European Spine Journal

, Volume 25, Issue 10, pp 3130–3136 | Cite as

Cervicocephalic relocation test to evaluate cervical proprioception in adolescent idiopathic scoliosis

  • Marc-Alexandre Guyot
  • Olivier Agnani
  • Laurent Peyrodie
  • Demaille Samantha
  • Cécile Donze
  • Jean-Francois CatanzaritiEmail author
Original Article



Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine associated with disturbed postural control. Cervical proprioception participates in controlling orthostatic posture via its influence on head stabilization. We hypothesized that patients with AIS exhibit altered cervical proprioception.


We conducted a case–control study to evaluate cervical proprioception using the cervicocephalic relocation test (CRT) in 30 adolescents with AIS (15.5 ± 1.5 years; Cobb 24.8° ± 9.5°) versus 14 non-scoliotic controls (14.6 ± 2.0 years). CRT evaluates cervical proprioception by measuring the capacity to relocate the head on the trunk after active rotation of the head in the transversal plane without visual control. Each subject performed ten right and then ten left head rotations.


The CRT results were pathological in 12 AIS patients (40 %). The CRT mean was significantly different between AIS patients with a pathological CRT (5° ± 1.4° for right rotation; 4.2° ± 0.9° for left rotation) compared with AIS patients with a normal CRT (2.7° ± 0.6° for right rotation; 2.9° ± 0.8° for left rotation) or with the control group (3.5° ± 2.1° for right rotation; 3.1° ± 1.2° for left rotation).


Cervical proprioception is impaired in certain AIS patients. This anomaly may worsen the prognosis of AIS (headache; balance disorders; worsened spinal deformity; complication after spinal fusion). We recommend systematic screening for altered cervical proprioception in AIS patients.


Adolescent idiopathic scoliosis Cervicocephalic relocation test Cervical proprioception Oculo-cervical reprogrammation protocol 



The authors are grateful to the HARPS Association members for their helpful comments.

Compliance with ethical standards

Conflict of interest

The authors have no potential conflict of interest, real or perceived. There was no study sponsor, in study design, collection, analysis, interpretation of data, writing of the report, and the decision to submit the paper for publication.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Marc-Alexandre Guyot
    • 1
    • 2
    • 3
    • 4
  • Olivier Agnani
    • 1
    • 2
    • 3
    • 4
  • Laurent Peyrodie
    • 2
    • 3
    • 4
  • Demaille Samantha
    • 2
    • 3
  • Cécile Donze
    • 1
    • 2
    • 3
    • 4
  • Jean-Francois Catanzariti
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    Email author
  1. 1.Service de Médecine Physique et de RéadaptationCentre Hospitalier Saint PhilibertLilleFrance
  2. 2.Université Nord de FranceLilleFrance
  3. 3.UCLilleLilleFrance
  4. 4.Groupe Hospitalier de l’Institut Catholique de LilleLilleFrance
  5. 5.Hautes Etudes d’Ingénieur Unité de Traitement des Signaux BiomédicauxLilleFrance
  6. 6.Soins de Suite et de Réadaptation Pédiatrique Marc SauteletVilleneuve d’AscqFrance
  7. 7.Service de RhumatologieCHRU de LilleLilleFrance

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