Cervicogenic Dizziness Literature Review

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Literature review: Articles for cervicogenic dizziness were searched in databases such as PubMed, Ovid, MEDLINE and Scopus. Articles mentioned about the dizziness related to imbalance in the neck and head movement and inflexible neck were considered. Articles mentioned about the dizziness due to other reasons like vertigo and psychogenic dizziness were excluded. In the literature there were very less articles available for the cervicogenic dizziness. Diagnosis: Diagnosis of the cervicogenic dizziness is mainly dependent on the imbalance and dizziness related to the neck and excluding other symptoms related to the vestibular system. Standardized protocol for the cervicogenic dizziness has not been established and in most of the cases diagnosis…show more content…
There are combination treatment strategies are available based on the manual therapy and vestibular rehabilitation. Main reason behind the unavailability of the standard treatment and management for cervicogenic dizziness, is its differential diagnosis. There is no evidence available for the role of vestibular dysfunction in cervicogenic dizziness, This makes difficult for deciding specific treatment for the cervicogenic dizziness (Brown, 1992). There are two manual or physical therapy available for the cervicogenic dizziness. These are Sustained Natural Apophyseal Glides (SNAGs) and passive joint mobilisations introduced by Brian Mulligan and Geoff Maitland respectively (Mulligan, 1989; Maitland et al., 2005). Manual therapy is the popular intervention for the acute stage (12 week) cervicogenic dizziness and there is rich evidence available for the manual therapy in the acute stage cervicogenic dizziness. However, these studies were not properly planned. In most of the studies one or two parameters related to cervicogenic dizziness were evaluated. Also in these studies cost effectiveness of the manual therapy were not evaluated. Adverse effect of manual therapy was not evaluated in a systematic way and reported evidence of patient satisfaction about the manual therapy is also very minimal. However, there is little evidence available for the usefulness of the manual therapy in the long term (more than 12 months) cervicogenic dizziness. In literature there is the varied relation between the age and dizziness. Age related dizziness ranges from 10-30 % population however more than 65 % dizziness in these populations is due to the involvement of cervical spine (Stevens et al., 2008; Colledge et al., 1996). Reason for the dizziness in the remaining population has not been mentioned and in
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