Diagnostic criteria currently used in research are likely to have low specificity, since they rest on the exclusion of other causes rather than on positive distinctive features. Altered posturography appeared to be the only consistent characteristic used when distinguishing CD from other populations. There are few studies examining clinical characteristics in patients with cervicogenic dizziness. The most consistent diagnostic criteria were based on the concurrence of neck pain with dizziness after exclusion of other possible reasons for dizziness. The most frequent and consistent clinical characteristic in patients classified as having CD, compared with other populations, was reduced posturographic stability. Studies were of low to acceptable methodological quality. Out of 2161 screened studies, eight studies comprising 225 patients met the inclusion criteria. Studies were assessed for methodological quality using the Crowe Critical Appraisal Tool. Data extracted were clinical outcomes, diagnostic criteria, age, sex, and sample size.
Included studies had to contain operable diagnostic criteria as well as a comparison between patients considered to have CD and a clinical comparison group. The aim of this study was to review clinical studies on CD and to assess current evidence regarding the clinical characteristics of this syndrome.Ī comprehensive PubMed and MEDLINE search was conducted from the date of inception of the database, with the last search conducted in September 2018. Both research and clinical work on CD is limited by the lack of accepted diagnostic criteria. CD represents a considerable diagnostic challenge since dizziness and neck pain are common symptoms with complex and multifactorial etiologies. The results of this study would suggest that spinal manipulation may impact most efficiently on the complex process of proprioception and dizziness of cervical origin.Ĭervicogenic dizziness (CD) is a clinical syndrome of dizziness associated with neck dysfunction. Ketoprofen percutan application and acupuncture both alleviated pain. Both acupuncture and manipulation reduced dizziness/vertigo on the VAS scale and had positive effects on active head repositioning. Manipulation was the only treatment to diminish the duration of dizziness/vertigo complaints during the past 7 days and increased the cervical range of motion. Active head relocation by subjects with dizziness was significantly less precise than in the control group. The effects of different forms of therapy-and none-on dizziness and neck pain were compared, using a 100 mm visual analogue scale (VAS). The ability to perceive position of the head with respect to the trunk was studied. In a single-subject experiment undertaken on 14 consecutive patients, the effects of acupuncture, cervical manipulation, no therapy, and NSAID-percutan application on kinesthetic sensibility, dizziness/vertigo and pain were studied in patients with dizziness/vertigo of suspected cervical origin.
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