scholarly journals Cervicogenic dizziness

2019 ◽  
Vol 2019 (11) ◽  
pp. 476-478 ◽  
Author(s):  
Eric Chun Pu Chu ◽  
Wui Ling Chin ◽  
Amiya Bhaumik
Keyword(s):  
Neck Pain ◽  
Clinical Syndrome ◽  
Ultrasound Therapy ◽  
Cervical Muscles ◽  
Proprioceptive Input ◽  
Cervicogenic Dizziness

Abstract Cervical muscles have numerous connections with vestibular, visual and higher centres, and their interactions can produce effective proprioceptive input. Dysfunction of the cervical proprioception because of various neck problems can alter orientation in space and cause a sensation of disequilibrium. Cervicogenic dizziness (CGD) is a clinical syndrome characterized by the presence of dizziness and associated neck pain in patients with cervical pathology. Here, we report a 24-year-old female, who was diagnosed with CGD based on the correlating episodes of neck pain and dizziness. Both symptoms improved with targeted chiropractic adjustment and ultrasound therapy. CGD is a seemingly simple complaint for patients, but tends to be a controversial diagnosis because there are no specific tests to confirm its causality. For CGD to be considered, an appropriate management for the neck pain should not be denied any patient.

scholarly journals Can a Traditional Korean Manual Therapy Be a Complementary and Alternative Strategy for Cervicogenic Dizziness? A Study Protocol for a Randomized Controlled Trial

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Seungwon Shin ◽  
Jinyoung Kim ◽  
Ami Yu ◽  
Hyung-Sik Seo ◽  
Mi-Ran Shin ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Neck Pain ◽  
Usual Care ◽  
Manual Therapy ◽  
Controlled Trial ◽  
Information Service ◽  
Research Information ◽  
Randomized Controlled ◽  
Link Type ◽  
Cervicogenic Dizziness

Cervicogenic dizziness is dizziness triggered by movement or positioning of the cervical spine and is often accompanied by neck pain or stiffness. This is a prospective, pragmatic, assessor-blind, randomized controlled trial aimed at testing the efficacy and safety of adjuvant Chuna Manual Therapy (CMT) in patients with cervicogenic dizziness under usual care treatments. Fifty patients with cervicogenic dizziness will be randomly allocated to CMT or usual care (UC) groups in a 1 : 1 ratio. Extensive screening procedures, including examinations for central nervous system problems and nystagmus, will be applied to exclude other dizziness-inducing disorders. The eligible participants will receive 12 sessions of CMT plus UC or only UC over 6 weeks. CMT includes mandatory and discretionary techniques, whereas UC includes electrotherapy, thermotherapy, and patient education. The efficacy will be evaluated primarily as Dizziness Handicap Inventory score. The severity and frequency of dizziness, the level of neck pain or stiffness, and the cervical range of motion will also be evaluated. Safety will be assessed by adverse events. The data will be statistically analyzed at p<0.05. Trial Registration. This trial was registered with Clinical Research Information Service (CRIS) in Korea, KCT0002565, on 29 November 2017, https://cris.nih.go.kr/cris/search/search_result_st01_kren.jsp?seq=9610&ltype=&rtype=.

scholarly journals Deep Cervical Muscle Exercise Versus Soft Tissue Mobilization In Non-Specific Neck Pain

2021 ◽  
pp. 89-95
Author(s):  
Ni Komang Ayu Juni Antari ◽  
Made Hendra Satria Nugraha ◽  
I Made Niko Winaya ◽  
Putu Rama Adhityadharma
Keyword(s):  
Soft Tissue ◽  
Neck Pain ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Muscle Exercise ◽  
Cervical Muscle ◽  
Neck Disability ◽  
Study Participants ◽  
Soft Tissue Mobilization ◽  
Combined Intervention

Background: Neck pain is a common health problem in the working population. When studied by the International Classification of Functioning, Disability and Health (ICF), the problems that arise in non-specific neck pain include: neck pain, limited joint motion, and decreased functional ability in carrying out daily activities. The aim of this study was to compare the effectiveness of combination ultrasound therapy (UST) and deep cervical muscle exercise (DCME) versus combination ultrasound therapy (UST) and soft tissue mobilization (STM) on non-specific neck pain. Methods: This research was experimental with a randomized pre-test and post-test control group design, in which the study participants were divided into two groups randomly. The study participants were 20 people who were divided into the control group (n = 10) who were given the combined intervention of UST and DCME while the treatment group (n = 10) were given the combined intervention of UST and STM. Therapeutic evaluation measurement tools include: pain scale in the form of numeric rating scale and neck disability in the form of neck disability index. The research was carried out in the independent physiotherapy practice in Denpasar and Badung. The intervention was given 3 times in 3 weeks. Results: The results showed a decrease in neck pain and disability in each intervention group (p <0.05). However, there were no significant differences when compared between groups. Conclusion: Based on these results, it can be concluded that the combination of UST and DCME has the same results as the combination of UST and STM in reducing neck pain and disability in non-specific neck pain.

scholarly journals Cervicogenic and Vestibular Vertigo-Bridging the Gap

2021 ◽  
Author(s):  
Aditya Ranjan ◽  
Shraddha Jain ◽  
Shyam Jungade
Keyword(s):  
Neck Pain ◽  
Patient Management ◽  
Interdisciplinary Approach ◽  
Review Article ◽  
Ménière’S Disease ◽  
Diagnosis And Management ◽  
Current Review ◽  
Heterogenous Group ◽  
Vestibular Vertigo ◽  
Cervicogenic Dizziness

The diagnosis and management of vertigo is still a challenge. Vertigo is managed by heterogenous group of specialists, including Otolaryngologists, Neurologists and Physiotherapists. The cause of vertigo could be vestibular, central or cervicogenic. The current review was undertaken as an attempt to highlight the various gaps in knowledge about vertigo of varied aetiologies. Cervicogenic vertigo is caused due to neck pathologies and is considered by some authors to be one of the most common vertigo syndromes. However, there is little mention of it in otolaryngology textbooks. Barriers across the specialties and lack of communication between the specialists are an impediment in vertigo management. This review has attempted to highlight the likely multifactorial aetiologies and fallacies in the pathophysiology of Meniere’s disease. The clinical overlaps in cervicogenic and vestibular vertigo have been discussed, some of them being, the occurrence of aural symptoms and neck pain in both the entities. This review article brings out the need to revisit the pathophysiology of vestibular vertigo syndromes and include cervicogenic dizziness in the list of vertigo syndromes in Otolaryngology textbooks. The authors found a dire need of an interdisciplinary approach to elucidate the cause of vertigo of varied presentation with the goal of better patient management.

scholarly journals Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study

2021 ◽  
Vol 67 (4) ◽  
pp. 399-408
Author(s):  
Meltem Vural ◽  
Ayşe Karan ◽  
İlknur Albayrak Gezer ◽  
Ahmet Çalışkan ◽  
Sevgi Atar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Neck Pain ◽  
Myofascial Pain ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Severity Scores ◽  
Cervicogenic Dizziness

Objectives: This study aims to investigate the prevalence, etiology, and risk factors of cervicogenic dizziness in patients with neck pain. Patients and methods: Between June 2016 and April 2018, a total of 2,361 patients (526 males, 1,835 females; mean age: 45.0±13.3 years; range, 18 to 75 years) who presented with the complaint of neck pain lasting for at least one month were included in this prospective, cross-sectional study. Data including concomitant dizziness, severity, and quality of life (QoL) impact of vertigo (via Numeric Dizziness Scale [NDS]), QoL (via Dizziness Handicap Inventory [DHI]), mobility (via Timed Up-and-Go [TUG] test), balance performance [via Berg Balance Scale [BBS]), and emotional status (via Hospital Anxiety- Depression Scale [HADS]) were recorded. Results: Dizziness was evident in 40.1% of the patients. Myofascial pain syndrome (MPS) was the most common etiology for neck pain (58.5%) and accompanied with cervicogenic dizziness in 59.7% of the patients. Female versus male sex (odds ratio [OR]: 1.641, 95% CI: 1.241 to 2.171, p=0.001), housewifery versus other occupations (OR: 1.285, 95% CI: 1.006 to 1.642, p=0.045), and lower versus higher education (OR: 1.649-2.564, p<0.001) significantly predicted the increased risk of dizziness in neck pain patients. Patient with dizziness due to MPS had lower dizziness severity scores (p=0.034) and milder impact of dizziness on QoL (p=0.005), lower DHI scores (p=0.004), shorter time to complete the TUG test (p=0.001) and higher BBS scores (p=0.001). Conclusion: Our findings suggest a significant impact of biopsychosocial factors on the likelihood and severity of dizziness and association of dizziness due to MPS with better clinical status.

scholarly journals A Systematic Review of Systematic Reviews of Spinal Manipulation

2006 ◽  
Vol 99 (4) ◽  
pp. 192-196 ◽  
Author(s):  
E Ernst ◽  
P H Canter
Keyword(s):  
Back Pain ◽  
Neck Pain ◽  
Systematic Reviews ◽  
Spinal Manipulation ◽  
Spinal Pain ◽  
Medical Problem ◽  
Lower Back ◽  
Literature Searches ◽  
Cervicogenic Dizziness ◽  
Better Than

Objectives To systematically collate and evaluate the evidence from recent systematic reviews of clinical trials of spinal manipulation. Design Literature searches were carried out in four electronic databases for all systematic reviews of the effectiveness of spinal manipulation in any indication, published between 2000 and May 2005. Reviews were defined as systematic if they included an explicit and repeatable inclusion and exclusion criteria for studies. Results Sixteen papers were included relating to the following conditions: back pain (n=3), neck pain (n=2), lower back pain and neck pain (n=1), headache (n=3), non-spinal pain (n=1), primary and secondary dysmenorrhoea (n=1), infantile colic (n=1), asthma (n=1), allergy (n=1), cervicogenic dizziness (n=1), and any medical problem (n=1). The conclusions of these reviews were largely negative, except for back pain where spinal manipulation was considered superior to sham manipulation but not better than conventional treatments. Conclusions Collectively these data do not demonstrate that spinal manipulation is an effective intervention for any condition. Given the possibility of adverse effects, this review does not suggest that spinal manipulation is a recommendable treatment.

scholarly journals Altered Co-contraction of Cervical Muscles in Young Adults with Chronic Neck Pain during Voluntary Neck Motions

2014 ◽  
Vol 26 (4) ◽  
pp. 587-590 ◽  
Author(s):  
Chih-Hsiu Cheng ◽  
Hsin-Yi Kathy Cheng ◽  
Carl Pai-Chu Chen ◽  
Kwan-Hwa Lin ◽  
Wen-Yu Liu ◽  
...  
Keyword(s):  
Young Adults ◽  
Neck Pain ◽  
Chronic Neck Pain ◽  
Cervical Muscles
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