Treleaven Julia, Takasaki Hiroshi
Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld 4072, Australia.
Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld 4072, Australia.
Man Ther. 2014 Jun;19(3):203-7. doi: 10.1016/j.math.2014.01.005. Epub 2014 Jan 27.
Visual symptoms are often reported by patients with neck pain. The aim of the study was to report on the prevalence and most troublesome visual disturbances in subjects with neck pain. Seventy subjects with neck pain and seventy healthy control subjects answered questions about the presence and magnitude (/12) - product of frequency (0-4) and intensity (0-3) of each of 16 visual symptoms noted to be associated with neck pain and other possible causes. A visual complaint index (VCI) (/168) was generated from the sum of the magnitude rating of 14 significant symptoms. The neck pain group had significantly (P > 0.05) greater prevalence and magnitude of 14/16 visual complaints and VCI (mean 27.4) compared to control subjects (mean 6.2). The most prevalent symptoms were 'need to concentrate to read' (70%) and 'sensitivity to light' (58.6%). The least prevalent were 'double vision' (28.6%) and 'dizzy reading' (38.6%). The most troublesome symptoms (greatest magnitude) were 'need to concentrate to read' (3.4/12), 'visual fatigue' (3/12), 'difficulty judging distances' (2.1/12) and 'sensitivity to light' (2.1/12) while the least troublesome complaints were 'double vision' (0.5/12), 'red eyes' (1/12) and 'spots and words moving' (1/12). The characteristics of the visual symptoms were mostly consistent for those previously associated with neck pain. Subjects with traumatic neck pain had a significantly higher VCI compared to those with idiopathic neck pain. The results could help with differential diagnosis. The visual symptoms might be related to eye movement control disturbances in neck pain, however further research is required.
颈部疼痛患者常报告有视觉症状。本研究的目的是报告颈部疼痛患者中视觉障碍的患病率及最困扰他们的视觉问题。70名颈部疼痛患者和70名健康对照者回答了有关16种视觉症状的存在情况及严重程度（频率[0 - 4]与强度[0 - 3]的乘积）的问题，这些症状被认为与颈部疼痛及其他可能原因有关。根据14种显著症状的严重程度评分总和生成视觉症状指数（VCI，满分168分）。与对照组（平均6.2分）相比，颈部疼痛组16种视觉症状中的14种及VCI（平均27.4分）的患病率和严重程度显著更高（P > 0.05）。最常见的症状是“阅读时需要集中注意力”（70%）和“对光敏感”（58.6%）。最不常见的是“复视”（28.6%）和“阅读时头晕”（38.6%）。最困扰的症状（严重程度最高）是“阅读时需要集中注意力”（3.4/12）、“视觉疲劳”（3/12）、“判断距离困难”（2.1/12）和“对光敏感”（2.1/12），而最不困扰的症状是“复视”（0.5/12）、“眼睛发红”（1/12）和“斑点及文字移动”（1/12）。这些视觉症状的特征大多与先前与颈部疼痛相关的症状一致。与特发性颈部疼痛患者相比，创伤性颈部疼痛患者的VCI显著更高。这些结果有助于进行鉴别诊断。视觉症状可能与颈部疼痛时的眼球运动控制障碍有关，然而还需要进一步研究。
