• 作者：Eulogio Pleguezuelos Cobo^a ; ^b ; ^c ; ^{34260epc@comb.es} ; Joan Garc&#237 ; a-Alsina^a ; Concepció ; n Garc&#237 ; a Almazá ; n^a ; Javier Ortiz Fandiñ ; o^a ; M. Engracia Pé ; rez Mesquida^b ; Lluis Guirao Cano^b ; Beatriz Samitier Pastor^b ; Cristina Perucho Pont^b ; Estel Coll Serra^b ; Carlos Matarrubias^b ; Genoveva Reveron^b
• 关键词：Posturografí ; a ; Sí ; ndrome del latigazo cervical ; Vé ; rtigo ; Rehabilitació ; n ; Romberg
• 刊名：Medicina Cl铆nica
• 出版年：2009
• 期刊代码：pca254_00257753
• 类别：med
• 出版时间：2 May 2009
• 卷：132
• 期：16
• 页码：616-620
• 文件大小：135 K

Background and objective

Dizziness of variable intensity is a frequent complaint in patients who suffered whiplash and largely documented balance disturbances. The objective of the study was to identify balance disorders in early stage of whiplash after road traffic accidents.

Patients and method

Ninety nine women were included in the study. Fifty four women had suffered whiplash within two weeks and 45 were included in a healthy control group. Static posturography on a force platform was carried out in all study participants, by means of the Romberg test in four sequential phases, using the postural sway area (SA) as a dependent variable. Visual Analogic Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPH) were used to evaluate pain and function.

Results

Postural sway area increased significantly in each of the consecutive phases in both groups. The differences of the means of the postural sway area were statistically significant in all Romberg phases (p=.009 to P=.000). No correlation was found between SA and VAS or NPH scores. There was a positive correlation between the postural sway area standing on a thick foam cushion placed over the plate with closed eyes and the number of days of transitory incapacity (r=0.414; P=.009).

Conclusions

Patients with recent whiplash show a postural control disturbance revealed trough a sequential static posturography analysis. This suggests that the balance disorder is not only a consequence of late whiplash syndrome evolution. Therefore, we should promote early instauration of a specific therapeutic approach if and when the patient refers dizziness and related symptoms.