Krabak B J, Borg-Stein J, Oas J A
Dept. of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD, USA.
J Back Musculoskelet Rehabil. 2000 Jan 1;15(2):83-7. doi: 10.3233/bmr-2000-152-306.
The purpose of this retrospective, pilot study was to assess changes in dizziness, pain and function in subjects undergoing an outpatient rehabilitation program focusing on cervical pain.
Fifteen subjects with chronic cervical myofascial pain and concurrent dizziness of suspected cervical origin completed a retrospective questionnaire. Improvement in pain, dizziness and function were recorded on a visual analog scale (VAS) in response to a non-standardized rehabilitation program involving modalities, stretching, strengthening, trigger point injections and aerobic conditioning.
Subjects reported an average VAS improvement in dizziness of 59% (±29%), pain 69% (±21%) and function 71%(±19). Seven subjects experienced reproduction of their dizziness and pain during trigger point injections. Overall, twenty seven percent reported no further episodes of dizziness. All subjects experienced a decrease in the frequency of episodes of dizziness. There was a correlation between dizziness and pain (r = 0.58), dizziness and function (r = 0.60), and pain and function (r = 0.74).
Subjects with dizziness and cervical myofascial pain of suspected cervical origin may experience symptomatic and functional improvement through a rehabilitative program addressing their cervical pain. Future prospective, randomized controlled studies are needed to address which intervention is the most effective.
本回顾性试点研究旨在评估接受以颈痛为重点的门诊康复计划的受试者在头晕、疼痛和功能方面的变化。
15名患有慢性颈肌筋膜疼痛且伴有疑似颈椎源性头晕的受试者完成了一份回顾性问卷。针对一项包括物理治疗、拉伸、强化训练、触发点注射和有氧训练的非标准化康复计划，采用视觉模拟量表（VAS）记录疼痛、头晕和功能的改善情况。
受试者报告头晕的VAS平均改善率为59%（±29%），疼痛为69%（±21%），功能为71%（±19%）。7名受试者在触发点注射期间头晕和疼痛复发。总体而言，27%的受试者报告头晕未再发作。所有受试者头晕发作频率均降低。头晕与疼痛（r = 0.58）、头晕与功能（r = 0.60）以及疼痛与功能（r = 0.74）之间存在相关性。
患有疑似颈椎源性头晕和颈肌筋膜疼痛的受试者可能通过针对其颈痛的康复计划在症状和功能方面得到改善。未来需要进行前瞻性随机对照研究以确定哪种干预措施最有效。
