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Original Article
- Cervical proprioception in Parkinson's disease and its correlation with manual dexterity function
- Özlem Menevşe, Büşra Kepenek-Varol, Murat Gültekin, Sevil Bilgin
- J Mov Disord. 2023;16(3):295-306. Published online July 3, 2023
- DOI: https://doi.org/10.14802/jmd.23039
- 6,941 View
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- 1 Web of Science
- 3 Crossref
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Abstract
PDF - Objective
Cervical proprioception plays a crucial role in posture and movement control. This study aimed to determine the relationships of cervical proprioception, cervical muscle strength and endurance with manual dexterity and hand strength in individuals with idiopathic Parkinson’s disease (PD).
Methods
Twenty individuals with PD (mean age: 63.9 years) and 20 healthy individuals as a control group (mean age: 61.9 years) were recruited. Cervical joint position error (JPE), static endurance of neck muscles, activation of deep cervical flexor muscles (Craniocervical Flexion Test, CCFT), manual dexterity (Purdue Pegboard Test, PPT), cognitive and motor tasks of the PPT, finger tapping test (FTT), pinch strength, and grip strength were assessed.
Results
Cervical JPE was significantly higher in individuals with PD than in controls (p < 0.05). The strength and endurance of the cervical muscles were significantly decreased in individuals with PD (p < 0.05). Cervical JPE measurements were negatively correlated with PPT, cognitive and motor tasks of the PPT in individuals with PD (all p < 0.05). The endurance of cervical flexor muscles was negatively correlated with PPT and cognitive PPT scores in the PD group (p < 0.05). In addition, a significant positive correlation was found between cervical flexor endurance and hand strength in the PD group (p < 0.05).
Conclusion
Cervical proprioception and the strength and endurance of cervical muscles decrease in individuals with PD compared to healthy individuals. Impairment of cervical proprioception appears to be associated with poorer upper extremity performance. Detailed evaluation of the cervical region in PD may help determine the factors affecting upper extremity function. -
Citations
Citations to this article as recorded by
- Deep cervical muscle endurance, trunk position sense, and swallowing performance in Parkinson’s disease with temporomandibular disorder: a comparative study
Melike Otlu, Ayşe Abit Kocaman, Mustafa Ertuğrul Yaşa
Neurological Research.2026; 48(3): 291. CrossRef - Predictive Factors for Respiratory Muscle Strength and Function in Chronic Neck Pain
Sinem Ayyıldız Çınar, Birol Önal, Aynur Demirel, Halil Kamil Öge, Sevil Bilgin
Ergoterapi ve Rehabilitasyon Dergisi.2026; 14(1): 79. CrossRef - International Classification of Functioning, Disability, and Health (ICF)-based investigation of cervical sensorimotor training on upper extremity function in Parkinson's disease: A single-blinded randomized controlled trial
Özlem Menevşe, Büşra Kepenek-Varol, Aynur Demirel, Recep Baydemir, Murat Gültekin, Sevil Bilgin
Journal of Hand Therapy.2026;[Epub] CrossRef
- Deep cervical muscle endurance, trunk position sense, and swallowing performance in Parkinson’s disease with temporomandibular disorder: a comparative study
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