Dizziness of Cervical Origin: Prevention
This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.
Dwain M. Daniel, D.C.
How this evidence was rated:
Strength of Recommendation Taxonomy (SORT)
August 2, 2007
The diagnosis of cervicogenic vertigo has not been accepted universally
within the healthcare community (1) and others feel vertigo itself has
been poorly defined in the literature (2). Rather than argue semantics,
for the purpose of this paper, the term dizziness of cervical origin
(DCO) and cervicogenic vertigo will be considered interchangeable and a
valid clinical diagnosis. It has been clearly established in the
scientific literature that there is significant afferent input from the
mechanoreceptors in the cervical spine and surrounding soft tissue and
these afferent impulses play an important role in proprioception (3-6).
It has been postulated that disturbed afferent input due to injury
reduces joint position sense, an essential component of proprioception
(7-9). Clinically, dizziness and light-headedness are often seen in the
physician’s office as a result of whiplash injury. Additionally these
symptoms are a relatively common presenting complaint in the
chiropractor’s office (10), regardless of etiology and, based on
clinical evidence, respond well to spinal manipulation.
As would be expected due to its inherent controversy, little research has taken place relating to prevention and risk factors.
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