Abstract
Prolotherapy becomes a promising alternative therapy for cervico-cephalic syndrome. Recent studies showed the neck plays a important role in balance performance. In this study, we tested the balance performance and neck fitness of the patients with cervico-cephalic syndrone before and after prolotherapy. Objective: To evaluate fitness and balance performance outcomes of the patients undergoing dextrose prolotherapy for cervico-cephalic syndrome METHODS: twenty-six male (Age: 37.8±14.0, Body height: 172.1±8.0 cm) and tewnty-one female (Age: 39.6±12.1, Body height: 157.9±7.1 cm) patients, who suffered from cervico-cephalic syndrome, received prolotherapy. The injections were gived on the entheses along bilateral superior, inferior nuchal line and mastoid process. Their balance performance and neck fitness were measured before and after prolotherapy. Balance performance was measured by Smart Balance Master (Neurocom International Inc., USA), including Sensory Organization Test (SOT). The SOT evaluated 6 consitions including (1) eyes open and fixed support (EO); (2) eyes closed and fixed support (EC); (3) sway-referenced vision and fixed support (SV); (4) eyes open and sway-referenced support (SS); (5) eyes closed and sway-referenced support (ECSS); (6) sway-referenced vision and support (SVSS). Cervical range of motion (ROM) and isometric strength were measured by microFET3 (HOGGAN Health Industries, USA). RESULTS: Equilibrium score showed significant difference in EC (92.2±3.2 vs. 92.8±2.6) and SS (83.8±10.7 vs. 86.8±9.0). Somatosensory ratio (0.967±0.02 vs. 0.975±0.01) and visual ratio (0.879±0.11 vs.0.911±0.08) increased significantly. Cervical ROM was found significantly improved in lateral flextion to right (33.1±8.7 vs. 34.8±7.4) and left (33.1±7.8 vs. 35.7±9.0). Cervical isometric strength was statistically different in lateral flextion to left and rotation to left. CONCLUSION: In this prospective study, the patients with cervico-cephalic syndrome demonstrated objective improvements in their flexibility and isometric strength of the neck, and balance performance after dextrose prolotherapy.
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