vertical heterophoria and postural control in nonspecific chronic low back pain垂直隐斜视和姿势控制非特异性慢性下腰痛.pdfVIP

Vertical Heterophoria and Postural Control in Nonspecific Chronic Low Back Pain 1,2,3 ¨ 1,2 Eric Matheron *, Zoı Kapoula ˆ ´ 1 Groupe IRIS CNRS/FRE 3375: Service d’Ophtalmologie-ORL-Stomatologie, Hopital Europeen Georges Pompidou, Paris, France, 2 Service d’Ophtalmologie, ORL et ˆ ´ ´ Chirurgie Cervico-faciale. Hopital Robert Debre, Paris, France, 3 Universite de Paris V, Paris, France Abstract The purpose of this study was to test postural control during quiet standing in nonspecific chronic low back pain (LBP) subjects with vertical heterophoria (VH) before and after cancellation of VH; also to compare with healthy subjects with, and without VH. Fourteen subjects with LBP took part in this study. The postural performance was measured through the center of pressure displacements with a force platform while the subjects fixated on a target placed at either 40 or 200 cm, before and after VH cancellation with an appropriate prism. Their postural performance was compared to that of 14 healthy subjects with VH and 12 without VH (i.e. vertical orthophoria) studied previously in similar conditions. For LBP subjects, cancellation of VH with a prism improved postural performance. With respect to control subjects (with or without VH), the variance of speed of the center of pressure was higher, suggesting more energy was needed to stabilize their posture in quiet upright stance. Similarly to controls, LBP subjects showed higher postural sway when they were looking at a target at a far distance than at a close distance. The most important finding is that LBP subjects with VH can improve their performance after prism-ca