Efficacy of manual therapy treatments for people with cervicogenic dizziness and pain: protocol of a randomised controlled trialReport as inadecuate

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BMC Musculoskeletal Disorders

, 13:201

First Online: 18 October 2012Received: 24 June 2012Accepted: 26 September 2012


BackgroundCervicogenic dizziness is a disabling condition characterised by postural unsteadiness that is aggravated by cervical spine movements and associated with a painful and-or stiff neck. Two manual therapy treatments Mulligan’s Sustained Natural Apophyseal Glides SNAGs and Maitland’s passive joint mobilisations are used by physiotherapists to treat this condition but there is little evidence from randomised controlled trials to support their use. The aim of this study is to conduct a randomised controlled trial to compare these two forms of manual therapy Mulligan glides and Maitland mobilisations to each other and to a placebo in reducing symptoms of cervicogenic dizziness in the longer term and to conduct an economic evaluation of the interventions.

MethodsParticipants with symptoms of dizziness described as imbalance, together with a painful and-or stiff neck will be recruited via media releases, advertisements and mail-outs to medical practitioners in the Hunter region of NSW, Australia. Potential participants will be screened by a physiotherapist and a neurologist to rule out other causes of their dizziness. Once diagnosed with cervciogenic dizziness, 90 participants will be randomly allocated to one of three groups: Maitland mobilisations plus range-of-motion exercises, Mulligan SNAGs plus self-SNAG exercises or placebo. Participants will receive two to six treatments over six weeks. The trial will have unblinded treatment but blinded outcome assessments. Assessments will occur at baseline, post-treatment, six weeks, 12 weeks, six months and 12 months post treatment. The primary outcome will be intensity of dizziness. Other outcome measures will be frequency of dizziness, disability, intensity of cervical pain, cervical range of motion, balance, head repositioning, adverse effects and treatment satisfaction. Economic outcomes will also be collected.

DiscussionThis paper describes the methods for a randomised controlled trial to evaluate the effectiveness of two manual therapy techniques in the treatment of people with cervicogenic dizziness for which there is limited established evidence-based treatment.

Trial registrationACTRN12611000073909

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-201 contains supplementary material, which is available to authorized users.

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Author: Susan A Reid - Darren A Rivett - Michael G Katekar - Robin Callister

Source: https://link.springer.com/

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