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The current study on a larger cohort of 20 patients with chronic or frequently recurring neck pain syndrome and age-matched controls focused on two major questions: (1) Can head movements in subjects with exacerbations of neck pain and restrictions of neck mobility also elicit bursts of vertigo? (2) What is the impact on postural balance measured by analysis of body sway and locomotion? A detailed questionnaire was applied, posture and gait were evaluated by use of instrumented posturography\u2014and gait analysis with and without slow or rapid horizontal head rotations in the yaw plane with and without sight\/visual input. All patients reported some or frequent episodes of dizziness in the range of seconds only elicited by rapid, not by slow head movements. Postural sway in patients was unremarkable in undisturbed conditions without head movements, but specifically increased by rapid but not slow head turns. The latter is best explained by the lack of continuous control of velocity and amplitude of saccadic head movements. Gait analysis revealed a slowed and cautious gait pattern already at undisturbed condition that was even exaggerated during rapid head turns. These observations demonstrate that chronic or recurrent neck pain is associated with episodic experiences of dizziness and above results in both chronic and episodic alterations of stance and gait that resemble those described for patients with phobic postural vertigo\/persistent postural perceptual dizziness, a functional gait disorder.<\/jats:p>","DOI":"10.1007\/s00415-024-12711-8","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T14:52:20Z","timestamp":1729003940000},"page":"7460-7470","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of proprioceptive cervical dizziness in chronic neck pain syndromes on gait and stance during active head-turn challenges"],"prefix":"10.1007","volume":"271","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1473-5898","authenticated-orcid":false,"given":"D.","family":"Huppert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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Tina Tsai reports no conflicts of interest relevant to the manuscript. Sven Richter reports no conflicts of interest relevant to the manuscript. Konstanze Dunker reports no conflicts of interest relevant to the manuscript. Johannes Gerb reports no conflicts of interest relevant to the manuscript. Bernd Wegener reports no conflicts of interest relevant to the manuscript. Rachel Maria Zwergal reports no conflicts of interest relevant to the manuscript. Max Wuehr reports no conflicts of interest relevant to the manuscript. Thomas Brandt reports no conflicts of interest relevant to the manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"The experimental procedure was approved by the ethics committee of the Ludwig-Maximilians-Universit\u00e4t Munich\u2019s Medical Faculty and complied with the ethical standards of the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standard statement"}}]}}