Postural and Clinical Outcomes of SNAGs Treatment in Cervicogenic Dizziness Patients: a Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Cervical Spine Movements
研究概览
简要总结
Previous works demonstrated the relationship between postural disturbances and reduction in cervical range of motion (CROM) in patients suffering from cervicogenic dizziness (CGD). Since sustained natural apophyseal glides (SNAGs) have been proposed as an effective treatment, the aim of the present study was to evaluate how clinical measures could be affected in patients with cervicogenic dizziness undergoing SNAGs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •accepted criteria will be operationalized to achieve the clinical suspicion of cervicogenic dizziness as following:
- •Exclusion of these differential diagnoses: a. Migrainous vertigo b. Vertigo of central origin c. Benign paroxysmal positional vertigo (BPPV) d. Meniere disease e. Vestibular neuritis f. Vertigo induced by drugs g. Psychogenic vertigo (anxiety and/or panic disorder and/or phobia) h. Orthostatic hypotension
- •presence of a subjective feeling of dizziness associated with pain, movement, rigidity, or certain positions of the neck at least from 3 months;
- •Cervical pain, trauma, and/or disease
- •If from traumatic origin, there has to be a temporal proximity between the onset of dizziness and the neck injury.
- •Diagnosis is positive if criteria 1 to 3 are fulfilled. As for criterion 2, dizziness had to occur during the same period than neck pain occurred and dizziness had to be proportional to the severity of the neck pain that generally fluctuates in time.
- •Criterion 4 addresses cervicogenic dizziness occurring after a neck trauma
排除标准
- •presence of trauma or recent surgery in the head, face, neck, or chest;
- •an otorhinolaryngological diagnosis of central or peripheral vertigo
- •receiving physiotherapy during the study period.
- •History, physical examination and a thorough clinical otoneurological examination will be devised to exclude extracervical causes of dizziness.
- •In order to exclude vestibular hypofunction, video Head Impulse Test - and the technique proposed in previous studies will be used to study the vestibulo-ocular reflex.
结局指标
主要结局
Cervical Spine Movements
时间窗: one month
A cervical range of motion (CROM) goniometer, which has been shown to be a reliable tool with good validity, will be used to measure (in degrees) cervical spine movements. Active flexion, extension, left and right rotation, and left and right lateral flexion will be measured three times and then averaged. Low levels of outcomes indicate worse performances. No specific reference ranges are given in literature.
Balance Test
时间窗: one month
Study of the surface of the ellipse of confidence (calculated in mm) by means of static posturography platform will be used to assess the sway of the posture. Low levels of outcomes indicate better performances. No specific reference ranges are given in literature.
次要结局
- Disability of the Neck(one month)
- Pain of the Neck(one month)
- Self-report dizziness(one month)
- Anxiety and Depression(one month)
- Fear of Movement(one month)
研究者
Alessandro Micarelli
Scientific Director
Uniter Onlus