Bjorne A, Berven A, Agerberg G
Clinic of Periodontology, Lasarettet, Ystad, Sweden.
Cranio. 1998 Jul;16(3):194-202. doi: 10.1080/08869634.1998.11746057.
This study compares the frequency of signs and symptoms from the cervical spine in 24 patients diagnosed with Meniere's disease and 24 control subjects from a population sample. From a previous controlled comparative study concerning signs and symptoms of craniomandibular disorders, 24 patients diagnosed with Meniere's disease (10 males and 14 females) and their 24 matched control subjects participated in this investigation on the state of the cervical spine. Symptoms of cervical spine disorders, such as head and neck/shoulder pain, were all significantly more frequent in the patient group than in the control group. Most of the patients (75%) reported a strong association between head neck movements in the atlanto-occipital and atlanto-axial joints and triggered attacks of vertigo. Also, 29% of the patients could influence their tinnitus by mandibular movements. Signs of cervical spine disorders, such as limitations in side-bending and rotation movements, were significantly more frequent in the patient group than in the control group. Tenderness to palpation of the transverse processes of the atlas and the axis, the upper and middle trapezius, and the levator scapulae muscle were also significantly more frequent in the patient group. The study shows a much higher prevalence of signs and symptoms of cervical spine disorders in patients diagnosed with Meniere's disease compared with control subjects from the general population.
本研究比较了24例被诊断为梅尼埃病的患者与来自人群样本的24名对照受试者颈椎体征和症状的出现频率。从先前一项关于颅下颌疾病体征和症状的对照比较研究中，24例被诊断为梅尼埃病的患者（10名男性和14名女性）及其24名匹配的对照受试者参与了这项关于颈椎状况的调查。颈椎疾病的症状，如头部和颈部/肩部疼痛，在患者组中出现的频率均显著高于对照组。大多数患者（75%）报告寰枕关节和寰枢关节的头部颈部运动与眩晕发作之间有强烈关联。此外，29%的患者可以通过下颌运动影响耳鸣。颈椎疾病的体征，如侧弯和旋转运动受限，在患者组中出现的频率显著高于对照组。寰椎和枢椎横突、上斜方肌和中斜方肌以及肩胛提肌触诊压痛在患者组中出现的频率也显著更高。该研究表明，与普通人群的对照受试者相比，被诊断为梅尼埃病的患者颈椎疾病体征和症状的患病率要高得多。
