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Table 1 Evidence table of the included studies

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 >3 months, < 5 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

  1. WAD Whiplash associated disorder, WAD grade I neck complaints of pain, stiffness or tenderness only but no physical signs are noted by the examining physician, WAD grade II neck complaints and musculoskeletal signs as decreased range of motion and point tenderness in the neck, WAD grade III includes additional signs (decreased or absent deep tendon reflexes, weakness, and sensory deficits), WAD D patients with WAD and dizziness, WAD ND patients with WAD without dizziness, CON healthy controls, y mean years of age, SPNT Smooth Pursuit Neck Torsion Test, SP smooth pursuit, SPNTdiff difference in SP gain between neutral and relatively rotated position, COR cervico-ocular reflex, VOR vestibulo-ocular reflex, ROM cervical range of motion, SEHM sequential eye and head movement, a indicates statistically significant differences between groups