Article

OBJECTIVE: To describe how vestibular rehabilitation influences pain and range of
motion among patients with whiplash-associated disorder and dizziness, and to
describe whether pain or range of motion correlated with balance performance or
self-perceived dizziness handicap. SUBJECTS: A total of 29 patients, 20 women and
9 men, age range 22-76 years. METHODS: Patients with whiplash-associated disorder
and dizziness were randomized to either intervention (vestibular rehabilitation)
or control. Neck pain intensity, cervical range of motion (CROM), balance and
self-perceived dizziness handicap were measured at baseline, 6 weeks and 3
months. RESULTS: There were no differences in neck pain intensity or CROM between
the 2 groups either at baseline, 6 weeks or 3 months (p = 0.10-0.89). At
baseline, neck pain intensity correlated with CROM (-0.406) and self-perceived
dizziness handicap (0.492). CROM correlated with self-perceived dizziness
handicap and with 1 balance measure (-0.432). Neck pain intensity did not
correlate with balance performance (-0.188-0.049). CONCLUSION: Neck pain
intensity and CROM was not influenced by vestibular rehabilitation. Importantly,
the programme did not appear to increase pain or decrease neck motion, as
initially thought. Neck pain intensity and CROM correlated with self-perceived dizziness handicap. CROM also correlated with 1 balance measure.

Langue : ANGLAIS