Systematic review and meta-analysis of the therapeutic management of patients with cervicogenic dizziness

Journal article

De Vestel, Charlotte, Vereeck, Luc, Reid, Susan A., Van Rompaey, Vincent, Lemmens, Joris and De Hertogh, Willem. (2022). Systematic review and meta-analysis of the therapeutic management of patients with cervicogenic dizziness. The Journal of Manual and Manipulative Therapy. 30(5), pp. 273-283. https://doi.org/10.1080/10669817.2022.2033044

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Authors	De Vestel, Charlotte, Vereeck, Luc, Reid, Susan A., Van Rompaey, Vincent, Lemmens, Joris and De Hertogh, Willem
Abstract	Background Patients with cervicogenic dizziness (CGD) present with dizziness, cervical spine dysfunctions, and postural imbalance, symptoms that can significantly impact their daily functioning. Objectives To provide evidence-based recommendations for the management of patients with CGD. Methods Three databases were searched for randomized controlled trials (RCTs) (last search 15 May 2021). Outcome measures included dizziness, cervical spine, and balance parameters. Cochrane standard methodological procedures were used and included the RoB 2.0 and GRADE. Where possible, RCTs were pooled for meta-analysis. Results Thirteen RCTs (n = 898 patients) of high (two RCTs), moderate (five RCTs), and low (six RCTs) methodological quality were analyzed. Six RCTs were included in the meta-analysis. Only three RCTs specified the cause of CGD. They showed inconsistent findings for the effectiveness of exercise therapy in patients with traumatic CGD. Manual therapy and manual therapy combined with exercise therapy may reduce CGD, cervical spine, and balance dysfunctions. Conclusion There is moderate quality of evidence that manual therapy reduces CGD, cervical spine, and balance symptoms. When manual therapy is combined with exercise therapy, the positive effect on CGD, cervical spine, and balance symptoms is even stronger. However, the quality of the evidence here is very low.
Keywords	dizziness; cervical vertebrae; exercise therapy; musculoskeletal manipulations
Year	2022
Journal	The Journal of Manual and Manipulative Therapy
Journal citation	30 (5), pp. 273-283
Publisher	Taylor & Francis
ISSN	1066-9817
Digital Object Identifier (DOI)	https://doi.org/10.1080/10669817.2022.2033044
PubMed ID	35383538
Scopus EID	2-s2.0-85129206313
PubMed Central ID	PMC9487935
Page range	273-283
Funder	University of Antwerp
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	06 Apr 2022
Publication process dates
Deposited	01 Nov 2023

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