Jafnvægistruflanir eftir hálshnykk við bílákeyrslur : áhrif tveggja meðferðarforma
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AuthorsGuðný Lilja Oddsdóttir
MetadataShow full item record
CitationSjúkraþjálfarinn 2006, 33(2):15-20
AbstractThe primary aim of this active intervention study was to reveal whether balance disturbances detected in women with whiplash-associated disorders (WAD) of grades I–II, (n=12), had improved after two successive treatment interventions. The participants had dysfunction in the upper cervical structures and chronic symptoms after motor vehicle collisions (MVCs). The interventions consisted of a combined manual therapy and motor control approach followed by a balance exercise program. Balance performance was measured by dynamic posturography in a SMART Balance Master before and after each of the two successive treatment interventions. An asymptomatic group of women (n=30) served to give data for baseline comparison in the balance measurements. Questionnaires, that served to evaluate self-reported complaints of dizziness and unsteadiness (the Dizziness Handicap Inventory) and of neck pain and disability (the Neck Disability Index) were applied before and after each of the two treatment interventions. The secondary aim of the study was to measure the treatment effects of the combined manual therapy and motor control approach in improving specific neuromuscular dysfunctions in the neck. The results showed that the participants’ balance performances improved significantly after both treatment interventions. The questionnaires revealed that neck pain and disability improved significantly; the scores of the Dizziness Handicap Inventory (DHI) revealed improvement after the treatment interventions, but the difference was not significant. The former treatment intervention revealed significantly improved cervicocephalic kinesthesia by the tests of relocation to neutral head posture (NHP) and by the movement test „FLY“. The results of this study indicate that multimodal physical treatment approach for patients with chronic WAD and cervical induced balance disturbances, is likely to address deficits in neuromuscular control and sensorimotor function present in this patient group. A multimodal treatment approach may help to prevent development and maintenance of chronic symptoms in patients with whiplash injuries. The results of this study must wait replication of a randomized clinical trial in a bigger cohort.
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