Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Disabil Rehabil. 2020 Sep;42(19):2743-2746. doi: 10.1080/09638288.2019.1571640. Epub 2019 Feb 10.
There is little knowledge on how neck pain impacts dizzy patients, and if different diagnoses of dizziness associate with neck pain. The aim was to examine differences in dizziness severity, quality of life and demographics in dizzy patients with and without neck pain. Additionally, we examined if neck pain was associated with a non-vestibular or vestibular diagnosis. We included 236 consecutive patients referred to an otorhinolaryngological university clinic for vertigo and balance problems. The patients were divided in two groups: Patients with and without neck pain. Patient-reported outcomes measures were the Dizziness Handicap Inventory, RAND-12, neck pain and symptom duration. A total of 59% of the patients reported neck pain. Patients with neck pain reported poorer quality of life ( < .001) and worse handicap due to dizziness ( < .001). There were no associations between reported neck pain and dizziness of non-vestibular or vestibular origin ( = .29). Neck pain is a common complaint among dizzy patients. Patients with concurrent dizziness and neck pain should warrant attention due to poorer general and dizziness-related quality of life. This finding appears unrelated to whether or not they receive a peripheral vestibular diagnosis.IMPLICATION FOR REHABILITATIONNeck pain is common in patients with dizziness and associated with higher dizziness handicap and lower quality of life.Neck pain should be addressed specifically in patients assessed for dizziness, irrespective of diagnosis.Further research is needed to better understand the interactions between neck pain and dizziness.
关于颈部疼痛如何影响头晕患者，以及不同的头晕诊断是否与颈部疼痛相关，人们知之甚少。本研究旨在探讨有和无颈部疼痛的头晕患者在头晕严重程度、生活质量和人口统计学方面的差异。此外，我们还研究了颈部疼痛是否与非前庭或前庭诊断相关。我们纳入了 236 例连续就诊于耳鼻喉科大学诊所的眩晕和平衡问题患者。患者分为两组：有颈部疼痛组和无颈部疼痛组。患者报告的结局测量包括头晕残障问卷、RAND-12、颈部疼痛和症状持续时间。有 59%的患者报告有颈部疼痛。有颈部疼痛的患者报告生活质量较差（ < .001）和因头晕导致的残障程度更严重（ < .001）。报告的颈部疼痛与非前庭或前庭来源的头晕之间无相关性（ = .29）。颈部疼痛是头晕患者的常见主诉。同时有头晕和颈部疼痛的患者应引起重视，因为他们的总体和与头晕相关的生活质量更差。这一发现似乎与他们是否接受外周前庭诊断无关。
颈部疼痛在头晕患者中很常见，与较高的头晕残障程度和较低的生活质量相关。
无论诊断如何，在评估头晕患者时都应专门解决颈部疼痛问题。
需要进一步研究以更好地了解颈部疼痛与头晕之间的相互作用。
