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Is Altered Oculomotor Control during Smooth Pursuit Neck Torsion Test Related to Subjective Visual Complaints in Patients with Neck Pain Disorders?

Is Altered Oculomotor Control during Smooth Pursuit Neck Torsion Test Related to Subjective Visual Complaints in Patients with Neck Pain Disorders?


Title: Is Altered Oculomotor Control during Smooth Pursuit Neck Torsion Test Related to Subjective Visual Complaints in Patients with Neck Pain Disorders?
Author: Majcen Rosker, Ziva
Vodicar, Miha
Kristjánsson, Eyþór B
Date: 2022-03-23
Language: English
Scope:
University/Institute: Landspitali - The National University Hospital of Iceland
Series: International Journal of Environmental Research and Public Health; 19(7)
ISSN: 1661-7827
DOI: https://doi.org/10.3390/ijerph19073788
Subject: Sjúkraþjálfun; Hálsvöðvar; Sjóngallar; Bayes Theorem; Humans; Neck; Neck Pain/diagnosis; Postural Balance; Pursuit, Smooth; Vision Disorders
URI: https://hdl.handle.net/20.500.11815/3213

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Citation:

Majcen Rosker , Z , Vodicar , M & Kristjánsson , E B 2022 , ' Is Altered Oculomotor Control during Smooth Pursuit Neck Torsion Test Related to Subjective Visual Complaints in Patients with Neck Pain Disorders? ' , International Journal of Environmental Research and Public Health , vol. 19 , no. 7 , 3788 . https://doi.org/10.3390/ijerph19073788

Abstract:

Subjective visual complaints are commonly reported in patients with neck pain, but their relation to objectively measured oculomotor functions during smooth pursuit neck torsion tests (SPNTs) has not yet been investigated. The aim of the study was to analyse classification accuracy of visual symptom intensity and frequency based on SPNT results. Forty-three patients with neck pain were referred by orthopaedic outpatient clinics where they were required to fill out 16-item proformas of visual complaints. Infrared video-oculography was used to measure smooth pursuit eye movements during neutral and neck torsion positions. Parameters of gain and SPNT difference (SPNTdiff) were taken into the Naïve Bayes model as classifiers, while intensity and frequency of visual symptoms were taken as predicted class. Intensity and, to a lesser degree, frequency of visual symptoms previously associated with neck pain or focal vision disorders (computer vision syndrome) showed better classification accuracy using gain at neck torsion position, indicating cervical driven visual disturbances. Moreover, SPNTdiff presented with slightly lower classification accuracy as compared to gain at neck torsion position. Our study confirmed the relationship between cervical driven oculomotor deficits and some visual complaints (concentrating to read, words moving on page, blurred vision, difficulty judging distance, sore eyes, heavy eyes, red eyes, and eyes strain).

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