Comparison of sensorimotor disturbance between subjects with persistent whiplash-associated disorder and subjects with vestibular pathology associated with acoustic neuroma

Treleaven, Julia, Low Choy, Nancy, Darnell, Ross, Panizza, Ben, Brown-Rothwell, David and Jull, Gwendolen (2008) Comparison of sensorimotor disturbance between subjects with persistent whiplash-associated disorder and subjects with vestibular pathology associated with acoustic neuroma. Archives of Physical Medicine and Rehabilitation, 89 3: 522-530. doi:10.1016/j.apmr.2007.11.002


Author Treleaven, Julia
Low Choy, Nancy
Darnell, Ross
Panizza, Ben
Brown-Rothwell, David
Jull, Gwendolen
Title Comparison of sensorimotor disturbance between subjects with persistent whiplash-associated disorder and subjects with vestibular pathology associated with acoustic neuroma
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
Publication date 2008
Sub-type Article (original research)
DOI 10.1016/j.apmr.2007.11.002
Volume 89
Issue 3
Start page 522
End page 530
Total pages 9
Place of publication United States
Publisher W.B. Saunders Co.
Collection year 2009
Language eng
Subject C1
920201 Allied Health Therapies (excl. Mental Health Services)
110317 Physiotherapy
Formatted abstract
Objective: To determine if differences exist in reported symptoms and in outcomes of sensorimotor tests (cervical joint position error [JPE], neck-influenced eye movement control, postural stability) between subjects with persistent whiplash and subjects with unilateral vestibular pathology associated with acoustic neuroma.

Design:
Repeated measures, case controlled.

Setting:
Tertiary institution and metropolitan hospital.

Participants:
Twenty subjects with persistent whiplash, 20 subjects with acoustic neuroma, and 20 control subjects.

Interventions:
Not applicable.

Main Outcome Measures:
Symptom descriptors, Dizziness Handicap Inventory (short form), measures of cervical JPE, the smooth pursuit neck torsion (SPNT) test, and forceplate measures of postural stability in comfortable and narrow stances.

Results:
The results showed differences in SPNT (P = .00), selected measures of postural stability (P < .04), and reported symptoms between the whiplash and vestibular groups. There was no between-group difference in cervical JPE (P > .27) or dizziness handicap (P > .69).

Conclusions:
This study showed differences in sensorimotor disturbances between subjects with discreet whiplash and those with vestibular pathology associated with acoustic neuroma. The results support the SPNT test as a test of cervical afferent dysfunction. Further research into cervical JPE as a discreet test of cervical afferentation is warranted.
Keyword Balance
Dizziness
Eye movements
Gait disorders
neurologic
Sensorimotor
Neck
Neuroma
Proprioception
Rehabilitation
Vestibular diseases
Whiplash injuries
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 10 Mar 2009, 13:30:20 EST