Cargando…

Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review

BACKGROUND: Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders, and have also been suggested in the lite...

Descripción completa

Detalles Bibliográficos
Autores principales: Lystad, Reidar P, Bell, Gregory, Bonnevie-Svendsen, Martin, Carter, Catherine V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182131/
https://www.ncbi.nlm.nih.gov/pubmed/21923933
http://dx.doi.org/10.1186/2045-709X-19-21
_version_ 1782212871064649728
author Lystad, Reidar P
Bell, Gregory
Bonnevie-Svendsen, Martin
Carter, Catherine V
author_facet Lystad, Reidar P
Bell, Gregory
Bonnevie-Svendsen, Martin
Carter, Catherine V
author_sort Lystad, Reidar P
collection PubMed
description BACKGROUND: Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders, and have also been suggested in the literature as an adjunct in the treatment of cervicogenic dizziness. The purpose of this systematic review is to evaluate the evidence for manual therapy, in conjunction with or without vestibular rehabilitation, in the management of cervicogenic dizziness. METHODS: A comprehensive search was conducted in the databases Scopus, Mantis, CINHAL and the Cochrane Library for terms related to manual therapy, vestibular rehabilitation and cervicogenic dizziness. Included studies were assessed using the Maastricht-Amsterdam criteria. RESULTS: A total of fifteen articles reporting findings from thirteen unique investigations, including five randomised controlled trials and eight prospective, non-controlled cohort studies were included in this review. The methodological quality of the included studies was generally poor to moderate. All but one study reported improvement in dizziness following either unimodal or multimodal manual therapy interventions. Some studies reported improvements in postural stability, joint positioning, range of motion, muscle tenderness, neck pain and vertebrobasilar artery blood flow velocity. DISCUSSION: Although it has been argued that manual therapy combined with vestibular rehabilitation may be superior in the treatment of cervicogenic dizziness, there are currently no observational and experimental studies demonstrating such effects. A rationale for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is presented. CONCLUSION: There is moderate evidence to support the use of manual therapy, in particular spinal mobilisation and manipulation, for cervicogenic dizziness. The evidence for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is lacking. Further research to elucidate potential synergistic effects of manual therapy and vestibular rehabilitation is strongly recommended.
format Online
Article
Text
id pubmed-3182131
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-31821312011-09-29 Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review Lystad, Reidar P Bell, Gregory Bonnevie-Svendsen, Martin Carter, Catherine V Chiropr Man Therap Review BACKGROUND: Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders, and have also been suggested in the literature as an adjunct in the treatment of cervicogenic dizziness. The purpose of this systematic review is to evaluate the evidence for manual therapy, in conjunction with or without vestibular rehabilitation, in the management of cervicogenic dizziness. METHODS: A comprehensive search was conducted in the databases Scopus, Mantis, CINHAL and the Cochrane Library for terms related to manual therapy, vestibular rehabilitation and cervicogenic dizziness. Included studies were assessed using the Maastricht-Amsterdam criteria. RESULTS: A total of fifteen articles reporting findings from thirteen unique investigations, including five randomised controlled trials and eight prospective, non-controlled cohort studies were included in this review. The methodological quality of the included studies was generally poor to moderate. All but one study reported improvement in dizziness following either unimodal or multimodal manual therapy interventions. Some studies reported improvements in postural stability, joint positioning, range of motion, muscle tenderness, neck pain and vertebrobasilar artery blood flow velocity. DISCUSSION: Although it has been argued that manual therapy combined with vestibular rehabilitation may be superior in the treatment of cervicogenic dizziness, there are currently no observational and experimental studies demonstrating such effects. A rationale for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is presented. CONCLUSION: There is moderate evidence to support the use of manual therapy, in particular spinal mobilisation and manipulation, for cervicogenic dizziness. The evidence for combining manual therapy and vestibular rehabilitation in the management of cervicogenic dizziness is lacking. Further research to elucidate potential synergistic effects of manual therapy and vestibular rehabilitation is strongly recommended. BioMed Central 2011-09-18 /pmc/articles/PMC3182131/ /pubmed/21923933 http://dx.doi.org/10.1186/2045-709X-19-21 Text en Copyright ©2011 Lystad et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Lystad, Reidar P
Bell, Gregory
Bonnevie-Svendsen, Martin
Carter, Catherine V
Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
title Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
title_full Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
title_fullStr Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
title_full_unstemmed Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
title_short Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
title_sort manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182131/
https://www.ncbi.nlm.nih.gov/pubmed/21923933
http://dx.doi.org/10.1186/2045-709X-19-21
work_keys_str_mv AT lystadreidarp manualtherapywithandwithoutvestibularrehabilitationforcervicogenicdizzinessasystematicreview
AT bellgregory manualtherapywithandwithoutvestibularrehabilitationforcervicogenicdizzinessasystematicreview
AT bonneviesvendsenmartin manualtherapywithandwithoutvestibularrehabilitationforcervicogenicdizzinessasystematicreview
AT cartercatherinev manualtherapywithandwithoutvestibularrehabilitationforcervicogenicdizzinessasystematicreview