Abstract:
:Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal glides (SNAGs) and passive joint mobilisations (PJMs) on cervicogenic dizziness compared to a placebo at 12 months post-treatment. Eighty-six participants (mean age 62 years, standard deviation (SD) 12.7) with chronic cervicogenic dizziness were randomised to receive SNAGs with self-SNAGs (n = 29), PJMs with range-of-motion (ROM) exercises (n = 29), or a placebo (n = 28) for 2-6 sessions over 6 weeks. Outcome measures were dizziness intensity, dizziness frequency (rated between 0 [none] and 5 [>once/day]), the Dizziness Handicap Inventory (DHI), pain intensity, head repositioning accuracy (HRA), cervical spine ROM, balance, and global perceived effect (GPE). At 12 months both manual therapy groups had less dizziness frequency (mean difference SNAGs vs placebo -0.7, 95% confidence interval (CI) -1.3, -0.2, p = 0.01; PJMs vs placebo -0.7, -1.2, -0.1, p = 0.02), lower DHI scores (mean difference SNAGs vs placebo -8.9, 95% CI -16.3, -1.6, p = 0.02; PJMs vs placebo -13.6, -20.8, -6.4, p < 0.001) and higher GPE compared to placebo, whereas there were no between-group differences in dizziness intensity, pain intensity or HRA. There was greater ROM in all six directions for the SNAG group and in four directions for the PJM group compared to placebo, and small improvements in balance for the SNAG group compared to placebo. There were no adverse effects. These results provide evidence that both forms of manual therapy have long-term beneficial effects in the treatment of chronic cervicogenic dizziness.
journal_name
Man Therjournal_title
Manual therapyauthors
Reid SA,Callister R,Snodgrass SJ,Katekar MG,Rivett DAdoi
10.1016/j.math.2014.08.003subject
Has Abstractpub_date
2015-02-01 00:00:00pages
148-56issue
1eissn
1356-689Xissn
1532-2769pii
S1356-689X(14)00148-9journal_volume
20pub_type
杂志文章,随机对照试验相关文献
MANUAL THERAPY文献大全abstract:INTRODUCTION AND AIM:The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2013.08.003
更新日期:2014-04-01 00:00:00
abstract::Prolonged static posture has been identified as a major risk factor for work-related neck and upper limb disorders (WRNULD) in computer users. Previous research has mainly examined working postures in healthy pain-free individuals. The present study examined whether symptomatic subjects exhibited the same kinematic pa...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2005.01.005
更新日期:2005-11-01 00:00:00
abstract::The management of peripheral neuropathic pain or nerve trunk pain relies upon accurate differential diagnosis. In part neurogenic pain has been attributed to increased activity in, as well as to abnormal processing of non-nociceptive input from, the nervi nervorum. For neurogenic pain to be identified as the dominant ...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1054/math.1999.0172
更新日期:1999-05-01 00:00:00
abstract:INTRODUCTION:Cervical arterial dissection (CAD) is a common cause of stroke in young people under 55 years. It can occur spontaneously or subsequent to minor trauma or infection. The incidence is difficult to determine accurately as not all CAD progress to stroke. CAD is the most catastrophic adverse event associated w...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.07.008
更新日期:2016-02-01 00:00:00
abstract::The semispinalis cervicis muscle displays reduced and less defined activation in patients with neck pain which is associated with increased activity of the splenius capitis muscle. Exercises to selectively activate the semispinalis cervicis muscle may be relevant for patients with neck pain however the most appropriat...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2012.05.012
更新日期:2012-12-01 00:00:00
abstract::Hamstring injuries are the most prevalent muscle injury in sports involving rapid acceleration and maximum speed running. Injury typically occurs in an acute manner through an eccentric mechanism at the terminal stages of the swing phase of gait. Biceps femoris is most commonly injured. Re-injury rates are high and ma...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2005.03.006
更新日期:2005-05-01 00:00:00
abstract::The evidence to guide use of spinal manipulative therapy (SMT) for patients with shoulder pain is limited. A validated sham comparator is needed to ascertain the unique effects of SMT. We investigated the plausibility of a thoracic sham-SMT comparator for SMT in patients with shoulder pain. Participants (n = 56) with ...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2014.08.008
更新日期:2015-02-01 00:00:00
abstract::Long's manipulation (LM) is a representative Chinese manipulation approach incorporating both spinal manipulation and traditional Chinese massage (TCM) techniques. This randomized controlled trial (RCT) aimed to compare the immediate and short-term relative effectiveness of LM to TCM on patients with chronic neck pain...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2012.11.005
更新日期:2013-08-01 00:00:00
abstract::The purpose of this study was to outline the clinical tests that exhibit the highest diagnostic utility for the spine. Using a sensitive search strategy but highly restrictive inclusion criteria based on assessment of quality and reduction of bias, we identified 16 well constructed diagnostic accuracy studies of the s...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2010.07.004
更新日期:2011-02-01 00:00:00
abstract::Neck disorders are common, disabling and costly. Randomized trials were reviewed using a Cochrane format, to determine if manual therapy improves pain, function and patient satisfaction in adults suffering from neck disorders with and without radicular findings or headache. Sequenced computerized searches ended in Dec...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1054/math.2002.0465
更新日期:2002-08-01 00:00:00
abstract::Exercises to retrain the orientation of the scapula are often used by physiotherapists to optimise shoulder girdle function. The movements and muscle activity required to assume this position have not yet been quantified. Further, patients often find this a difficult exercise to learn accurately, with no data being av...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2007.07.008
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP). OBJECTIVES:To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (H...
journal_title:Manual therapy
pub_type: 临床试验,杂志文章
doi:10.1016/j.math.2016.09.008
更新日期:2016-12-01 00:00:00
abstract::The use of electronic devices, such as mobile phones and computers, has increased drastically among the young generation, but the potential health effects of carpal tunnel syndrome (CTS) on university students has not been comprehensively examined. Thirty-one university students aged 18 to 25 y with no symptoms of CTS...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.06.005
更新日期:2014-12-01 00:00:00
abstract::Patellar taping is regarded as an important element of the treatment of patellofemoral joint pain. Key to the successful use of patellar taping is the assessment of patella position. The reliability and validity of the techniques used to assess patella position has been questioned. The aim of the study was to assess t...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.06.013
更新日期:2007-08-01 00:00:00
abstract:STUDY DESIGN:Descriptive comparison study. OBJECTIVE:To assess the accuracy of two needle angle approaches for dry needling of the lumbar multifidus. BACKGROUND:Low back pain is a leading cause of disability around the world; the lumbar multifidus plays a vital role in low back health. Manual therapy such as dry need...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.08.008
更新日期:2016-12-01 00:00:00
abstract::Optimal use of lumbar mobilisation requires a theoretical knowledge of the mechanical effects that occur. When a mobilisation force is applied the target vertebra will move with accompanying intervertebral displacements at many intervertebral joints. In addition, displacements and deformations of other tissues will co...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.1996.0252
更新日期:1996-03-01 00:00:00
abstract::Optimal lumbopelvic stability is a function of form closure (joint anatomy), force closure (additional compressive forces acting across the joints) and neuromotor control. Impairment of any of these mechanisms can result in pain, instability, altered lumbopelvic kinematics, and changes in muscle strength and motor con...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2012.01.010
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION:Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treat...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.03.009
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Little is known about the physiologic mechanism of dry needling. While some evidence suggests that dry needling may decrease nocioceptive sensitivity and facilitate muscle function, no studies to date have examined these physiologic changes compared to clinical outcomes. OBJECTIVE:To examine changes in lumb...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.003
更新日期:2015-12-01 00:00:00
abstract::The "Comprehensive ICF Core Set for Low Back Pain (LBP)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning for patients with LBP. The aim of this study was to validate the Comprehensive ICF Core Set for low b...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2010.12.011
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Nonspecific neck pain patients form a heterogeneous group with different musculoskeletal impairments. Classifying nonspecific neck pain patients into subgroups based on clinical characteristics might lead to more comprehensive diagnoses and can guide effective management. OBJECTIVE:To establish consensus am...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.07.005
更新日期:2016-12-01 00:00:00
abstract::Tinnitus can be evoked or modulated by input from the somatosensory and somatomotor systems. This means that the loudness or intensity of tinnitus can be changed by sensory or motor stimuli such as muscle contractions, mechanical pressure on myofascial trigger points, transcutaneous electrical stimulation or joint mov...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2015.11.008
更新日期:2016-06-01 00:00:00
abstract::Approximately 5-20% of postpartum women suffer from long-lasting pelvic girdle pain (PGP). The etiology and pathogenesis of PGP are still unclear. The aim of this study was to examine whether subjects with and without persisting PGP and disability differed with respect to their ability to voluntarily contract the deep...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2005.07.003
更新日期:2006-11-01 00:00:00
abstract::With pain a frequent precipitant in individuals seeking manual therapy, it is important for therapists to adequately assess pain. At one level, pain forms an important part of the diagnostic assessment. It is suggested that a simple, reliable and quantitative pain measure be used in patients who present with routine p...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1054/math.1999.0205
更新日期:1999-11-01 00:00:00
abstract::Tendinopathy is a term used to describe a painful tendon disorder but despite being a well-recognised clinical presentation, a definitive understanding of the pathoaetiology of rotator cuff tendinopathy remains elusive. Current explanatory models, which relate to peripherally driven nocioceptive mechanisms secondary t...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2013.07.005
更新日期:2013-12-01 00:00:00
abstract::Previous studies have examined the effectiveness of a manual therapy intervention known as Mobilization with Movement (MWM) to increase dorsiflexion range of motion (ROM) in individuals with chronic ankle instability (CAI). While a single talocrural MWM treatment has increased dorsiflexion ROM in these individuals, ex...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2013.10.001
更新日期:2014-04-01 00:00:00
abstract::There is evidence that temporomandibular disorder (TMD) may be a contributing factor to cervicogenic headache (CGH), in part because of the influence of dysfunction of the temporomandibular joint on the cervical spine. The purpose of this randomized controlled trial was to determine whether orofacial treatment in addi...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2012.12.005
更新日期:2013-08-01 00:00:00
abstract::Rehabilitative Ultrasound Imaging (RUSI) has been validated as a noninvasive method to measure activation of selected muscles. The purpose of this study was to determine the relationship between muscle thickness change, as measured by ultrasonography, and electromyography (EMG) activity of the lumbar multifidus (LM) m...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.06.011
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Low back disorders are prevalent and directional preference management is a common treatment with mixed evidence for effectiveness. OBJECTIVES:To determine the effectiveness of individualised directional preference management plus guideline-based advice versus advice alone in participants with reducible dis...
journal_title:Manual therapy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.math.2016.06.002
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Subjective visual vertical (SVV) assesses visual dependence for spacial orientation, via vertical perception testing. Using the computerized rod-and-frame test (CRFT), SVV is thought to be an important measure of cervical proprioception and might be greater in those with whiplash associated disorder (WAD), b...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.08.005
更新日期:2015-02-01 00:00:00