PDF(Pubmed)
Abstract：
Mild traumatic brain injury (mTBI) and whiplash injury (WI) may lead to long-term disabling consequences known as post-concussive syndrome (PCS) and whiplash-associated disorders (WADs). PCS and WAD patients commonly complain of conditions encompassing dizziness, vertigo, headache, neck pain, visual complaints, anxiety, and neurocognitive dysfunctions. A proper medical work-up is a priority in order to rule out any acute treatable consequences. However investigations may remain poorly conclusive. Gathered in the head and neck structures, the ocular sensorimotor, the vestibular, and the cervical proprioceptive systems, all involved in postural control, may be damaged by mTBI or WI. Their dysfunctions are associated with a wide range of functional disorders including symptoms reported by PCS and WAD patients. In addition, the stomatognathic system needs to be specifically assessed particularly when associated to WI. Evidence for considering the post-traumatic impairment of these systems in PCS and WAD-related symptoms is still lacking but seems promising. Furthermore, few studies have considered the assessment and/or treatment of these widely interconnected systems from a comprehensive perspective. We argue that further research focusing on consequences of mTBI and WI on the systems involved in the postural control are necessary in order to bring new perspective of treatment.
摘要：
轻度创伤性脑损伤（mTBI）和鞭打损伤（WI）可能导致长期致残后果，称为脑震荡后综合征（PCS）和鞭打相关疾病（WAD）。PCS和WAD患者通常抱怨包括头晕，眩晕,头痛,颈部疼痛,视觉投诉，焦虑,和神经认知功能障碍。为了排除任何可治疗的急性后果，适当的医疗检查是当务之急。然而，调查可能仍然缺乏定论。聚集在头部和颈部结构中，眼部感觉运动，前庭,和宫颈本体感觉系统，都参与了姿势控制，可能会被mTBI或WI损坏。它们的功能障碍与广泛的功能紊乱相关,包括PCS和WAD患者报告的症状。此外,特别是当与WI相关时,需要特别评估口颌系统.仍然缺乏考虑这些系统在PCS和WAD相关症状中的创伤后损害的证据，但似乎很有希望。此外，很少有研究从全面的角度考虑评估和/或处理这些广泛相互关联的系统。我们认为，有必要进一步研究mTBI和WI对姿势控制系统的影响，以带来新的治疗视角。
