Biobehavioural analysis of the vestibular system and posture control in patients with cervicogenic dizziness. A cross-sectional study

Grande-Alonso, Mónica; Saiz, B. Moral; Zuazo, Andoni; Lara, Sergio Lerma; Touche, Roy La

doi:10.1016/j.nrleng.2016.06.006

Cited by 16 publications

(35 citation statements)

References 41 publications

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“…Two of the studies found that patients with CD had reduced postural control compared with both patients with only neck pain and healthy controls . The last two studies found reduced postural control in CD patients compared with healthy controls …”

Section: Resultsmentioning

confidence: 96%

“…All studies reported exclusion of causes of dizziness/vertigo, such as vestibular and central. The studies described in detail the method and examination used for ruling out patients with other causes of dizziness or vertigo, except for one . However, this study noted that presence of an otorhinolaryngological diagnosis of central or peripheral vertigo would exclude the patient from their study.…”

Section: Resultsmentioning

confidence: 99%

“…L'Heureux‐Lebeau et al found no difference in anxiety or dizziness handicap between patient with CD and those with BPPV, using the Dizziness Handicap Inventory and State‐Trait Anxiety Inventory. Grande‐Alonso et al found that patients with CD had higher fear of movement and higher anxiety and depression levels than asymptomatic individuals, as measured by the Tampa Scale for Kinesophobia and Hospital Anxiety and Depression Scale.…”

Section: Resultsmentioning

confidence: 99%

“…However, one study included dizziness “described as unsteadiness triggered by neck movement” as a criterion. Another study included dizziness “associated with pain, movement rigidity, or certain neck positions” as a criterion …”

Section: Resultsmentioning

confidence: 99%

“…Heikkila et al excluded patients with vertigo persisting for less than 3 months. Grande‐Alonso et al required a duration of neck pain and dizziness for more than 3 months. Yahia et al specified chronic neck pain for more than 3 months, while Alund et al included patients with localized neck pain and stiffness for more than 1 year.…”

Section: Discussionmentioning

confidence: 99%

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Clinical characteristics in patients with cervicogenic dizziness: A systematic review

Knapstad

Nordahl

Goplen

2019

Health Science Reports

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Background and aims Cervicogenic dizziness (CD) is a clinical syndrome of dizziness associated with neck dysfunction. CD represents a considerable diagnostic challenge since dizziness and neck pain are common symptoms with complex and multifactorial etiologies. Both research and clinical work on CD is limited by the lack of accepted diagnostic criteria. The aim of this study was to review clinical studies on CD and to assess current evidence regarding the clinical characteristics of this syndrome. Methods A comprehensive PubMed and MEDLINE search was conducted from the date of inception of the database, with the last search conducted in September 2018. Included studies had to contain operable diagnostic criteria as well as a comparison between patients considered to have CD and a clinical comparison group. Data extracted were clinical outcomes, diagnostic criteria, age, sex, and sample size. Studies were assessed for methodological quality using the Crowe Critical Appraisal Tool. Results Out of 2161 screened studies, eight studies comprising 225 patients met the inclusion criteria. Studies were of low to acceptable methodological quality. The most frequent and consistent clinical characteristic in patients classified as having CD, compared with other populations, was reduced posturographic stability. The most consistent diagnostic criteria were based on the concurrence of neck pain with dizziness after exclusion of other possible reasons for dizziness. Conclusion There are few studies examining clinical characteristics in patients with cervicogenic dizziness. Altered posturography appeared to be the only consistent characteristic used when distinguishing CD from other populations. Diagnostic criteria currently used in research are likely to have low specificity, since they rest on the exclusion of other causes rather than on positive distinctive features. More studies are needed to better understand the clinical interrelations between dizziness and neck pain.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical characteristics in patients with cervicogenic dizziness: A systematic review

Knapstad

Nordahl

Goplen

2019

Health Science Reports

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Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

et al. 2020

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Objectives/Hypothesis This study aimed to assess the association of prior cervical spondylosis (CS) with peripheral vertigo. Study Design Case–control study. Methods Data were retrieved from the Taiwan Longitudinal Health Insurance Database. A total of 2,570 patients who were newly diagnosed with peripheral vertigo were identified. We compared them with a 3:1 ratio of propensity score–matched patients, 7,710 comparison patients from the same dataset. We performed multivariate logistic regressions to estimate the odds ratio for prior CS occurrence among peripheral vertigo patients versus controls. Results Of 10,280 sample patients, 1,739 (16.92%) patients had CS prior to the index date. A significant difference in prior CS between peripheral vertigo patients and controls (19.49% vs. 16.06%, P < .001) was observed. Logistic regression analysis shows that the odds of prior CS was 1.285 for peripheral vertigo patients versus controls (95% confidence interval [CI]: 1.143‐1.446) after adjusting for age, sex, urbanization level, monthly income, geographic region, hyperlipidemia, diabetes, coronary heart disease, hypertension, and asthma. Prior CS with myelopathy was not associated with peripheral vertigo. Stratified analysis by age showed that the odds of CS were highest among patients with peripheral vertigo in the 45‐ to 64‐year‐old age group (1.442, 95% CI: 1.215‐1.712). Conclusions CS is associated with subsequent peripheral vertigo in the Taiwan population, with higher risk among those aged 45 to 64 years. Level of Evidence 2b Laryngoscope, 131:E625–E630, 2021

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Prevalence and distribution of musculoskeletal pain in patients with dizziness—A systematic review

Moen

Magnussen

Wilhelmsen

et al. 2022

Physiotherapy Res Intl

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Background and purpose: Musculoskeletal disorders are among the leading causes of disability globally, but their role in patients with dizziness and imbalance is not well understood or explored. Such knowledge may be important as musculoskeletal pain and dizziness can mutually influence each other, leading to a complex condition requiring more comprehensive approaches to promote successful recovery. We conducted a systematic review to examine the extent and characteristic of reported musculoskeletal pain in patients with dizziness. Methods: A comprehensive literature search in Medline, Embase, Cochrane, Scopus, Amed, Google Scholar, SveMed+, and Web of Science was conducted in March 2021. Inclusion criteria were studies examining patients with a vestibular diagnosis, patients with cervicogenic dizziness and patients included based on having dizziness as a symptom; and reported musculoskeletal pain. Data regarding age, sex, sample size, diagnosis and musculoskeletal pain was extracted. The Crowe Critical Appraisal Tool was used for assessing methodical quality of the included studies.Results: Out of 1507 screened studies, 16 studies met the inclusion criteria. The total sample consisted of 1144 individuals with dizziness. The frequency of patients reporting pain ranged between 43% and 100% in the included studies. Pain intensity were scored between 5 and 7 on a 0-10 scale. Pain in the neck and shoulder girdle was most often reported, but musculoskeletal pain in other parts of the body was also evident. Discussion:In the included studies, musculoskeletal pain was highly prevalent in patients with dizziness, with pain intensity that may have a moderate to severe interference with daily functioning. Pain in the neck and shoulder is well documented, but there are few studies addressing musculoskeletal pain in additional parts of the body. More research is needed to understand the relations between dizziness and musculoskeletal pain. K E Y W O R D S dizziness, musculoskeletal pain, vertigoThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Biobehavioural analysis of the vestibular system and posture control in patients with cervicogenic dizziness. A cross-sectional study

Cited by 16 publications

References 41 publications

Clinical characteristics in patients with cervicogenic dizziness: A systematic review

Clinical characteristics in patients with cervicogenic dizziness: A systematic review

Association of Cervical Spondylosis With Peripheral Vertigo: A Case–Control Study

Prevalence and distribution of musculoskeletal pain in patients with dizziness—A systematic review

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