Dizziness and unsteadiness following whiplash injury: Characteristic features and relationship with cervical joint position error

Treleaven, Julia, Jull, Gwendolen and Sterling, Michele (2003) Dizziness and unsteadiness following whiplash injury: Characteristic features and relationship with cervical joint position error. Journal of Rehabilitation Medicine, 35 1: 36-43. doi:10.1080/16501970306109

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Author Treleaven, Julia
Jull, Gwendolen
Sterling, Michele
Title Dizziness and unsteadiness following whiplash injury: Characteristic features and relationship with cervical joint position error
Journal name Journal of Rehabilitation Medicine   Check publisher's open access policy
ISSN 1650-1977
1651-2081
Publication date 2003-01-01
Year available 2003
Sub-type Article (original research)
DOI 10.1080/16501970306109
Open Access Status File (Publisher version)
Volume 35
Issue 1
Start page 36
End page 43
Total pages 8
Editor Gunnar Grimby
Place of publication Uppsala, Sweden
Publisher Stiftelsen Rehabiliteringsinformation / Foundation for Rehabilitation Information
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730114 Skeletal system and disorders (incl. arthritis)
321403 Motor Control
Abstract Dizziness and/or unsteadiness are common symptoms of chronic whiplash-associated disorders. This study aimed to report the characteristics of these symptoms and determine whether there was any relationship to cervical joint position error. Joint position error, the accuracy to return to the natural head posture following extension and rotation, was measured in 102 subjects with persistent whiplash-associated disorder and 44 control subjects. Whiplash subjects completed a neck pain index and answered questions about the characteristics of dizziness. The results indicated that subjects with whiplash-associated disorders had significantly greater joint position errors than control subjects. Within the whiplash group, those with dizziness had greater joint position errors than those without dizziness following rotation (rotation (R) 4.5degrees (0.3) vs 2.9degrees (0.4); rotation (L) 3.9degrees (0.3) vs 2.8degrees (0.4) respectively) and a higher neck pain index (55.3% (1.4) vs 43.1% (1.8)). Characteristics of the dizziness were consistent for those reported for a cervical cause but no characteristics could predict the magnitude of joint position error. Cervical mechanoreceptor dysfunction is a likely cause of dizziness in whiplash-associated disorder.
Keyword Rehabilitation
Sport Sciences
Cervical Dizziness
Whiplash
Mechanoreceptors
Proprioception
Cervicocephalic Kinesthetic Sensibility
Head-injury
Spine
Pain
Motion
Range
Q-Index Code C1
Institutional Status UQ

 
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Created: Wed, 15 Aug 2007, 12:05:59 EST