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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
University of Queensland, Australia.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Uppsala University, Sweden.ORCID iD: 0000-0003-2492-0306
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. County Council Ostergotland, Sweden.ORCID iD: 0000-0002-3259-3133
Linköping University, Department of Medical and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping. Linköping University, Faculty of Medicine and Health Sciences. County Council Jonköping, 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. Crown Copyright (C) 2015 Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE , 2016. Vol. 22, 122-130 p.
Keyword [en]
Dizziness; Balance; Proprioception; Whiplash
National Category
Health Sciences Physiotherapy
URN: urn:nbn:se:liu:diva-127561DOI: 10.1016/j.math.2015.10.017ISI: 000373615700021PubMedID: 26678652OAI: diva2:926184

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

Available from: 2016-05-04 Created: 2016-05-03 Last updated: 2016-06-17

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The full text will be freely available from 2016-11-26 11:14
Available from 2016-11-26 11:14

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Peterson, GunnelLandén Ludvigsson, MariaKammerlind, Ann-SofiPeolsson, Anneli
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Department of Medical and Health SciencesFaculty of Medicine and Health SciencesDepartment of Otorhinolaryngology in LinköpingDivision of Physiotherapy
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