Reha Rheinfelden, Rheinfelden, Switzerland.
Gait Posture. 2011 Oct;34(4):473-8. doi: 10.1016/j.gaitpost.2011.06.021. Epub 2011 Jul 30.
This study assessed the addition effect of mild traumatic brain injury (MTBI) on the balance control of patients who simultaneously suffered a whiplash associated disorder (WAD).
Dizziness is common in patients suffering from whiplash injury with or without a MTBI, but data is lacking about the additional balance problems and dizziness caused by MTBI.
44 patients with WAD and MTBI and 36 WAD patients without MTBI participated in the study. A dizziness handicap index (DHI) was used to quantify self-perceived handicap. Balance control was assessed using measures of trunk sway for a battery of stance and gait tests.
Patients with WAD and MTBI perceived significantly higher dizziness and unsteadiness (higher score in DHI Emotional category) and had greater trunk sway than WAD patients without MTBI for stance tasks and complex gait tasks (e.g. walking up and down stairs). Both groups had greater sway than controls for these tasks. Both groups of patients showed equal reductions in trunk sway with respect to controls for simple gait tasks (e.g. walking while rotating the head).
A similar pattern of balance impairment was present in patients with whiplash injury with and without MTBI. However, the impairment was greater for stance and complex gait tasks in WAD patients with MTBI.
本研究评估了轻度创伤性脑损伤 (MTBI) 对同时患有挥鞭样损伤相关疾病 (WAD) 的患者平衡控制的附加影响。
头晕在患有挥鞭样损伤的患者中很常见，无论是否伴有 MTBI，但关于 MTBI 引起的额外平衡问题和头晕的数据却很缺乏。
44 例 WAD 伴 MTBI 患者和 36 例 WAD 无 MTBI 患者参与了本研究。使用眩晕残障指数 (DHI) 来量化自我感知的残障程度。使用一系列站位和步态测试的躯干摆动测量来评估平衡控制。
WAD 伴 MTBI 患者感知到的头晕和不稳定感明显更高（DHI 情绪类别得分更高），且与 WAD 无 MTBI 患者相比，在站位任务和复杂步态任务（如上下楼梯行走）中躯干摆动更大。与这些任务的对照组相比，这两个患者组的摆动都更大。对于简单的步态任务（例如头部旋转行走），这两个患者组的躯干摆动相对于对照组都有同等程度的减少。
在患有挥鞭样损伤伴或不伴 MTBI 的患者中存在相似的平衡障碍模式。然而，在伴有 MTBI 的 WAD 患者中，站位和复杂步态任务的损伤更大。
