Treleaven Julia, Jull Gwendolen, LowChoy Nancy
Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
J Rehabil Med. 2005 Jul;37(4):219-23. doi: 10.1080/16501970410024299.
The smooth pursuit neck torsion test is thought to be a measure of neck afferent influence on eye movement control and is useful in assessing subjects with whiplash, especially those complaining of dizziness. Nevertheless, it is not known whether impairments identified relate only to abnormal cervical afferentation or are influenced by levels of anxiety or neck pain.
A prospective, 3-group, observational design.
One hundred subjects with persistent whiplash (50 complaining of dizziness, 50 not complaining of dizziness) and 50 healthy controls.
The smooth pursuit neck torsion test was performed and analysed taking into account subjects' reported levels of pain, anxiety and dizziness.
The results confirm that there are significant (p<0.01) differences in the smooth pursuit neck torsion test between subjects with persistent whiplash both with dizziness (mean 0.11) and without dizziness (mean 0.07) compared with healthy control subjects (mean 0.01). The results suggest that the test is not influenced by a patients' level of anxiety, but may be influenced by both nocioceptive and proprioceptive factors.
The results provide further evidence of the usefulness of the smooth pursuit neck torsion test to identify eye movement disturbances in patients with whiplash, which are likely to be due to disturbed cervical afferentation.
平稳跟踪颈部扭转试验被认为是衡量颈部传入神经对眼球运动控制影响的一种方法，对评估挥鞭样损伤患者，尤其是那些主诉头晕的患者很有用。然而，尚不清楚所发现的损伤是否仅与异常的颈部传入神经有关，还是受焦虑水平或颈部疼痛的影响。
前瞻性、三组观察性设计。
100名持续性挥鞭样损伤患者（50名主诉头晕，50名未主诉头晕）和50名健康对照者。
进行平稳跟踪颈部扭转试验并分析，同时考虑受试者报告的疼痛、焦虑和头晕水平。
结果证实，与健康对照者（平均值0.01）相比，持续性挥鞭样损伤且伴有头晕（平均值0.11）和不伴有头晕（平均值0.07）的患者在平稳跟踪颈部扭转试验中存在显著差异（p<0.01）。结果表明，该试验不受患者焦虑水平的影响，但可能受伤害性感受和本体感受因素的影响。
结果进一步证明了平稳跟踪颈部扭转试验在识别挥鞭样损伤患者眼球运动障碍方面的有用性，这些障碍可能是由于颈部传入神经紊乱所致。
