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J Orthop Sports Phys Ther 2000 Dec;30(12):755-66
Cervicogenic dizziness: a review of diagnosis and treatment.
Wrisley DM, Sparto PJ, Whitney SL, Furman JM.
Department of Physical Therapy, School of Health and Rehabilitation Sciences,
University of Pittsburgh, PA 15260, USA.
The diagnosis of cervicogenic dizziness is characterized by dizziness
and dysequilibrium that is associated with neck pain in patients
with cervical
pathology. The
diagnosis and treatment of an individual presenting with cervical
spine dysfunction and associated dizziness complaints can be a
challenging experience to orthopaedic
and vestibular rehabilitation specialists. The purpose of this
article is to review the incidence and prevalence, historical background,
and
proposed pathophysiology
underlying cervicogenic dizziness. In addition, we have outlined
the diagnostic criteria, evaluation, and treatment of dizziness
attributed
to disorders
of the cervical spine. The diagnosis of cervicogenic dizziness
is dependent
upon
correlating symptoms of imbalance and dizziness with neck pain
and excluding other vestibular disorders based on history, examination,
and vestibular
function tests. When diagnosed correctly, cervicogenic dizziness
can be successfully
treated using a combination of manual therapy and vestibular rehabilitation. We present 2 cases, of patients diagnosed with cervicogenic
dizziness, as an illustration of the clinical decision-making process in
regard to this diagnosis.
Publication Types:
Review
Review, Tutorial
PMID: 11153554 [PubMed - indexed for MEDLINE]
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