A meta-analysis and systematic review of changes in joint position sense and static standing balance in patients with whiplash-associated disorder

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A meta-analysis and systematic review of changes in joint position sense and static standing balance in patients with whiplash-associated disorder. / Mazaheri, Masood; Abichandani, Deepa; Kingma, Idsart; Treleaven, Julia; Falla, Deborah.

In: PLoS ONE, Vol. 16, No. 4, e0249659, 08.04.2021.

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@article{55658b648dcb4c8eb313e20bef8c9211,
title = "A meta-analysis and systematic review of changes in joint position sense and static standing balance in patients with whiplash-associated disorder",
abstract = "ObjectiveTo synthesise and analyse the current evidence regarding changes in joint position sense (JPS) and standing balance in people with whiplash-associated disorder (WAD) taking the presence or absence of dizziness into account.Data sourcesPubMed, CINAHL Plus, Web of Science, Embase, MEDLINE and APA PsycINFO were searched by two independent reviewers from inception until August 2020 and reference lists of all included studies were also reviewed.Study selectionOnly cross-sectional studies that measured JPS and/or standing balance between people with WAD vs. healthy controls (HC) or people with WAD complaining of dizziness (WADD) vs. those not complaining of dizziness (WADND) were selected.Data extractionRelevant data were extracted using specific checklists and quality assessment was performed using Downs and Black Scale (modified version).Data synthesisTwenty-six studies were included. For JPS, data were synthesized for absolute error in the primary plane of movement for separate movement directions. For standing balance, data were synthesized for traditional time- and frequency domain sway parameters considering the conditions of eyes open (EO) and eyes closed (EC) separately. For meta-analysis, reduced JPS was observed in people with WAD compared to HC when the head was repositioned to a neutral head position (NHP) from rotation (standardised mean difference [SMD] = 0.43 [95%: 0.24–0.62]) and extension (0.33 [95%CI: 0.08–0.58]) or when the head was moved toward 50° rotation from a NHP (0.50 [0.05–0.96]). Similarly, people with WADD had reduced JPS compared to people with WADND when the head was repositioned to a NHP from rotation (0.52 [0.22–0.82]). Larger sway velocity and amplitude was found in people with WAD compared to HC for both EO (0.62 [0.37–0.88] and 0.78 [0.56–0.99], respectively) and EC (0.69 [0.46–0.91] and 0.80 [0.58–1.02]) conditions.ConclusionThe observed changes of JPS and standing balance confirms deficits in sensorimotor control in people with WAD and especially in those with dizziness.",
author = "Masood Mazaheri and Deepa Abichandani and Idsart Kingma and Julia Treleaven and Deborah Falla",
note = "Publisher Copyright: {\textcopyright} 2021 Mazaheri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",
year = "2021",
month = apr,
day = "8",
doi = "10.1371/journal.pone.0249659",
language = "English",
volume = "16",
journal = "PLoSONE",
issn = "1932-6203",
publisher = "Public Library of Science (PLOS)",
number = "4",

}

RIS

TY - JOUR

T1 - A meta-analysis and systematic review of changes in joint position sense and static standing balance in patients with whiplash-associated disorder

AU - Mazaheri, Masood

AU - Abichandani, Deepa

AU - Kingma, Idsart

AU - Treleaven, Julia

AU - Falla, Deborah

N1 - Publisher Copyright: © 2021 Mazaheri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2021/4/8

Y1 - 2021/4/8

N2 - ObjectiveTo synthesise and analyse the current evidence regarding changes in joint position sense (JPS) and standing balance in people with whiplash-associated disorder (WAD) taking the presence or absence of dizziness into account.Data sourcesPubMed, CINAHL Plus, Web of Science, Embase, MEDLINE and APA PsycINFO were searched by two independent reviewers from inception until August 2020 and reference lists of all included studies were also reviewed.Study selectionOnly cross-sectional studies that measured JPS and/or standing balance between people with WAD vs. healthy controls (HC) or people with WAD complaining of dizziness (WADD) vs. those not complaining of dizziness (WADND) were selected.Data extractionRelevant data were extracted using specific checklists and quality assessment was performed using Downs and Black Scale (modified version).Data synthesisTwenty-six studies were included. For JPS, data were synthesized for absolute error in the primary plane of movement for separate movement directions. For standing balance, data were synthesized for traditional time- and frequency domain sway parameters considering the conditions of eyes open (EO) and eyes closed (EC) separately. For meta-analysis, reduced JPS was observed in people with WAD compared to HC when the head was repositioned to a neutral head position (NHP) from rotation (standardised mean difference [SMD] = 0.43 [95%: 0.24–0.62]) and extension (0.33 [95%CI: 0.08–0.58]) or when the head was moved toward 50° rotation from a NHP (0.50 [0.05–0.96]). Similarly, people with WADD had reduced JPS compared to people with WADND when the head was repositioned to a NHP from rotation (0.52 [0.22–0.82]). Larger sway velocity and amplitude was found in people with WAD compared to HC for both EO (0.62 [0.37–0.88] and 0.78 [0.56–0.99], respectively) and EC (0.69 [0.46–0.91] and 0.80 [0.58–1.02]) conditions.ConclusionThe observed changes of JPS and standing balance confirms deficits in sensorimotor control in people with WAD and especially in those with dizziness.

AB - ObjectiveTo synthesise and analyse the current evidence regarding changes in joint position sense (JPS) and standing balance in people with whiplash-associated disorder (WAD) taking the presence or absence of dizziness into account.Data sourcesPubMed, CINAHL Plus, Web of Science, Embase, MEDLINE and APA PsycINFO were searched by two independent reviewers from inception until August 2020 and reference lists of all included studies were also reviewed.Study selectionOnly cross-sectional studies that measured JPS and/or standing balance between people with WAD vs. healthy controls (HC) or people with WAD complaining of dizziness (WADD) vs. those not complaining of dizziness (WADND) were selected.Data extractionRelevant data were extracted using specific checklists and quality assessment was performed using Downs and Black Scale (modified version).Data synthesisTwenty-six studies were included. For JPS, data were synthesized for absolute error in the primary plane of movement for separate movement directions. For standing balance, data were synthesized for traditional time- and frequency domain sway parameters considering the conditions of eyes open (EO) and eyes closed (EC) separately. For meta-analysis, reduced JPS was observed in people with WAD compared to HC when the head was repositioned to a neutral head position (NHP) from rotation (standardised mean difference [SMD] = 0.43 [95%: 0.24–0.62]) and extension (0.33 [95%CI: 0.08–0.58]) or when the head was moved toward 50° rotation from a NHP (0.50 [0.05–0.96]). Similarly, people with WADD had reduced JPS compared to people with WADND when the head was repositioned to a NHP from rotation (0.52 [0.22–0.82]). Larger sway velocity and amplitude was found in people with WAD compared to HC for both EO (0.62 [0.37–0.88] and 0.78 [0.56–0.99], respectively) and EC (0.69 [0.46–0.91] and 0.80 [0.58–1.02]) conditions.ConclusionThe observed changes of JPS and standing balance confirms deficits in sensorimotor control in people with WAD and especially in those with dizziness.

UR - http://www.scopus.com/inward/record.url?scp=85104108172&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0249659

DO - 10.1371/journal.pone.0249659

M3 - Article

C2 - 33831060

VL - 16

JO - PLoSONE

JF - PLoSONE

SN - 1932-6203

IS - 4

M1 - e0249659

ER -