Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: a prospective randomized study comparing three exercise programs

Treleaven, Julie, Peterson, Gunnel, Ludvigsson, Maria Landen, Kammerlind, Ann-Sofi and Peolsson, Anneli (2016) Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: a prospective randomized study comparing three exercise programs. Manual Therapy, 22 122-130. doi:10.1016/j.math.2015.10.017


Author Treleaven, Julie
Peterson, Gunnel
Ludvigsson, Maria Landen
Kammerlind, Ann-Sofi
Peolsson, Anneli
Title Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: a prospective randomized study comparing three exercise programs
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1532-2769
1356-689X
Publication date 2016-04-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.math.2015.10.017
Open Access Status Not Open Access
Volume 22
Start page 122
End page 130
Total pages 9
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2017
Language eng
Formatted abstract
Background

Dizziness and unsteadiness are common symptoms following a whiplash injury.

Objective

To compare the effect of 3 exercise programs on balance, dizziness, proprioception and pain in patients with chronic whiplash complaining of dizziness.

Design

A sub-analysis of a randomized study.

Methods

One hundred and forty subjects were randomized to either a physiotherapist-guided neck-specific exercise (NSE), physiotherapist-guided neck-specific exercise, with a behavioural approach (NSEB) or prescription of general physical activity (PPA) group. Pre intervention, 3, 6 and 12 months post baseline they completed the University of California Los Angeles Dizziness Questionnaire (UCLA-DQ), Visual Analogue Scales (VAS) for, dizziness at rest and during activity and physical measures (static and dynamic clinical balance tests and head repositioning accuracy (HRA)).

Results

There were significant time by group differences with respect to dizziness during activity and UCLA-Q favouring the physiotherapy led neck specific exercise group with a behavioural approach. Within group analysis of changes over time also revealed significant changes in most variables apart from static balance. Conclusion: Between and within group comparisons suggest that physiotherapist led neck exercise groups including a behavioural approach had advantages in improving measures of dizziness compared with the general physical activity group, although many still complained of dizziness and balance impairment. Future studies should consider exercises specifically designed to address balance, dizziness and cervical proprioception in those with persistent whiplash.
Keyword Dizziness
Balance
Proprioception
Whiplash
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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