Elliott James, Cannata Emma, Christensen Eric, Demaris Joel, Kummrow John, Manning Erin, Nielsen Elizabeth, Romero Tomas, Barnes Clifford, Jull Gwendolen
Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Otolaryngol Head Neck Surg. 2008 Jun;138(6):747-51. doi: 10.1016/j.otohns.2008.02.015.
To quantify differences in the size/shape of the oropharynx between female subjects with whiplash and controls.
Retrospective cohort.
A total of 113 subjects (79 whiplash, 34 controls) were included. T1-weighted MRI was used to measure 1) cross-sectional area (CSA [mm(2)]) and 2) shape ratios for the oropharynx. Reliability data were established.
Whiplash subjects had significantly smaller oropharynx CSAs (P < 0.001) and shape ratios (P < 0.001) compared with healthy controls. Self-reported levels of pain and disability and duration of symptoms were not associated with size and shape of the oropharynx in whiplash subjects (P = 0.75 and P = 0.99, respectively). Age and BMI did influence the size (P = 0.01) and shape of the oropharynx (P < 0.001) in the whiplash subjects, but only 20 to 30 percent of the variance could be explained by these factors.
Significant difference in the size and shape of the oropharynx was noted in subjects with chronic whiplash compared with controls. Future studies are required to investigate the relationships between oropharynx morphometry and symptoms in patients with chronic whiplash.
量化挥鞭伤女性受试者与对照组之间口咽大小/形状的差异。
回顾性队列研究。
共纳入113名受试者（79名挥鞭伤患者，34名对照）。采用T1加权磁共振成像测量1）口咽横截面积（CSA [mm²]）和2）口咽形状比。建立了可靠性数据。
与健康对照组相比，挥鞭伤受试者的口咽CSA（P < 0.001）和形状比（P < 0.001）显著更小。挥鞭伤受试者自我报告的疼痛和残疾程度以及症状持续时间与口咽大小和形状无关（P分别为0.75和0.99）。年龄和体重指数确实影响挥鞭伤受试者的口咽大小（P = 0.01）和形状（P < 0.001），但这些因素仅能解释20%至30%的差异。
与对照组相比，慢性挥鞭伤受试者的口咽大小和形状存在显著差异。未来需要开展研究以调查慢性挥鞭伤患者口咽形态测量与症状之间的关系。
