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Head and neck position sense.

Bridget Armstrong1, Peter McNair, Denise Taylor

  • 1Health and Rehabilitation Research Centre, Auckland University of Technology, Auckland, New Zealand.

Sports Medicine (Auckland, N.Z.)
|January 19, 2008
PubMed
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Head and neck position sense (HNPS) is crucial for athletes, especially in sports with impact. Impaired HNPS is linked to neck injuries and pain, highlighting the need for targeted rehabilitation strategies.

Area of Science:

  • Sports Medicine
  • Neuroscience
  • Rehabilitation Science

Background:

  • Cervical strains are common in high-impact sports, leading to potential long-term degenerative changes.
  • Proprioceptive exercises are standard for lower limb injuries but less emphasized for cervical injuries.
  • Head and Neck Position Sense (HNPS) testing and retraining may be vital for managing sports-related neck injuries and preventing chronic issues.

Purpose of the Study:

  • To highlight the anatomical structures responsible for cervical proprioception and their interaction with the central nervous system (CNS).
  • To review studies on position sense in healthy and pathological subjects and the effects of rehabilitation.
  • To emphasize the importance of HNPS in the context of sports-related neck injuries.

Main Methods:

Related Experiment Videos

  • Review of existing literature on cervical proprioception, HNPS testing, and rehabilitation.
  • Examination of anatomical structures involved in position sense, including muscle spindles and their CNS pathways.
  • Analysis of studies investigating position sense accuracy and the impact of injuries and pain.

Main Results:

  • Cervical muscle spindles play a key role in providing proprioceptive information to the CNS.
  • Accurate HNPS relies on the integration of neck proprioceptive and vestibular system inputs.
  • Impairments in position sense are evident in individuals with whiplash injuries and chronic non-traumatic neck pain.

Conclusions:

  • HNPS testing and retraining are relevant for managing sports-related neck injuries.
  • Understanding the neuroanatomical basis of cervical proprioception is essential for developing effective rehabilitation programs.
  • Further research is needed to establish the efficacy of various treatment programs for improving cervical position sense.