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An upper cervical spine treatment protocol for cervicogenic dizziness: a randomized controlled trial
Andoni Carrasco-Uribarren1, Jacobo Rodríguez-Sanz1, Carlos López-de-Celis1,2
1Faculty of Medicine and Health Sciences, Universitat International de Catalunya, Barcelona, Spain.
Physiotherapy Theory and Practice
|September 9, 2021
Summary
This study found that a traction-manipulation protocol effectively reduced cervicogenic dizziness intensity and disability. Patients experienced improved cervical mobility, demonstrating the protocol's benefits for dizziness management.
Area of Science:
- Neurology
- Physical Therapy
- Vestibular Disorders
Background:
- Cervicogenic dizziness (CD) is commonly treated with physiotherapy, particularly manual therapy targeting the cervical spine.
- While international criteria and safety guidelines for cervical spine treatment exist, the specific effects of traction-manipulation protocols on dizziness have not been extensively studied.
Purpose of the Study:
- To evaluate the efficacy of a traction-manipulation protocol for managing cervicogenic dizziness.
- To assess the impact of this protocol on dizziness intensity, related disability, and cervical range of motion.
Main Methods:
- Patients with cervicogenic dizziness were randomly assigned to either a control or an intervention group.
- The intervention group received a traction-manipulation protocol in a resting position.
- Dizziness intensity, self-reported disability (Dizziness Handicap Inventory), and cervical range of motion were measured before and at two days and four weeks post-intervention.
Main Results:
- The intervention group showed statistically significant reductions in dizziness intensity and Dizziness Handicap Inventory scores at both two-day and four-week follow-ups compared to the control group (p < .001).
- Improvements in cervical range of motion with and without fixed gaze were also observed in the intervention group.
Conclusions:
- A traction-manipulation protocol is effective in reducing dizziness intensity and self-perceived disability in patients with cervicogenic dizziness.
- This protocol also leads to significant improvements in cervical mobility, offering a viable treatment option for CD.
