Manual therapy for cervicogenic dizziness : Long-term outcomes of a randomised trial

Journal article


Reid, Susan A., Callister, Robin, Snodgrass, Suzanne J., Katekar, Michael G. and Rivett, Darren A.. (2015) Manual therapy for cervicogenic dizziness : Long-term outcomes of a randomised trial. Manual Therapy. 20(1), pp. 148-156. https://doi.org/10.1016/j.math.2014.08.003
AuthorsReid, Susan A., Callister, Robin, Snodgrass, Suzanne J., Katekar, Michael G. and Rivett, Darren A.
Abstract

Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal glides (SNAGs) and passive joint mobilisations (PJMs) on cervicogenic dizziness compared to a placebo at 12 months post-treatment. Eighty-six participants (mean age 62 years, standard deviation (SD) 12.7) with chronic cervicogenic dizziness were randomised to receive SNAGs with self-SNAGs (n = 29), PJMs with range-of-motion (ROM) exercises (n = 29), or a placebo (n = 28) for 2–6 sessions over 6 weeks. Outcome measures were dizziness intensity, dizziness frequency (rated between 0 [none] and 5 [>once/day]), the Dizziness Handicap Inventory (DHI), pain intensity, head repositioning accuracy (HRA), cervical spine ROM, balance, and global perceived effect (GPE). At 12 months both manual therapy groups had less dizziness frequency (mean difference SNAGs vs placebo −0.7, 95% confidence interval (CI) −1.3, −0.2, p = 0.01; PJMs vs placebo −0.7, −1.2, −0.1, p = 0.02), lower DHI scores (mean difference SNAGs vs placebo −8.9, 95% CI −16.3, −1.6, p = 0.02; PJMs vs placebo −13.6, −20.8, −6.4, p < 0.001) and higher GPE compared to placebo, whereas there were no between-group differences in dizziness intensity, pain intensity or HRA. There was greater ROM in all six directions for the SNAG group and in four directions for the PJM group compared to placebo, and small improvements in balance for the SNAG group compared to placebo. There were no adverse effects. These results provide evidence that both forms of manual therapy have long-term beneficial effects in the treatment of chronic cervicogenic dizziness.

Keywordsdizziness; neck pain; cervical vertebrae; musculoskeletal manipulation
Year2015
JournalManual Therapy
Journal citation20 (1), pp. 148-156
PublisherChurchill Livingstone
ISSN1356-689X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.math.2014.08.003
Scopus EID2-s2.0-84920195094
Research or scholarlyResearch
Page range148-156
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online27 Aug 2014
Publication process dates
Accepted05 Aug 2014
Deposited06 Apr 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8v980/manual-therapy-for-cervicogenic-dizziness-long-term-outcomes-of-a-randomised-trial

Restricted files

Publisher's version

  • 0
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

The validity and reliability of DrGoniometer, a smartphone application, for measuring forearm supination
Reid, Susan and Egan, Brigitte. (2019) The validity and reliability of DrGoniometer, a smartphone application, for measuring forearm supination. Journal of Hand Therapy. 32(1), pp. 110 - 117. https://doi.org/10.1016/j.jht.2018.03.003
Physical characteristics associated with neck pain and injury in rugby union players
Snodgrass, Suzanne J., Osmotherly, Peter G., Reid, Susan A., Milburn, Peter D. and Rivett, Darren A.. (2018) Physical characteristics associated with neck pain and injury in rugby union players. The Journal of Sports Medicine and Physical Fitness. 58(10), pp. 1474 - 1481. https://doi.org/10.23736/S0022-4707.17.07255-3
Cervical proprioception in a young population who spend long periods on mobile devices : A 2-group comparative observational study
Portelli, Andrew and Reid, Susan A.. (2018) Cervical proprioception in a young population who spend long periods on mobile devices : A 2-group comparative observational study. Journal of Manipulative and Physiological Therapeutics. 41(2), pp. 123 - 128. https://doi.org/10.1016/j.jmpt.2017.10.004
Utility of a brief assessment tool developed from the Dizziness Handicap Inventory to screen for Cervicogenic dizziness : A case control study
Reid, Susan A., Callister, Robin, Katekar, Michael and Treleaven, Julia. (2017) Utility of a brief assessment tool developed from the Dizziness Handicap Inventory to screen for Cervicogenic dizziness : A case control study. Musculoskeletal Science and Practice. 30, pp. 42 - 48. https://doi.org/10.1016/j.msksp.2017.03.008
Tension of the ulnar, median, and radial nerves during ulnar nerve neurodynamic testing : Observational cadaveric study
Manvell, Nicole, Manvell, Joshua, Snodgrass, Suzanne and Reid, Susan A.. (2015) Tension of the ulnar, median, and radial nerves during ulnar nerve neurodynamic testing : Observational cadaveric study. Physical Therapy. 95(6), pp. 891 - 900. https://doi.org/10.2522/ptj.20130536
Improving the radial nerve neurodynamic test: An observation of tension of the radial, median and ulnar nerves during upper limb positioning
Manvell, Joshua J., Manvell, Nicole, Snodgrass, Suzanne J. and Reid, Susan A.. (2015) Improving the radial nerve neurodynamic test: An observation of tension of the radial, median and ulnar nerves during upper limb positioning. Manual Therapy. 20(6), pp. 790 - 796. https://doi.org/10.1016/j.math.2015.03.007
Effects of Cervical Spine Manual Therapy on Range of Motion, Head Repositioning and Balance in Participants with Cervicogenic Dizziness : A Randomized Controlled Trial
Reid, Susan A., Callister, Robin,, Katekar, Michael and Rivett, Darren. (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 - 1612. https://doi.org/10.1016/j.apmr.2014.04.009
Comparison of Mulligan sustained natural apophyseal glides and Maitland mobilizations for treatment of cervicogenic dizziness : A randomized controlled trial
Reid, Susan A., Rivett, Darren, Katekar, Michael and Callister, Robin. (2014) Comparison of Mulligan sustained natural apophyseal glides and Maitland mobilizations for treatment of cervicogenic dizziness : A randomized controlled trial. Physical Therapy. 94(4), pp. 466 - 476. https://doi.org/10.2522/ptj.20120483
Efficacy of manual therapy treatments for people with cervicogenic dizziness and pain : Protocol of a randomised controlled trial
Reid, Susan A., Rivett, Darren, Katekar, Michael and Callister, Robin. (2012) Efficacy of manual therapy treatments for people with cervicogenic dizziness and pain : Protocol of a randomised controlled trial. BMC Musculoskeletal Disorders. 13(201), pp. 1 - 8. https://doi.org/10.1186/1471-2474-13-201
A diagnostic dilemma of dizziness
Reid, Susan A. and Rivett, Darren. (2011) A diagnostic dilemma of dizziness. In In Vicenzino, Bill, Hing, Wayne, Rivett, Darren and Hall, Toby (Ed.). Mobilisation with movement : The art and the science pp. 114-122 Churchill Livingstone.
Sustained natural apophyseal glides (SNAGs) are an effective treatment for cervicogenic dizziness
Reid, Susan A., Rivett, Darren A., Katekar, Michael G. and Callister, Robin. (2008) Sustained natural apophyseal glides (SNAGs) are an effective treatment for cervicogenic dizziness. Manual Therapy. 13(4), pp. 357 - 366. https://doi.org/10.1016/j.math.2007.03.006
Manual therapy treatment of cervicogenic dizziness : A systematic review
Reid, Susan A. and Rivett, Darren A.. (2005) Manual therapy treatment of cervicogenic dizziness : A systematic review. Manual Therapy. 10(1), pp. 4 - 13. https://doi.org/10.1016/j.math.2004.03.006