Gandelman-Marton Revital, Arlazoroff Aharon, Dvir Zeevi
a Department of Neurology , Assaf Harofeh Medical Center , Zerifin , Israel.
b Sackler School of Medicine , Tel Aviv University , Tel Aviv , Israel.
Brain Inj. 2016;30(13-14):1612-1616. doi: 10.1080/02699052.2016.1199904. Epub 2016 Sep 14.
Dizziness is a common complaint in patients following mild head or neck trauma, but neurological signs are usually rare or absent. The aim of the study was to compare postural control in patients with different types of head and neck trauma to healthy subjects.
Balance function was evaluated by computerized dynamic platform posturography (CDPP) in 57 dizzy patients with whiplash injury (n = 11), mild head trauma without loss of consciousness (HTNLC) (n = 23), whiplash injury and mild head trauma without loss of consciousness (WHTNLC) (n = 12) and mild head trauma with loss of consciousness (n = 11) and in 14 healthy subjects.
Compared to healthy subjects and after adjustment for inter-group age differences, sway index (SI) was significantly higher in patients with WHTNLC in three of the tests. There were no significant differences within the patient group according to type of injury. When time following the injury was considered, the SI was non-significantly higher within the first week after trauma compared to other time intervals.
The severity of the postural abnormality in patients with head and/or neck trauma is not uniform and is influenced by the type of trauma.
头晕是轻度头部或颈部创伤患者的常见主诉，但神经体征通常很少见或不存在。本研究的目的是比较不同类型头部和颈部创伤患者与健康受试者的姿势控制情况。
采用计算机化动态平台姿势描记法（CDPP）对57例头晕患者进行平衡功能评估，这些患者包括挥鞭样损伤患者（n = 11）、无昏迷的轻度头部创伤患者（HTNLC）（n = 23）、挥鞭样损伤合并无昏迷的轻度头部创伤患者（WHTNLC）（n = 12）、有昏迷的轻度头部创伤患者（n = 11），并与14名健康受试者进行比较。
与健康受试者相比，在对组间年龄差异进行校正后，WHTNLC患者在三项测试中的摆动指数（SI）显著更高。根据损伤类型，患者组内无显著差异。当考虑受伤后的时间时，与其他时间段相比，创伤后第一周内SI无显著升高。
头部和/或颈部创伤患者姿势异常的严重程度并不一致，且受创伤类型的影响。
