Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control - Part 2: Case studies

Recent research highlights sensorimotor control disturbances in those with neck disorders. Assessment and management of the symptoms of dizziness, altered cervical proprioception, eye and head co-ordination and disturbances to postural stability in those with neck disorders are important and are presented in a companion article. In this paper, four case studies are presented to illustrate the formulation and use of a tailored program designed to retrain balance, cervical proprioception and eye and head movement control in those with neck disorders. This program should be used in conjunction with a multi-modal approach to the management of neck disorders. Such a combined approach should address causes of abnormal cervical afferent input as well as the important links between the cervical, vestibular and ocular systems and adaptive changes in the sensorimotor control system. (C) 2007 Elsevier Ltd. All rights reserved.