Department of Clinical Sciences/Family Medicine, Lund University , SE-205 02 Malmö, Sweden.
J Rehabil Med. 2013 Sep;45(9):906-10. doi: 10.2340/16501977-1197.
To describe how vestibular rehabilitation influences pain and range of motion among patients with whiplash-associated disorder and dizziness, and to describe whether pain or range of motion correlated with balance performance or self-perceived dizziness handicap.
A total of 29 patients, 20 women and 9 men, age range 22-76 years.
Patients with whiplash-associated disorder and dizziness were randomized to either intervention (vestibular rehabilitation) or control. Neck pain intensity, cervical range of motion (CROM), balance and self-perceived dizziness handicap were measured at baseline, 6 weeks and 3 months.
There were no differences in neck pain intensity or CROM between the 2 groups either at baseline, 6 weeks or 3 months (p = 0.10-0.89). At baseline, neck pain intensity correlated with CROM (-0.406) and self-perceived dizziness handicap (0.492). CROM correlated with self-perceived dizziness handicap and with 1 balance measure (-0.432). Neck pain intensity did not correlate with balance performance (-0.188-0.049).
Neck pain intensity and CROM was not influenced by vestibular rehabilitation. Importantly, the programme did not appear to increase pain or decrease neck motion, as initially thought. Neck pain intensity and CROM correlated with self-perceived dizziness handicap. CROM also correlated with 1 balance measure.
描述前庭康复对颈性眩晕伴头晕患者疼痛和活动范围的影响，并描述疼痛或活动范围是否与平衡表现或自我感知的头晕障碍相关。
共 29 名患者，20 名女性和 9 名男性，年龄 22-76 岁。
将颈性眩晕伴头晕患者随机分为干预组（前庭康复）和对照组。在基线、6 周和 3 个月时测量颈痛强度、颈椎活动范围（CROM）、平衡和自我感知的头晕障碍。
在基线、6 周或 3 个月时，两组的颈痛强度或 CROM 均无差异（p=0.10-0.89）。基线时，颈痛强度与 CROM（-0.406）和自我感知的头晕障碍（0.492）相关。CROM 与自我感知的头晕障碍和 1 项平衡测量相关（-0.432）。颈痛强度与平衡表现无相关性（-0.188-0.049）。
颈痛强度和 CROM 不受前庭康复的影响。重要的是，该方案似乎没有像最初设想的那样增加疼痛或减少颈部运动。颈痛强度和 CROM 与自我感知的头晕障碍相关。CROM 还与 1 项平衡测量相关。
