Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology and Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway.
Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway.
Physiother Theory Pract. 2023 Jun;39(6):1266-1273. doi: 10.1080/09593985.2022.2034077. Epub 2022 Feb 12.
The purpose of this study was to examine the prevalence of concurrent dizziness in patients seeking treatment for neck pain at a secondary care clinic and examine how dizziness associates with physical function, disability, quality of life, and duration of neck pain.
This was a cross-sectional study where patients referred for neck pain ( = 133) were recruited from an outpatient spine clinic and divided into: patients with and without dizziness. All patients were examined with posturography, global body examination-flexibility and cervical range of motion, and completed the Neck Disability Index (NDI) and RAND-12 health survey. Patients with concurrent dizziness completed the Vertigo Symptom Scale short form (VSSsf).
Forty-three percent of the patients reported dizziness. Concurrent dizziness was associated with increased postural sway with eyes open (p < .001), eyes closed (p = .024), eyes open on foam (p = .010), eyes closed on foam (p = .003), higher disability on the NDI (: 2.9, = .009), RAND-12 physical (: -4.3, = .014) and mental subscales (: -4.0, = .014). A higher score on NDI was associated with higher score on the VSSsf (total score: r = 0.51, p < .001, anxiety: r = 0.52, p < .001, vertigo: r = 0.43, p = .02.).
Dizziness is common among patients with long-lasting neck pain. It is associated with higher disability due to neck symptoms and general health-related quality of life. The findings highlight the importance of evaluating and addressing dizziness in patients with neck disorders.
本研究旨在调查在二级保健诊所因颈痛就诊的患者中同时存在头晕的患病率，并探讨头晕与躯体功能、残疾、生活质量和颈痛持续时间的关系。
这是一项横断面研究，从一家门诊脊柱诊所招募了因颈痛就诊的患者（n=133），并将其分为伴有头晕和不伴有头晕的两组。所有患者均接受了平衡测试、全身检查-柔韧性和颈椎活动度检查，并完成了颈部残疾指数（NDI）和 RAND-12 健康调查。伴有头晕的患者还完成了眩晕症状量表简表（VSSsf）。
43%的患者报告存在头晕。同时存在头晕与睁眼时（p<0.001）、闭眼时（p=0.024）、睁眼在泡沫垫上时（p=0.010）、闭眼在泡沫垫上时（p=0.003）的姿势摆动增加有关，与 NDI 较高的残疾评分（差值：2.9，p=0.009）、RAND-12 躯体（差值：-4.3，p=0.014）和精神子量表（差值：-4.0，p=0.014）得分降低有关。NDI 得分越高，VSSsf 总分（r=0.51，p<0.001）、焦虑（r=0.52，p<0.001）和眩晕（r=0.43，p=0.02）得分也越高。
长期颈痛患者中头晕较为常见。头晕与因颈痛症状和一般健康相关的生活质量导致的更高残疾程度相关。这些发现强调了在颈痛患者中评估和处理头晕的重要性。
