The Relationship Between Dizziness and Neck Pain

Active, not recruiting

• Conditions: Dizziness; Neck Pain; Vertigo

• Registration Number: NCT03531619
• Lead Sponsor: Haukeland University Hospital

Brief Summary

Both dizziness and neck pain are common complaints in the Norwegian population. The cervical spine has a highly developed proprioceptive system, which is involved in head and gaze stabilization as well as postural control. Thus, it has been argued that dizziness and/or unsteadiness can occur due to loss of or inadequate stimulation of neck receptors in patients with neck pain. Still, the notion of dizziness due to cervical dysfunction is a controversial topic. However, clinicians report that patients referred for dizziness often complain of neck pain, and vice versa.

This study is a multi-center study including patients referred to 1) a neuro-otologic clinic due to dizziness and 2) a rehabilitation clinic due to neck pain. Both clinics are tertiary care university clinics. The study explores the prevalence, severity and spectrum of symptoms as well as clinical findings in patients with various combinations of dizziness and neck pain. The aim is to see if these patient groups differ from each other in terms of clinical characteristics, symptoms and quality of life. Additionally, the aim is to examine if there is a relationship between neck dysfunction and dizziness, and last, if the symptoms persist longer in patients with both dizziness and neck pain.

Detailed Description

This is a longitudinal study with data collected at baseline, 6 months and 3 years follow-up.

Variables collected at baseline include age, sex, symptom variables including Dizziness Handicap Inventory, Vertigo Symptom Scale Short Form, Haukeland Dizziness Questionnaire, Visual analog scale, Hospital Anxiety and Depression Scale, RAND-12, dynamic posturography, video-based head impulse test, bithermal caloric tests, Neck Disability Index, as well as neck examinations including pressure algometry and measurements of the range of neck movements.

Follow-up data after 6 months include the same patient-reported outcomes as at baseline.

Study Timeline

• Study Start: 2017-07-11
• Study First Submitted: 2018-03-12
• Study First Submitted QC: 2018-05-08
• Study First Posted: 2018-05-22
• Status Verified: 2023-04
• Last Update Submitted: 2023-05-06
• Last Update Posted: 2023-05-09
• Primary Completion: 2024-02-01
• Study Completion: 2024-03-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 370

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Difference between Groups in the Dizziness Handicap Inventory (DHI)	Baseline and 6 months follow-up	25-item symptom score. 0-100 Points on dizziness handicap severity
Difference betwee Groups in the Neck Disability Index (NDI)	Baseline and 6 months follow-up	10-time symptom score. 0-50 Points on neck disabilty severity

Secondary Outcome Measures

Name	Time	Method
Correlation between Posturography and neck pain	Baseline	Path length is used as measure of steadiness. Neck pain is measured With a pressure algometer, measuring the pressure pain threshold of the neck in kilo pascal.

Trial Locations

Locations (1)

Haukeland University Hospital; 🇳🇴 Bergen, Norway