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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

Overview of attention for article published in Musculoskeletal Science and Practice, November 2015
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Title
Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs
Published in
Musculoskeletal Science and Practice, November 2015
DOI 10.1016/j.math.2015.10.017
Pubmed ID
Authors

Julia Treleaven, Gunnel Peterson, Maria Landén Ludvigsson, Ann-Sofi Kammerlind, Anneli Peolsson

Abstract

Dizziness and unsteadiness are common symptoms following a whiplash injury. To compare the effect of 3 exercise programs on balance, dizziness, proprioception and pain in patients with chronic whiplash complaining of dizziness. A sub-analysis of a randomized study. 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)). 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. 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.

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Geographical breakdown

Country Count As %
Spain 1 <1%
Denmark 1 <1%
Unknown 301 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 44 15%
Student > Bachelor 37 12%
Student > Postgraduate 28 9%
Student > Doctoral Student 23 8%
Student > Ph. D. Student 22 7%
Other 62 20%
Unknown 87 29%
Readers by discipline Count As %
Nursing and Health Professions 87 29%
Medicine and Dentistry 70 23%
Sports and Recreations 16 5%
Neuroscience 9 3%
Agricultural and Biological Sciences 5 2%
Other 22 7%
Unknown 94 31%