Treating cervicogenic dizziness with exercise and education

Rather than manual therapy, can exercise and patient education be useful to manage cervicogenic symptoms?

Cervicogenic dizziness is defined as: “a nonspecific sensation of altered orientation in space and disequilibrium originating from abnormal afferent activity from the neck”, which is thought to be caused by disorders in the upper cervical spine.

It has been discussed in the literature as being the disruption of the input from the upper cervical spine to the sensory systems, and secondary afferent input from the somatosensory system, vestibular system, or visual system can also contribute to cervicogenic symptoms. Cervicogenic dizziness can result in patient’s being limited or hesitate with cervical movements, and pain and dizziness can further impair functional movements.

The condition has commonly been treated with manual therapy and exercise therapy, but the authors of this article hypothesized that exercise and education would have a greater impact on overall functional improvements. 


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