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Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs
Univ Queensland, NHMRC CCRE Spinal Pain Injury & Hlth, Brisbane, Qld, Australia..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden..
Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden.;Cty Council Ostergotland, Rehab Vast, Stockholm, Sweden..
Linkoping Univ, Fac Hlth Sci, Physiotherapy, Dept Med & Hlth Sci, Linkoping, Sweden.;Cty Council Jonkoping, Futurum Acad Healthcare, Jonkoping, Sweden..
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2016 (English)In: Manual Therapy, ISSN 1356-689X, E-ISSN 1532-2769, Vol. 22, 122-130 p.Article in journal (Refereed) PublishedText
Abstract [en]

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.

Place, publisher, year, edition, pages
2016. Vol. 22, 122-130 p.
Keyword [en]
Dizziness, Balance, Proprioception, Whiplash
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-295558DOI: 10.1016/j.math.2015.10.017ISI: 000373615700021PubMedID: 26678652OAI: oai:DiVA.org:uu-295558DiVA: diva2:941398
Swedish Research CouncilÖstergötland County CouncilJönköping County Council
Available from: 2016-06-22 Created: 2016-06-08 Last updated: 2016-06-22Bibliographically approved

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