Comparison of sensorimotor disturbance between subjects with persistent whiplash-associated disorder and subjects with vestibular pathology associated with acoustic neuroma.
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 associat...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 89; no. 3; pp. 522 - 531 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Mar2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105892187&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105892187 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Mar2008 vid: 89 iid: 3 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 105892187 105892187 2009862336 10.1016/j.apmr.2007.11.002 NLM18295632 105892187 ppf: 522 ppct: 9 formats: tig: atl: Comparison of sensorimotor disturbance between subjects with persistent whiplash-associated disorder and subjects with vestibular pathology associated with acoustic neuroma. aug: au: Treleaven J LowChoy N Darnell R Panizza B Brown-Rothwell D Jull G affil: Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. j.treleaven@uq.edu.au sug: subj: Movement Disorders Diagnosis Neuroma, Acoustic Diagnosis Sensation Disorders Diagnosis Sensation Disorders Etiology Whiplash Injuries Diagnosis Adult Balance, Postural Physiology Case Control Studies Eye Movements Physiology Female Male Middle Age Movement Disorders Etiology Neuroma, Acoustic Complications Probability Proprioception Physiology Prospective Studies Questionnaires Risk Assessment Sensation Disorders Rehabilitation Vestibular Function Tests Whiplash Injuries Complications Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: 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. Copyright © 2008 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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