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Cervicogenic dizziness

Gary L Shum, Sally Cinnamond, Alan D Hough, Richard Craven, Wayne Whittingham
OBJECTIVES: The purpose of this study was to determine the within-session and between-sessions reliability of measuring the vertebral artery blood flow velocities in people with cervicogenic dizziness using Doppler ultrasound at both upper and lower cervical levels. METHODS: Outcome measures were taken on 2 occasions 3 weeks apart with no active treatment provided in between the assessments on 12 participants. Pulsed-wave Doppler ultrasound was used to quantify time-averaged mean velocities through the vertebral artery at upper cervical (C0-1) and lower cervical vertebrae (C5-6)...
April 5, 2017: Journal of Manipulative and Physiological Therapeutics
Ewan Kennedy, Dusty Quinn, Steve Tumilty, Cathy M Chapple
BACKGROUND: Concussion is typically defined as a mild brain injury, and yet the brain is unlikely to be the only source of persistent post-concussion symptoms. Concurrent injury to the cervical spine in particular is acknowledged as a potential source of common persistent symptoms such as headache, dizziness and neck pain. OBJECTIVES: To describe the cervical spine findings and outcomes of treatment in a series of patients with persistent post-concussion symptoms, and describe the clinical characteristics of a cervicogenic component when it is present...
March 14, 2017: Musculoskelet Sci Pract
N V Lebedeva, M V Zamergrad, V A Parfenov, L M Antonenko
AIM: To analyze typical medical practice in managing patients with benign paroxysmal positional vertigo (BPPV). SUBJECTS AND METHODS: 33 patients (5 men and 28 women; mean age, 58 years) with BPPV who had been referred for consultation to the Medical Diagnostic Department, Clinic of Nervous Diseases, I.M. Sechenov First Moscow State Medical University, regarding for vertigo, were examined. Information about the disease before visiting the clinic, such as the duration of vertigo, its pattern, and triggers, previously established diagnoses, prescribed treatment and its efficacy, concomitant diseases, was analyzed...
2017: Terapevticheskiĭ Arkhiv
Roseli Bittar, Nédison Gomes Paim Alves, César Bertoldo, Cibele Brugnera, Jeanne Oiticica
Introduction Cervical pain contributes to postural deviations and imbalance. Nanotechnology may be used for the treatment of neck pain by fixing to the skin small rounds silicone patches containing double spiral carbon nanotubes arranged in the form of a coil (Helical), which would then relieve dizziness caused by muscular contraction. Objective The objective of this study is to Evaluate pain and dizziness scores before and after Helical patches effect on cervicogenic dizziness treatment. Methods The selected patients should have neck pain arising from muscle contraction with loss of balance or instability lasting more than 90 days and normal electrooculography...
January 2017: International Archives of Otorhinolaryngology
A Yenigun, M E Ustun, S Tugrul, R Dogan, O Ozturan
OBJECTIVE: An examination was conducted of the number, level, clinical association and treatment approaches for vertebral arterial loop formation in patients with this condition with and without concurrent cervicogenic dizziness, and classified them according to the vertebral artery segment in which it was present. METHOD: A cross-sectional retrospective study. RESULTS: Thirty-seven patients who had undergone double-sided magnetic resonance angiography were examined; vertebral arterial loop formation was observed at only 1 level in 26 patients and at several levels in 9 patients...
December 2016: Journal of Laryngology and Otology
M Magnusson, E-M Malmström
Cervicogenic or cervical dizziness is debated as an entity. However, there exists both a physiologic basis and a multitude of clinical data to make such a disease concept at least possible and worth considering. In addition, the interaction of proprioceptive and vestibular mechanisms may amplify dizziness of other origin. Cervical pain and dizziness are both common symptoms and may coincide, and neck pain or obvious dysfunction does not necessarily cause dizziness or balance disturbances. So far, there is also the lack of a proper diagnostic test for cervicogenic dizziness...
2016: Handbook of Clinical Neurology
Ibrahim M Moustafa, Aliaa A Diab, Deed E Harrison
BACKGROUND: Cervicogenic dizziness is a disabling condition commonly associated with cervical dysfunction. Although the growing interest with the importance of normal sagittal configuration of cervical spine, the missing component in the management of cervicogenic dizziness might be altered structural alignment of the cervical spinal region itself. AIM: To investigate the immediate and long-term effects of a 1-year multimodal program, with the addition of cervical lordosis restoration and anterior head translation (AHT) correction, on the severity of dizziness, disability, cervicocephalic kinesthetic sensibility, and cervical pain in patients with cervicogenic dizziness...
August 30, 2016: European Journal of Physical and Rehabilitation Medicine
M Grande-Alonso, B Moral Saiz, A Mínguez Zuazo, S Lerma Lara, R La Touche
BACKGROUND: Cervicogenic dizziness is a musculoskeletal disorder mainly characterised by dizziness and disequilibrium associated with neck pain. The pathophysiology is unclear and the neurophysiological basis remains to be ascertained. The aim of this study is to compare the vestibulo-ocular reflex and postural control between patients with cervicogenic dizziness and asymptomatic subjects, and to assess the association between debilitating dizziness and other psychosocial variables. MATERIALS AND METHODS: A total of 20 patients and 22 asymptomatic subjects were selected...
July 21, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
Ana Minguez-Zuazo, Mónica Grande-Alonso, Beatriz Moral Saiz, Roy La Touche, Sergio Lerma Lara
The purpose of this study was to evaluate the effectiveness of a treatment for patients with cervicogenic dizziness that consisted of therapeutic education and exercises. The Dizziness Handicap Inventory and Neck Disability Index were used. Secondary outcomes included range of motion, postural control, and psychological variables. Seven patients (two males and five females) aged 38.43±14.10 with cervicogenic dizziness were included. All the participants received eight treatment sessions. The treatment was performed twice a week during a four weeks period...
June 2016: Journal of Exercise Rehabilitation
Abiodun D Olusesi, J Abubakar
The clinician's major role in management of the dizzy patient involves determining what dizziness is vertigo, and what vertigo is of central or peripheral origin. These demand attention to details of history, otolaryngological workup including vestibular assessment, and often use of diagnostic and management algorithms. There is paucity of published reports of the management outcomes of peripheral vestibular diseases from Africa. Two tertiary care otologist-led dedicated vertigo clinics are located in Abuja, Nigeria...
November 2016: European Archives of Oto-rhino-laryngology
Yongchao Li, Baogan Peng
Cervical vertigo is characterized by vertigo from the cervical spine. However, whether cervical vertigo is an independent entity still remains controversial. In this narrative review, we outline the basic science and clinical evidence for cervical vertigo according to the current literature. So far, there are 4 different hypotheses explaining the vertigo of a cervical origin, including proprioceptive cervical vertigo, Barré-Lieou syndrome, rotational vertebral artery vertigo, and migraine-associated cervicogenic vertigo...
July 2015: Pain Physician
Timothy C Hain
PURPOSE OF REVIEW: Herein we discuss the recent literature concerning cervicogenic vertigo including vertigo associated with rotational vertebral artery syndrome, as well as whiplash and degenerative disturbances of the cervical spine. We conclude with a summary of progress regarding diagnostic methods for cervicogenic vertigo. RECENT FINDINGS: Several additional single case studies of the exceedingly rare rotational vertebral artery syndrome have been added to the literature over the last year...
February 2015: Current Opinion in Neurology
Susan A Reid, Robin Callister, Suzanne J Snodgrass, Michael G Katekar, Darren A Rivett
Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal glides (SNAGs) and passive joint mobilisations (PJMs) on cervicogenic dizziness compared to a placebo at 12 months post-treatment. Eighty-six participants (mean age 62 years, standard deviation (SD) 12.7) with chronic cervicogenic dizziness were randomised to receive SNAGs with self-SNAGs (n = 29), PJMs with range-of-motion (ROM) exercises (n = 29), or a placebo (n = 28) for 2-6 sessions over 6 weeks...
February 2015: Manual Therapy
Deborah S Diaz
Rehabilitation for athletes with postconcussion syndrome requires emphasis on both cognitive and physical rest with a gradual return to activity and sports. As the athlete becomes more active, the rehabilitation and sport professional should pay close attention to symptoms of concussion, like headache, dizziness, nausea, and difficulty concentrating. The Zurich Consensus Statement on Concussion in Sport provides a systematic approach to increasing the intensity of physical activity while attending to postconcussion symptoms...
August 2014: Seminars in Speech and Language
Bénédicte L'Heureux-Lebeau, Alain Godbout, Djamal Berbiche, Issam Saliba
OBJECTIVE: To assess the utility of the paraclinical tests in patients presenting with clinical diagnosis of cervicogenic dizziness. STUDY DESIGN: Case controlled. SETTING: Otolaryngology clinic of a tertiary referral hospital center. PATIENTS: Twenty-five subjects with cervicogenic dizziness and 25 subjects with benign paroxysmal positional vertigo. MAIN OUTCOME MEASURES: Symptoms description, Dizziness Handicap Inventory-short form (DHI), Trait anxiety score, cervical joint position error, the smooth pursuit neck torsion and cervical torsion tests on videonystagmography, and standing balance test (timed 10-meter walk with head turns)...
December 2014: Otology & Neurotology
Lea Pollak, Eitan Pollak
OBJECTIVE: In view of patients' recurrent complaints, we were interested in investigating the frequency and headache characteristics in patients during a benign paroxysmal positional vertigo (BPPV) cluster. METHODS: Patients with BPPV treated at an outpatient dizziness clinic were interviewed about the presence of headache; its quality, localization, severity, time course, and aggravating and alleviating factors; and headache-related disability during their present vertigo cluster...
December 2014: Annals of Otology, Rhinology, and Laryngology
Jennifer C Reneker, M Clay Moughiman, Chad E Cook
OBJECTIVES: Dizziness after a sports-related concussion is very common and is associated with prolonged recovery. The events in sports that cause concussion include strong mechanical forces exerted to the head and neck, potentially injuring the cervical region, the peripheral vestibular and central nervous system, all of which can contribute to a sensation of dizziness. The purpose of this study was to identify proper clinically administered tests and measures that are useful in differentiating between cervicogenic and other causes of dizziness after a sports-related concussion...
July 2015: Journal of Science and Medicine in Sport
Susan A Reid, Robin Callister, Michael G Katekar, Darren A Rivett
OBJECTIVE: To evaluate and compare the effects of 2 manual therapy interventions on cervical spine range of motion (ROM), head repositioning accuracy, and balance in patients with chronic cervicogenic dizziness. DESIGN: Randomized controlled trial with 12-week follow-up using blinded outcome assessment. SETTING: University School of Health Sciences. PARTICIPANTS: Participants (N=86; mean age ± SD, 62.0 ± 12.7 y; 50% women) with chronic cervicogenic dizziness...
September 2014: Archives of Physical Medicine and Rehabilitation
Stephanie Racicki, Sarah Gerwin, Stacy Diclaudio, Samuel Reinmann, Megan Donaldson
PURPOSE: The purpose of this systematic review was to assess the effectiveness of conservative physical therapy management of cervicogenic headache (CGH). INTRODUCTION: CGH affects 22-25% of the adult population with females being four times more affected than men. CGHs are thought to arise from musculoskeletal impairments in the neck with symptoms most commonly consisting of suboccipital neck pain, dizziness, and lightheadedness. Currently, both invasive and non-invasive techniques are available to address these symptoms; however, the efficacy of non-invasive treatment techniques has yet to be established...
May 2013: Journal of Manual & Manipulative Therapy
Susan A Reid, Darren A Rivett, Michael G Katekar, Robin Callister
BACKGROUND: There is short-term evidence for treatment of cervicogenic dizziness with Mulligan sustained natural apophyseal glides (SNAGs) but no evidence for treatment with Maitland mobilizations. OBJECTIVE: The purpose of this study was to compare the effectiveness of SNAGs and Maitland mobilizations for cervicogenic dizziness. DESIGN: A double-blind, parallel-arm randomized controlled trial was conducted. SETTING: The study was conducted at a university in Newcastle, Australia...
April 2014: Physical Therapy
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