Short-term effects of the traction-manipulation protocol in dizziness intensity and disability in cervicogenic dizziness: a randomized controlled trial

Carrasco‐Uribarren, Andoni; Rodríguez-Sanz, Jacobo; López-de-Celis, Carlos; Pérez‐Guillén, Silvia; Tricás-Moreno, José Miguel; Cabanillas‐Barea, Sara

doi:10.1080/09638288.2021.1872719

Cited by 12 publications

(7 citation statements)

References 41 publications

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“…Statistically significant differences were found in pain intensity, depression and kinesiophobia. The mean values displayed for each group in pain intensity were similar to the values reported in other studies that included the same populations [ 34 , 35 ]. The MCNP group presented the highest values in pain intensity; these subjects focused their attention on the intensity of their self-perceived pain.…”

Section: Discussionsupporting

confidence: 85%

Clinical and Psychological Variables in Female Patients with Cervical Syndromes: A Cross-Sectional and Correlational Study

et al. 2022

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Background: The objectives of this study were: (1) to compare the pain intensity, cervical range of motion (ROM), psychological distress and kinesiophobia in patients with cervicogenic dizziness (CGD), tension-type headache (TTH), and mechanical chronic neck pain (MCNP); and (2) to investigate the relationships between pain intensity and cervical ROM and between psychological distress and kinesiophobia. Methods: a cross-sectional and correlational study was designed. In total, 109 patients (32 patients with CGD, 33 with TTH and 44 with MCNP) were included. Pain intensity, cervical ROM, psychological distress and kinesiophobia were assessed. Results: Statistically significant differences were found between the groups in pain intensity, psychological distress and kinesiophobia. The patients with MCNP showed higher pain intensity compared to the other groups (p < 0.001). The patients with CGD showed higher depression and kinesiophobia values compared to the MCNP and TTH groups (p < 0.05). No differences were found for cervical flexion, extension, lateral flexion, or rotation ROM (p > 0.05). The CGD and MCNP groups found a moderate positive correlation between psychological distress and kinesiophobia (p < 0.05). The patients with TTH and MCNP showed a moderate positive correlation between pain intensity, psychological distress and kinesiophobia (p < 0.05). Conclusion: Pain intensity, psychological distress and kinesiophobia should be considered in the three groups. Psychological distress was correlated with kinesiophobia in the CGD and MCNP groups. The MCNP group showed a correlation between pain intensity, psychological distress and kinesiophobia.

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Section: Discussionsupporting

confidence: 85%

Clinical and Psychological Variables in Female Patients with Cervical Syndromes: A Cross-Sectional and Correlational Study

et al. 2022

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“…Up to now, manual therapy has been the most widely studied method for cervicogenic dizziness. Several published prospective randomized controlled studies [ 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 ] and systematic reviews [ 90 , 101 , 102 ] provide evidence to support the use of manual therapy for the treatment of cervicogenic dizziness. Theoretically, a well-integrated vestibulo-cerebellar system can compensate for the change in neck proprioception afferents in the case of cervicogenic dizziness.…”

Section: Treatmentmentioning

confidence: 99%

Proprioceptive Cervicogenic Dizziness: A Narrative Review of Pathogenesis, Diagnosis, and Treatment

Yang

Dai

et al. 2022

JCM

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Basic science and clinical evidence suggest that cervical spine disorders can lead to dizziness. The cervical spine has highly developed proprioceptive receptors, whose input information is integrated with the visual and vestibular systems in the central nervous system, acting on the neck and eye muscles to maintain the coordinative motion of the head, eyes, neck, and body through various reflex activities. When the cervical proprioceptive input changes due to the mismatch or conflict between vestibular, visual, and proprioceptive inputs, cervicogenic dizziness may occur. The diagnosis of cervicogenic dizziness can be determined based on clinical features, diagnostic tests, and the exclusion of other possible sources of dizziness. The cervical torsion test appears to be the best diagnostic method for cervicogenic dizziness. Based on the available evidence, we first developed the diagnostic criteria for cervicogenic dizziness. Treatment for cervicogenic dizziness is similar to that for neck pain, and manual therapy is most widely recommended.

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“…The upper cervical dysfunction could be one of the causes of the CGD [ 6 , 58 ]. Few studies have measured the range of motion of the upper cervical spine [ 23 , 35 ]. The FRT is a validated test to measure the range of movement of the UCS [ 47 , 59 , 60 ], and this can be useful in the diagnosis of CGD [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…This protocol has been previously described by the literature as a strategy to improve and promote patient safety [ 35 ]. However, to be sure of the safety of the intervention protocol, the participants were asked to contact the research group as soon as possible if they perceived a worsening of their condition or other symptoms related to the research.…”

Section: Methodsmentioning

confidence: 99%

“…This treatment is a high-velocity, low-amplitude thrust technique, performed through a traction movement in resting position of the involved segment [ 33 ]. The evidence suggests that traction manipulation protocol improves the disability and the intensity of dizziness perceived by the patient [ 34 , 35 ], but is not known what occurs with the self-perceived neck disability and with neck pain measured by PPTs after this treatment in CGD. A study carried out among patients with cervicogenic headaches using a technique with the same objective but without a high-speed impulse showed that the pressure pain threshold improved after applying the technique [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

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Combination of Two Manipulative Techniques for the Treatment of Cervicogenic Dizziness: A Randomized Controlled Trial

Carrasco‐Uribarren

Pardos-Aguilella

Pérez‐Guillén

et al. 2022

Life

Self Cite

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Cervicogenic dizziness is clinically associated with upper cervical spine dysfunctions. It seems that manual therapy decreases the intensity of dizziness in these subjects, but what happens to pain measured by pressure pain threshold (PPT) has not been studied. Purpose: analyze the short-term effects of combination two manipulation techniques protocol in worst dizziness intensity (wVAS), dizziness and cervical disability, upper cervical spine mobility and mechanosensivity of cervical tissue. Methods: Assessor-blinded randomized controlled trial was developed. A total of 40 patients with cervicogenic dizziness were randomly divided into two groups. The experimental group received three treatments consisting of a functional massage and a manipulation technique, and compared with a control group. The wVAS, dizziness handicap inventory (DHI), neck disability index (NDI), UCS mobility, and PPTs were measured. Measurements were made at the baseline, first follow-up 48 h after intervention and second follow-up 1 month after the intervention. Results: at second follow-up wVAS (p < 0.001), NDI (p < 0.001), DHI (p < 0.001), and upper right trapezius (p < 0.022) and right suboccipital (p < 0.043) PPTs showed a difference between groups in favor of the experimental group. Conclusions: apparently, the proposed intervention protocol decreases the intensity of dizziness and the mechanosensitivity of the cervical tissue and improves the feeling of disability due to neck pain and dizziness.

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Short-term effects of the traction-manipulation protocol in dizziness intensity and disability in cervicogenic dizziness: a randomized controlled trial

Cited by 12 publications

References 41 publications

Clinical and Psychological Variables in Female Patients with Cervical Syndromes: A Cross-Sectional and Correlational Study

Clinical and Psychological Variables in Female Patients with Cervical Syndromes: A Cross-Sectional and Correlational Study

Proprioceptive Cervicogenic Dizziness: A Narrative Review of Pathogenesis, Diagnosis, and Treatment

Combination of Two Manipulative Techniques for the Treatment of Cervicogenic Dizziness: A Randomized Controlled Trial

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