ChiroACCESS Clinical Review

Dizziness of Cervical Origin: Therapy

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Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

August 2, 2007

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Only 2 interventions for the treatment of dizziness of cervical origin (DCO) have been explored in multiple studies. Information on interventions beyond proprioceptive-exercise training and manual therapy is sparse in the scientific literature.

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Ekvall HE, Mansson NO, Ringsberg KA, Hakansson A. Dizziness among patients with whiplash-associated disorder: a randomized controlled trial. J Rehabil Med 2006; 38(6):387-390.


Jull G, Falla D, Treleaven J, Hodges P, Vicenzino B. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res 2007; 25(3):404-412.


Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther 2000; 30(12):755-766.


Ernst A, Basta D, Seidl RO, Todt I, Scherer H, Clarke A. Management of posttraumatic vertigo. Otolaryngol Head Neck Surg 2005; 132(4):554-558.


Storaci R, Manelli A, Schiavone N, Mangia L, Prigione G, Sangiorgi S. Whiplash injury and oculomotor dysfunctions: clinical-posturographic correlations. Eur Spine J 2006; 15(12):1811-1816.


Palmgren PJ, Sandstrom PJ, Lundqvist FJ, Heikkila H. Improvement after chiropractic care in cervicocephalic kinesthetic sensibility and subjective pain intensity in patients with nontraumatic chronic neck pain. J Manipulative Physiol Ther 2006; 29(2):100-106.


Reid SA, Rivett DA. Manual therapy treatment of cervicogenic dizziness: a systematic review. Man Ther 2005; 10(1):4-13.


Galm R, Rittmeister M, Schmitt E. Vertigo in patients with cervical spine dysfunction. Eur Spine J 1998; 7(1):55-58.


Grod JP, Diakow PR. Effect of neck pain on verticality perception: a cohort study. Arch Phys Med Rehabil 2002; 83(3):412-415.


Heikkila H, Johansson M, Wenngren B-I. Effects of Acupuncture, Cervical Manipulation and NSAID Therapy on Dizziness and Impaired Head Repositioning of Suspected Cervical Origin: A Pilot Study . 2000 AUG Vol. 5(3) Pgs. 151-7. Man Ther 2007; 5(3):151-157.


Swartz R, Longwell P. Treatment of vertigo. Am Fam Physician 2005; 71(6):1115-1122.

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