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Daily Archives: October 2, 2011

Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: A Systematic Review

By |October 2, 2011|Cervicogenic, Dizziness, Spinal Manipulation|

Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: A Systematic Review

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2011 (Sep 18)

Reidar P Lystad, Gregory Bell, Martin Bonnevie-Svendsen
and Catherine V Carter

Department of Chiropractic,
Macquarie University,
Sydney, Australia.
reidar.lystad@mq.edu.au


BACKGROUND:   Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders, and have also been suggested in the literature as an adjunct in the treatment of cervicogenic dizziness. The purpose of this systematic review is to evaluate the evidence for manual therapy, in conjunction with or without vestibular rehabilitation, in the management of cervicogenic dizziness.

METHODS:   A comprehensive search was conducted in the databases Scopus, Mantis, CINHAL and the Cochrane Library for terms related to manual therapy, vestibular rehabilitation and cervicogenic dizziness. Included studies were assessed using the Maastricht-Amsterdam criteria.

RESULTS:   A total of fifteen articles reporting findings from thirteen unique investigations, including five randomised controlled trials and eight prospective, non-controlled cohort studies were included in this review. The methodological quality of the included studies was generally poor to moderate. All but one study reported improvement in dizziness following either unimodal or multimodal manual therapy interventions. Some studies reported improvements in postural stability, joint positioning, range of motion, muscle tenderness, neck pain and vertebrobasilar artery blood flow velocity.

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