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Effects of cervical spine manual therapy on range of motion, head repositioning, and balance in participants with cervicogenic dizziness: a randomized controlled trial.
Arch Phys Med Rehabil 2014; 95(9):1603-12AP

Abstract

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.

INTERVENTIONS

Participants were randomly assigned to 1 of 3 groups: sustained natural apophyseal glides (SNAGs) with self-SNAG exercises, passive joint mobilization (PJM) with ROM exercises, or a placebo. Participants each received 2 to 6 treatments over 6 weeks.

MAIN OUTCOME MEASURES

Cervical ROM, head repositioning accuracy, and balance.

RESULTS

SNAG therapy resulted in improved (P ≤.05) cervical spine ROM in all 6 physiological cervical spine movement directions immediately posttreatment and at 12 weeks. Treatment with PJM resulted in improvement in 1 of the 6 cervical movement directions posttreatment and 1 movement direction at 12 weeks. There was a greater improvement (P<.01) after SNAGs than PJM in extension (mean difference, -7.5°; 95% confidence interval [CI], -13° to -2.0°) and right rotation (mean difference, -6.8°; 95% CI, -11.5° to -2.1°) posttreatment. Manual therapy had no effect on balance or head repositioning accuracy.

CONCLUSIONS

SNAG treatment improved cervical ROM, and the effects were maintained for 12 weeks after treatment. PJM had very limited impact on cervical ROM. There was no conclusive effect of SNAGs or PJMs on joint repositioning accuracy or balance in people with cervicogenic dizziness.

Authors+Show Affiliations

School of Physiotherapy, Australian Catholic University, North Sydney, Australia. Electronic address: Sue.Reid@acu.edu.au.Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia.Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia.Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24792139

Citation

Reid, Susan A., et al. "Effects of Cervical Spine Manual Therapy On Range of Motion, Head Repositioning, and Balance in Participants With Cervicogenic Dizziness: a Randomized Controlled Trial." Archives of Physical Medicine and Rehabilitation, vol. 95, no. 9, 2014, pp. 1603-12.
Reid SA, Callister R, Katekar MG, et al. Effects of cervical spine manual therapy on range of motion, head repositioning, and balance in participants with cervicogenic dizziness: a randomized controlled trial. Arch Phys Med Rehabil. 2014;95(9):1603-12.
Reid, S. A., Callister, R., Katekar, M. G., & Rivett, D. A. (2014). Effects of cervical spine manual therapy on range of motion, head repositioning, and balance in participants with cervicogenic dizziness: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 95(9), pp. 1603-12. doi:10.1016/j.apmr.2014.04.009.
Reid SA, et al. Effects of Cervical Spine Manual Therapy On Range of Motion, Head Repositioning, and Balance in Participants With Cervicogenic Dizziness: a Randomized Controlled Trial. Arch Phys Med Rehabil. 2014;95(9):1603-12. PubMed PMID: 24792139.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of cervical spine manual therapy on range of motion, head repositioning, and balance in participants with cervicogenic dizziness: a randomized controlled trial. AU - Reid,Susan A, AU - Callister,Robin, AU - Katekar,Michael G, AU - Rivett,Darren A, Y1 - 2014/05/02/ PY - 2014/04/02/received PY - 2014/04/04/accepted PY - 2014/5/6/entrez PY - 2014/5/6/pubmed PY - 2014/10/22/medline KW - Cervical vertebrae KW - Musculoskeletal manipulations KW - Neck pain KW - Rehabilitation SP - 1603 EP - 12 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 95 IS - 9 N2 - 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. INTERVENTIONS: Participants were randomly assigned to 1 of 3 groups: sustained natural apophyseal glides (SNAGs) with self-SNAG exercises, passive joint mobilization (PJM) with ROM exercises, or a placebo. Participants each received 2 to 6 treatments over 6 weeks. MAIN OUTCOME MEASURES: Cervical ROM, head repositioning accuracy, and balance. RESULTS: SNAG therapy resulted in improved (P ≤.05) cervical spine ROM in all 6 physiological cervical spine movement directions immediately posttreatment and at 12 weeks. Treatment with PJM resulted in improvement in 1 of the 6 cervical movement directions posttreatment and 1 movement direction at 12 weeks. There was a greater improvement (P<.01) after SNAGs than PJM in extension (mean difference, -7.5°; 95% confidence interval [CI], -13° to -2.0°) and right rotation (mean difference, -6.8°; 95% CI, -11.5° to -2.1°) posttreatment. Manual therapy had no effect on balance or head repositioning accuracy. CONCLUSIONS: SNAG treatment improved cervical ROM, and the effects were maintained for 12 weeks after treatment. PJM had very limited impact on cervical ROM. There was no conclusive effect of SNAGs or PJMs on joint repositioning accuracy or balance in people with cervicogenic dizziness. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/24792139/Effects_of_cervical_spine_manual_therapy_on_range_of_motion_head_repositioning_and_balance_in_participants_with_cervicogenic_dizziness:_a_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(14)00310-4 DB - PRIME DP - Unbound Medicine ER -