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

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Treleaven, JuliaUniv Queensland, NHMRC CCRE Spinal Pain Injury & Hlth, Brisbane, Qld, Australia.,University of Queensland, Australia (författare)

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

Artikel/kapitelEngelska2016

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Elsevier BV,2016
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LIBRIS-ID:oai:DiVA.org:uu-295558
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-295558URI
https://doi.org/10.1016/j.math.2015.10.017DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-127561URI

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Språk:engelska
Sammanfattning på:engelska

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Funding Agencies|Swedish government through the REHSAM foundation; regional Centres for Clinical Research of Ostergotland and Sormland County Councils; Medical Research Council of Southeast Sweden; Swedish government; Swedish Social Insurance Agency through the REHSAM foundation; Centre for Clinical Research Sormland at Uppsala University Sweden; Uppsala-Orebro Regional Research Council Sweden; Swedish Research Council; County Council of Ostergotland; County Council of Jonkoping
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.

Ämnesord och genrebeteckningar

Dizziness
Balance
Proprioception
Whiplash

Biuppslag (personer, institutioner, konferenser, titlar ...)

Peterson, GunnelLinköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden.,Avdelningen för fysioterapi,Medicinska fakulteten,Uppsala University, Sweden(Swepub:liu)gunpe95 (författare)
Landén Ludvigsson, MariaLinköpings universitet,Medicinska fakulteten,Avdelningen för fysioterapi,Region Östergötland, Rehab Väst,Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden.;Cty Council Ostergotland, Rehab Vast, Stockholm, Sweden.(Swepub:liu)marla49 (författare)
Kammerlind, Ann-SofiLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Futurum Region Jönköping County, Sweden,Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden.;Cty Council Jonkoping, Futurum Acad Healthcare, Jonkoping, Sweden.(Swepub:liu)anngu15 (författare)
Peolsson, AnneliLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden.(Swepub:liu)annpe35 (författare)
Univ Queensland, NHMRC CCRE Spinal Pain Injury & Hlth, Brisbane, Qld, Australia.University of Queensland, Australia (creator_code:org_t)

Sammanhörande titlar

Ingår i:Manual Therapy: Elsevier BV22, s. 122-1301356-689X1532-2769

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Av författaren/redakt...: Treleaven, Julia; Peterson, Gunnel; Landén Ludvigsso ...; Kammerlind, Ann- ...; Peolsson, Anneli

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Av lärosätet: Uppsala universitet; Linköpings universitet

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