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
AuthorsDe 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.

Keywordsdizziness; cervical vertebrae; exercise therapy; musculoskeletal manipulations
Year2022
JournalThe Journal of Manual and Manipulative Therapy
Journal citation30 (5), pp. 273-283
PublisherTaylor & Francis
ISSN1066-9817
Digital Object Identifier (DOI)https://doi.org/10.1080/10669817.2022.2033044
PubMed ID35383538
Scopus EID2-s2.0-85129206313
PubMed Central IDPMC9487935
Page range273-283
FunderUniversity of Antwerp
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online06 Apr 2022
Publication process dates
Deposited01 Nov 2023
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