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Cervicogenic dizziness

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https://www.readbyqxmd.com/read/30094486/approach-to-cervicogenic-dizziness-a-comprehensive-review-of-its-aetiopathology-and-management
#1
REVIEW
K Devaraja
PURPOSE: Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other...
October 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29967645/can-a-traditional-korean-manual-therapy-be-a-complementary-and-alternative-strategy-for-cervicogenic-dizziness-a-study-protocol-for-a-randomized-controlled-trial
#2
Seungwon Shin, Jinyoung Kim, Ami Yu, Hyung-Sik Seo, Mi-Ran Shin, Seung-Ug Hong, Chan Yung Jung, Koh-Woon Kim, Jae-Heung Cho, Euiju Lee
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...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/29875897/importance-of-cervicogenic-general-dizziness
#3
Sho Takahashi
A 15-month retrospective study of 1,000 outpatients was conducted to determine the exact cause of general dizziness. The most common diagnosis in all analyzed cases was cervicogenic general dizziness (89%). The majority of the patients who underwent magnetic resonance imaging of the cervical spine had narrow spinal canals. Measuring the anteroposterior diameter of the spinal canal in each case was critical to obtain an accurate diagnosis in line with the diagnostic criteria used. General dizziness may develop because of inappropriate neck posture over long periods of time in individuals with some form of underlying cervical disease...
May 2018: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/29611830/cervicogenic-dizziness-successfully-treated-with-upper-cervical-medial-branch-nerve-radiofrequency-ablation-a-case-report
#4
Xiaoying Zhu, Michael J Grover
Cervicogenic dizziness is a sensation of disequilibrium caused by abnormal afferent activity from the neck. Its diagnosis and treatment are challenging. In a case of cervicogenic dizziness, we performed diagnostic upper cervical medial branch nerve blocks with near complete symptomatic relief for around 20 hours. Radiofrequency ablation of these nerves resulted in near complete relief for 7 months. Subsequent repeat ablations provided the same relief lasting for 6-10 months. This case suggests that upper cervical medial branch block can serve as a diagnostic test for cervicogenic dizziness, and radiofrequency ablation of these nerves might be an effective treatment...
March 15, 2018: A&A practice
https://www.readbyqxmd.com/read/29410575/the-effectiveness-of-manual-therapy-in-treating-cervicogenic-dizziness-a-systematic-review
#5
Khalid Yaseen, Paul Hendrick, Ayah Ismail, Mohannad Felemban, Mansour Abdullah Alshehri
[Purpose] This review provides an evaluation of the evidence for the effectiveness of using manual therapy to treat cervicogenic dizziness. [Subjects and Methods] The literature was systematically searched on the May 2, 2016 using the following online databases: Medline, EMBASE, CINAHL and PEDro. This review included randomised controlled trials and compared the efficacy of manual therapy for the treatment of cervicogenic dizziness, compared to other types of intervention. This study measured changes based on dizziness intensity and frequency...
January 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29305455/the-effectiveness-of-anterior-cervical-decompression-and-fusion-for-the-relief-of-dizziness-in-patients-with-cervical-spondylosis-a-multicentre-prospective-cohort-study
#6
MULTICENTER STUDY
B Peng, L Yang, C Yang, X Pang, X Chen, Y Wu
AIMS: Cervical spondylosis is often accompanied by dizziness. It has recently been shown that the ingrowth of Ruffini corpuscles into diseased cervical discs may be related to cervicogenic dizziness. In order to evaluate whether cervicogenic dizziness stems from the diseased cervical disc, we performed a prospective cohort study to assess the effectiveness of anterior cervical discectomy and fusion on the relief of dizziness. PATIENTS AND METHODS: Of 145 patients with cervical spondylosis and dizziness, 116 underwent anterior cervical decompression and fusion and 29 underwent conservative treatment...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29197811/physical-examination-of-dizziness-in-athletes-after-a-concussion-a-descriptive-study
#7
Jennifer C Reneker, Vinay K Cheruvu, Jingzhen Yang, Mark A James, Chad E Cook
BACKGROUND: Dizziness is commonly reported after concussion. With the forces experienced at the time of the injury, several anatomical locations may have been altered, causing dizziness. OBJECTIVE: Describe an objective examination and the types of impairment/dysfunction implicated by the results of clinical examination tests in subjects with dizziness after a concussion. DESIGN: Cross-Sectional. METHODS: Athletes between ages 10-23 were enrolled with a diagnosis of concussion...
April 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28992773/clinical-decision-making-in-the-management-of-patients-with-cervicogenic-dizziness-a-case-series
#8
Francis C Jung, Sherin Mathew, Andrew E Littmann, Cameron W MacDonald
Study Design Case series. Background Although growing recognition of cervicogenic dizziness (CGD) is emerging, there is still no gold standard for the diagnosis of CGD. The purpose of this case series is to describe the clinical decision making utilized in the management of 7 patients presenting with CGD. Case Description Patients presenting with neck pain and accompanying subjective symptoms, including dizziness, unsteadiness, light-headedness, and visual disturbance, were selected. Clinical evidence of a temporal relationship between neck pain and dizziness, with or without sensorimotor disturbances, was assessed...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28874926/craniosacral-therapy-and-visceral-manipulation-a-new-treatment-intervention-for-concussion-recovery
#9
Gail Wetzler, Melinda Roland, Sally Fryer-Dietz, Dee Dettmann-Ahern
Background: Military service members and veterans face health issues related to traumatic brain injury (TBI), especially during combat, use of heavy equipment, and exposures to environmental hazards and explosives. There were 400,000 TBIs reported in deployed U.S. troops in 2012. Athletes are also subject to TBI. Studies have indicated that some manual therapies could be helpful for treating patients who have post-concussive syndrome. Objective: This case series report describes the effects of CranioSacral Therapy (CST), Visceral Manipulation (VM), and Neural Manipulation (NM) modalities for treating patients who have post-concussion syndrome...
August 1, 2017: Medical Acupuncture
https://www.readbyqxmd.com/read/28521181/utility-of-a-brief-assessment-tool-developed-from-the-dizziness-handicap-inventory-to-screen-for-cervicogenic-dizziness-a-case-control-study
#10
Susan A Reid, Robin Callister, Michael G Katekar, Julia M Treleaven
BACKGROUND: Cervicogenic dizziness (CGD) is hard to diagnose as there is no objective test. OBJECTIVE: Can a brief assessment tool be derived from the Dizziness Handicap Inventory (DHI) to assist in screening for CGD? DESIGN: Case-control study with split-sample analysis. METHOD: 86 people with CGD and 86 people with general dizziness completed the DHI as part of the assessment of their dizziness. Descriptive statistics were used to assess how frequently each question on the DHI was answered 'yes' or 'sometimes' by participants with CGD and by participants with general dizziness...
August 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28390708/test-retest-reliability-of-measuring-the-vertebral-arterial-blood-flow-velocity-in-people-with-cervicogenic-dizziness
#11
COMPARATIVE STUDY
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)...
May 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28347935/clinical-characteristics-and-outcomes-of-treatment-of-the-cervical-spine-in-patients-with-persistent-post-concussion-symptoms-a-retrospective-analysis
#12
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...
June 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28252629/-diagnosis-and-treatment-of-benign-paroxysmal-positional-vertigo-in-common-clinical-practice
#13
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
https://www.readbyqxmd.com/read/28050200/efficacy-of-carbon-microcoils-in-relieving-cervicogenic-dizziness
#14
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
https://www.readbyqxmd.com/read/27786146/classification-of-vertebral-artery-loop-formation-and-association-with-cervicogenic-dizziness
#15
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
https://www.readbyqxmd.com/read/27638084/the-conundrum-of-cervicogenic-dizziness
#16
REVIEW
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
https://www.readbyqxmd.com/read/27575013/the-effect-of-normalizing-the-sagittal-cervical-configuration-on-dizziness-neck-pain-and-cervicocephalic-kinesthetic-sensibility-a-1-year-randomized-controlled-study
#17
RANDOMIZED CONTROLLED TRIAL
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...
February 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27452617/biobehavioural-analysis-of-the-vestibular-system-and-posture-control-in-patients-with-cervicogenic-dizziness-a-cross-sectional-study
#18
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...
March 2018: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/27419118/therapeutic-patient-education-and-exercise-therapy-in-patients-with-cervicogenic-dizziness-a-prospective-case-series-clinical-study
#19
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
https://www.readbyqxmd.com/read/26961517/10-years-of-vertigo-clinic-at-national-hospital-abuja-nigeria-what-have-we-learned
#20
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
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