Tags

Type your tag names separated by a space and hit enter

Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review.
Chiropr Man Therap 2011; 19(1):21CM

Abstract

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.

DISCUSSION

Although it has been argued that manual therapy combined with vestibular rehabilitation may be superior in the treatment of cervicogenic dizziness, there are currently no observational and experimental studies demonstrating such effects. A rationale for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is presented.

CONCLUSION

There is moderate evidence to support the use of manual therapy, in particular spinal mobilisation and manipulation, for cervicogenic dizziness. The evidence for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is lacking. Further research to elucidate potential synergistic effects of manual therapy and vestibular rehabilitation is strongly recommended.

Authors+Show Affiliations

Department of Chiropractic, Macquarie University, Sydney, Australia. reidar.lystad@mq.edu.au.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21923933

Citation

Lystad, Reidar P., et al. "Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: a Systematic Review." Chiropractic & Manual Therapies, vol. 19, no. 1, 2011, p. 21.
Lystad RP, Bell G, Bonnevie-Svendsen M, et al. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropr Man Therap. 2011;19(1):21.
Lystad, R. P., Bell, G., Bonnevie-Svendsen, M., & Carter, C. V. (2011). Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropractic & Manual Therapies, 19(1), p. 21. doi:10.1186/2045-709X-19-21.
Lystad RP, et al. Manual Therapy With and Without Vestibular Rehabilitation for Cervicogenic Dizziness: a Systematic Review. Chiropr Man Therap. 2011 Sep 18;19(1):21. PubMed PMID: 21923933.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. AU - Lystad,Reidar P, AU - Bell,Gregory, AU - Bonnevie-Svendsen,Martin, AU - Carter,Catherine V, Y1 - 2011/09/18/ PY - 2011/04/25/received PY - 2011/09/18/accepted PY - 2011/9/20/entrez PY - 2011/9/20/pubmed PY - 2011/9/20/medline SP - 21 EP - 21 JF - Chiropractic & manual therapies JO - Chiropr Man Therap VL - 19 IS - 1 N2 - 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. DISCUSSION: Although it has been argued that manual therapy combined with vestibular rehabilitation may be superior in the treatment of cervicogenic dizziness, there are currently no observational and experimental studies demonstrating such effects. A rationale for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is presented. CONCLUSION: There is moderate evidence to support the use of manual therapy, in particular spinal mobilisation and manipulation, for cervicogenic dizziness. The evidence for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is lacking. Further research to elucidate potential synergistic effects of manual therapy and vestibular rehabilitation is strongly recommended. SN - 2045-709X UR - https://www.unboundmedicine.com/medline/citation/21923933/Manual_therapy_with_and_without_vestibular_rehabilitation_for_cervicogenic_dizziness:_a_systematic_review_ L2 - https://chiromt.biomedcentral.com/articles/10.1186/2045-709X-19-21 DB - PRIME DP - Unbound Medicine ER -