From: Eye movements in patients with Whiplash Associated Disorders: a systematic review
Reference | Sample | Inclusion criteria | Testing instrument | Testing protocol | Results | Possible bias |
---|---|---|---|---|---|---|
Dispenza et al., 2011 [33] | 33 WAD (36.5y, 21–53) 23 CON (30.4y, 19–49) | WAD (without loss of consciousness) 1–12 months after accident | video-oculography: velocity 18°/s; fully- automated analysis | SPNT | neutral: WAD 0.86, CON 0.87 torsion to the right : WAD 0.87 torsion to the left: WAD 0.86 SPNT-diff: WAD 0 | type of WAD not described, selection of controls not described, no SP in relatively rotated position tested in controls |
Grip et al., 2009 [39] | 6 WAD (28y) 20 CON (32y) | WAD >3 months after accident | electro-oculography | gaze stability; sequential eye and head movement (SEHM) | gaze stability: WAD: head angle reduced (no exact data) SHEM: WAD: mean angular head velocity reduced (no exact data) | small population (n = 7) no individual data, results presented in boxplots |
Heikkila et al., 1998 [20] | 27 WAD (38.8y, 18–66) 25 CON (34y, 25–40y) | acute WAD II, III (without loss of consciousness) | electro-oculography: velocity 20°/s and 30°/s; fully- automated analysis | SP | 30° right rotation of the eyes: WAD 2× abnormal; 30° left rotation of the eyes: WAD 5× abnormal; 20° right rotation of the eyes: WAD 2× abnormal; 20° left rotation of the eyes: WAD 0× abnormal | only SP in neutral position tested, no torsion of the neck only quantity of abnormal scores provided, no individual data |
Janssen et al., 2015 [40] | 11 WAD, 44 non-WAD (44.2y, 25–67) 20 CON (28.4, 20–51) | WAD > 6 months after accident | video- oculography: frequency 0.4Hz; 0°, 15°, 30° and 45° chair position; predictable and unpredictable stimuli; semi- automated analysis | SPNT | SPNTdiff predictably: WAD 0.08, non-WAD 0.05, CON 0.02 SPNT unpredictably: WAD 0.01, non-WAD 0.01, CON 0 | no specification of grade of WAD |
Kelders et al., 2005 [23] | 8 WAD (32y, 25–42) 8 CON (35y, 30–45) | WAD I, II, III 5–36 months after accident | video- oculography | cervico-ocular reflex | COR higher in WAD than in CONa | little data provided, only graphs |
Kongsted et al., 2007 [36] | 34 WAD (39.4y, 20–51) 60 CON (40y, 18–63)) | WAD I, II, III > 6 months after accident | electro-oculography: max velocity 37°/s; frequency 0.2Hz; fully- automated analysis | SPNT | neutral: WAD 0.9, CON 0.96 (median) torsion to the right: WAD 0.89, CON 0.94 torsion to the left: WAD 0.93, CON 0.95 SPNTdiff: WAD 0, CON 0 | patient population heterogeneous regarding symptoms, disability and duration of symptoms |
Montfoort et al., 2006 [21] | 13 WAD (40y, 26–60) 18 CON (36y, 23–64) | WAD I, II | video-oculography | cervico-ocular reflex; vestibulo-ocular reflex; optokinetic reflex | COR: P = 2.9 × 10−6a VOR: P = 0.27 OKR: P = 0.25 | only comparison between groups, no individual data |
Montfoort et al., 2008 [22] | COR: 10 WAD (42y, 22–52), 10 CON (31y, 18–54) VOR: 10 WAD (39y, 19–56), COR 30y, 24–39) | WAD I, II | video-oculography | cervico-ocular reflex; vestibulo-ocular reflex; optokinetic reflex | COR adaptation: WAD ∆G = 0.13 ± 0.24, CON ∆G = −0.19 ± 0.06a VOR adaptation: WAD ∆G = 0.037 ± 0.062, CON ∆G = −0.2 ± 0.072a | no comparison between characteristics of patients and controls, little data provided |
Prushansky et al., 2004 [35] | 26 WAD (40.3y, 25–55) 23 CON (34.2y, 18–54) | WAD II, III 6–84 months after accident | electro-oculography: velocity 0.75 m/s; no information about type of analysis | SPNT | neutral: WAD 0.79a, CON 0.86 torsion to the right: WAD 0.74, CON 0.82 torsion to the left: WAD 0.75, 0.80 SPNTdiff: WAD 0.026, CON 0.035 | remarkable variation in duration of neck pain; no information about velocity in degrees per second |
Tjell et al., 1998 [34] | 50 WAD D (39y, 18–60) 25 WAD ND (34y, 21–63) | ≥ WAD II > 6 months after accident | electro-oculography: velocity 20°/s; frequency 0.2Hz; manual analysis | SPNT | SPNTdiff: WAD D 0.14a; WAD ND 0.10a; CON 0.02 | vague exclusion criteria for controls: tension in neck |
Treleaven et al., 2005 [37] | 100 WAD: 50 WAD D (35y, 19–46) 50 WAD ND (35y, 18–46) 50 CON (30y, 19–45) | WAD II > 3 months after accident | electro-oculography: velocity 20°/s; frequency 0.2Hz; semi- automated analysis | SPNT | neutral: WAD ND 0.82, CON 0.88a torsion to the right: WAD ND 0.78, CON 0.88a torsion to the left: WAD ND 0.74, CON 0.87a SPNTdiff: WAD D 0.11a; WAD ND 0.07, CON 0.01a |  |
Treleaven et al., 2006 [16] | 50 WAD D (35.5y, 19–46) 50 WAD ND (35y, 18–46) 40 CON (29.6y, 19–45) | WAD II > 3 months after accident | electro-oculography: velocity 20°/s; frequency 0.2Hz; semi- automated analysis | SPNT | WAD D: 45 abnormal SPNT scores WAD ND: 39 abnormal SPNT scores | only quantity of abnormal scores provided, no individual data |
Treleaven et al., 2008 [41] | 20 WAD (46.5, 40–60) 20 CON (49.5y, 43–59) | WAD with dizziness, > 3 months after accident | electro-oculography: velocity 20°/s; frequency 0.2Hz; semi- automated analysis | SPNT | SPNTdiff: WAD ~0.12a; CON ~ <0.02a | no specification of grade of WAD; only graphic presentation of data, no exact values |
Treleaven et al., 2011 [19] | 20 WAD (37y) 20 CON (33y) | WAD symptoms >3Â months, < 5Â year | electro-oculography | gaze stability; sequential eye and head movement (SEHM) | gaze stability: WAD 27.7a/30.5a, CON 44.5/43.5 (degrees of head ROM right and left) WAD 16.9/20.2, CON 33.0/37.4a (head rotation velocity in degrees/s) SHEM: WAD 23.6/30, CON 36.9a, WAD 30, CON 36.9/36.9a (head rotation velocity in degrees/sec) | remarkable variation in duration of neck pain |