Manual therapy for cervicogenic dizziness

What are the outcomes in the long term?

Manual therapy can be beneficial in the treatment of cervicogenic dizziness. However, until today there is only evidence for short term effects. 

Treatments such as passive joint mobilizations (PJMs) and sustained natural apophyseal glides (SNAGs) have shown to be effective in reducing severity and frequency of dizziness after treatment. The SNAGs have been shown to improve range of motion (ROM) in the cervical spine, which is often related to cervical dizziness. 

The cervical range of motion improved more with the SNAG technique in comparison to the PJM technique, however when compared at the 12 month follow-up, there was no significant difference. The SNAG group improved immediately after treatment and the PJM group improved at a slower rate. 

When the groups were compared to the placebo group they both showed a significant improvement in dizziness, ROM, the frequency of the dizziness and they both had better reductions on the DHI. 

> From: Reid et al., 20 Man Ther (2016-05-25 06:53:47) 148-156 (Epub ahead of print). All rights reserved to Elsevier Ltd. Click here for the online summary.

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