Effects of Vestibular Exercises and Motor Control in Cervicogenic Dizziness

NCT05125250 | Completed DMC

• 1 other identifier: REC/00963 Amber
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The feelings of imbalance, unsteadiness, and disorientation with cervicogenic dizziness is not clear. It has been suggested that a disruption of the normal afferent signals from the upper cervical proprioceptors to the vestibular nucleus results in an inaccurate depiction of head and neck orientation in space due to highly developed proprioceptive system that allows the neuromuscular control of cervical spine and effective use of vital organs in the head through unique connections to the vestibular and visual systems. Motor Control Therapeutic Exercises and vestibular exercises have been used to increase motor control and reduce pain and disability in patients with neck pain.

Conditions

Cervical Pain

Outcome Measures

Primary Outcomes (3)

• Dizziness Handicap Inventory Scale

  The purpose of this scale is to identify difficulties that you may be experiencing because of your dizziness. It has three subscales namely physical, emotional and functional. The total maximum score is 100 and minimum is 0.

  Change from Baseline ,dizziness to 4Weeks, 8 weeks

• Neck Disability Index (NDI)

  This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Is 10 item scale each item assesses different neck pain complaints. The total maximum score is 50 and minimum is 0

  Change from Baseline , to 4Weeks, 8 weeks

• Berg Balance Scale

  Berg Balance Scale is a 14 items scale, to assess static and dynamic balance. Scoring of this scale is done on a 5 point scale where 0 is inability to perform a task and 4 shows the independent task performance. The maximum score of this scale is 56 showing excellent performance

  Change from Baseline , balance and fall prevention to 4Weeks, 8 weeks

Study Arms (2)

Motor Control Group

EXPERIMENTAL

This group will receive treatment which comprises of therapeutic exercises, During the first 4 weeks, motor control and ROM exercises will be prescribed in order to improve muscular endurance of deep flexors muscles and to improve the ROM of cervical spine in flexion, extension, rotation and side bending and lateral rotation in. These exercises will be performed at a rate of 3 sets and an intensity of 15 repetitions per day

Other: Motor Control Group

Vestibular Group

ACTIVE COMPARATOR

This Group will receive vestibular exercises which comprises of postural awareness training; Standing on a balance board, Foveal vision exercises.

Other: Vestibular Group

Interventions

Motor Control Group OTHER

will received treatment which comprises of therapeutic exercises, During the first 4 weeks, motor control and ROM exercises will be prescribed in order to improve muscular endurance of deep flexors muscles and to improve the ROM of cervical spine in flexion, extension, rotation and side bending and lateral rotation in. These exercises will be performed at a rate of 3 sets and an intensity of 15 repetitions per day .

Motor Control Group

Vestibular Group OTHER

will receive vestibular exercises which comprises of postural awareness training, balance board exercises, Foveal vision exercises .

Vestibular Group

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age: 30-65 years
• Gender both
• Pain and dizziness lasting for at least 3 months;
• Pain intensity corresponding to at least 3 points on a 10-point numeric pain rating scale;
• Restricted cervical range of movement (flexion, extension, rotation and side-bending);
• Presence of neck pain associated with disability according to the NDI greater than or equal to 5 points;
• Presence of subjective dizziness associated with pain, movement, stiffness or specific postures of the cervical region

You may not qualify if:

• Any other systemic or neurodegenerative pathology, presence of trauma or recent surgery to the head, face, neck or chest;
• specific diagnosis of central or peripheral dizziness;
• History of previous physical-therapy intervention for the cervical region;
• Any cognitive impairment that hindered viewing of audiovisual material;
• Difficulty understanding or communicating

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan General Railway Hospital

Rawalpindi, 46000, Pakistan

Location

Related Publications (3)

• Lystad RP, Bell G, Bonnevie-Svendsen M, Carter CV. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropr Man Therap. 2011 Sep 18;19(1):21. doi: 10.1186/2045-709X-19-21.

  PMID: 21923933 BACKGROUND

• 4. Schenk RP, Coons LB, Bennett SE, Huijbregts PA. Cervicogenic dizziness: a case report illustrating orthopaedic manual and vestibular physical therapy comanagement. Journal of Manual & Manipulative Therapy. 2006 Jul 1;14(3):56E-68E.

  BACKGROUND

• Schenk R, Coons LB, Bennett SE, Huijbregts PA: Cervicogenic dizziness: A case report illustrating manual and vestibular physical therapy comanagement. The Journal of Manual & Manipulative Therapy. 2006, 14 (3): E56-E68.

  BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Misbah Ghous

  Riphah college of Rehabilitation and Allied Health sciences Islamabad

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 8, 2021
• First Posted: November 18, 2021
• Study Start: November 15, 2021
• Primary Completion: June 30, 2022
• Study Completion: June 30, 2022
• Last Updated: December 12, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)