but less to the head-to-neutral test. A medium relationship between Butterfly parameters and gain during SPNTT, with less SPNT-difference, was observed, but not for the head-to-neutral test. It can be concluded that specific aspect of neck kinesthetic functions (i.e., movement sense) importantly contributes towards oculomotor and balance control, which is more evident under neck torsion positions in neck pain patients, but is less pronounced in asymptomatic individuals