Experimental neck muscle pain impairs standing balance in humans

TL;DR

This study demonstrates that experimental neck muscle pain in healthy humans significantly impairs standing balance, highlighting the importance of neck neuromuscular integrity for postural stability.

Contribution

It provides direct evidence that neck muscle pain alone can disrupt balance control during quiet standing in humans.

Findings

Increased CoP and CoM displacements with pain

Higher velocity and frequency of postural sway during pain

Neck pain destabilizes standing balance

Abstract

Impaired postural control has been reported in patients with chronic neck pain of both traumatic and non-traumatic etiologies, but whether painful stimulation of neck muscle per se can affect balance control during quiet standing in humans remains unclear. The purpose of the present experiment was thus to investigate the effect of experimental neck muscle pain on standing balance in young healthy adults. To achieve this goal, 16 male university students were asked to stand upright as still as possible on a force platform with their eyes closed in two conditions of No pain and Pain of the neck muscles elicited by experimental painful electrical stimulation. Postural control and postural performance were assessed by the displacements of the center of foot pressure (CoP) and of the center of mass (CoM), respectively. The results showed increased CoP and CoM displacements variance, range, mean velocity, and mean and median frequencies in the Pain relative to the No pain condition. The present findings emphasize the destabilizing effect of experimental neck muscle pain per se, and more largely stress the importance of intact neck neuromuscular function on standing balance.