Standing balance in persistent whiplash: A comparison between subjects with and without dizziness

Treleaven, Julia, Jull, Gwendolen and Lowchoy, Nancy (2005) Standing balance in persistent whiplash: A comparison between subjects with and without dizziness. Journal of Rehabilitation Medicine, 37 4: 224-229. doi:10.1080/16501970510027989

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Author Treleaven, Julia
Jull, Gwendolen
Lowchoy, Nancy
Title Standing balance in persistent whiplash: A comparison between subjects with and without dizziness
Journal name Journal of Rehabilitation Medicine   Check publisher's open access policy
ISSN 1650-1977
1651-2081
Publication date 2005-07-01
Year available 2005
Sub-type Article (original research)
DOI 10.1080/16501970510027989
Open Access Status File (Publisher version)
Volume 37
Issue 4
Start page 224
End page 229
Total pages 6
Place of publication Uppsala, 75312 Sweden
Publisher Stiftelsen Rehabiliteringsinformation / Foundation for Rehabilitation Information
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Formatted abstract
Objective:
Dizziness and unsteadiness, associated with altered balance, are frequent complaints in subjects suffering persistent whiplash associated disorders. Research has been inconclusive with respect to possible aetiology. This study assessed balance responses in subjects with whiplash associated disorders, taking into account several possible causes.

Design:

A prospective, 3 group, observational design.

Subjects:

100 subjects with persistent whiplash associated disorders, 50 complaining of dizziness, 50 not complaining of dizziness and 50 healthy controls.

Methods:
The Clinical Test for Sensory Interaction in Balance was performed in both comfortable and tandem stance. The sway trace was analysed using wavelet analysis.

Conclusion:

The results indicated that the energy of the sway signal for comfortable stance tests was significantly greater in the group with dizziness compared with the group without dizziness. In the group without dizziness the energy was greater than controls for all tests, but significantly different on selected tests. In selected tandem stance tests, subjects with dizziness were significantly less able to complete the test than subjects without dizziness and controls. These deficits could not be attributed to medications, compensation, anxiety or age and are likely to be due to disturbances to the postural control system possibly originating from abnormal cervical afferent input.
Keyword Balance
Whiplash
Postural Control
Proprioception
Dizziness
Rehabilitation
Sport Sciences
Postural Stability
Head-injury
Mild Head
Neck
Pain
Disorders
Pursuit
Anxiety
People
System
Q-Index Code C1
Institutional Status UQ

 
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Created: Wed, 15 Aug 2007, 16:02:47 EST