Whiplash injury and oculomotor dysfunctions: clinical-posturographic correlations.
Oculomotor dysfunctions are hidden causes of invalidity following whiplash injury. Many patients with whiplash injury grade II present oculomotor dysfunctions related to input disturbances of cervical or vestibular afferents. We used static posturography to investigate 40 consecutive patients with whiplash injury grade II and oculomotor dysfunctions. We demonstrated a relation between length and surface of body sway: the surface value (A) was higher than the length value (L) and this led to an open graph of body sway in the statokinesigram. Oculomotor rehabilitation can resolve the impairment of vestibular function but if therapy is delayed or the patient has been wearing an orthopaedic neck collar, more therapeutic sessions are required. In conclusion, without rehabilitation of the oculomotor muscles other therapies are not sufficient to recover the impairment caused by whiplash injury.
Division of Rehabilitation Medicine, Circolo Hospital, Luino (VA), Italy.
Roberto
R
Storaci
Alessandro
A
Manelli
Nicola
N
Schiavone
Lucia
L
Mangia
Giangiacomo
G
Prigione
Simone
S
Sangiorgi
D000293:Adolescent; D000328:Adult; D001915:Braces; D002648:Child; D003936:Diagnosis, Computer-Assisted / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation*; D004856:Postural Balance; D011187:Posture; D011379:Prognosis; D014725:Vestibular Nerve / Q000502:physiology; D014911:Whiplash Injuries / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation*