Cervical Dizziness in Patients With Acute Non-specific Neck Pain

NCT06866587 | Completed

• 1 other identifier: 04.04.2019/ 2019-07
• Study Type: interventional
• Target: 121
• Locations: 1 country
• Sites: 1

Brief Summary

Acute non-specific neck pain (ANSNP) is one of the causes of cervicogenic dizziness (CD).To investigate the severity of CD in patients with ANSNP and to determine the efficacy of the treatment and follow-up.

Conditions

Dizziness; Neck Pain; Elastography

Keywords

elastography; neck pain; cervical dizziness

Outcome Measures

Primary Outcomes (3)

• Neck pain Visual analog scale scores

  Neck Pain Visual Analogue Scale (Neck-VAS) consists of an 11-point numerical rating scale, in which 0 indicates "no pain at all" and 10 indicates "worst possible pain."

  Patients were invited for follow-up visits at 2, 6, 8 weeks and at 3, 4, 6, and 12 months.

• Dizziness Handicap Inventory,

  Disability Index (NDI), developed as a modification of the Oswestry Disability Index, was used to assess neck pain-specific disability. NDI consists of 10 items including (i) pain, (ii) personal care, (iii) lifting, (iv) reading, (v) headaches, (vi) concentration, (vii) work, (viii) driving, (ix) sleeping, and (x) recreation. Each item is rated on a 6-point Likert scale (0= no disability, 5= total disability) and the scoring intervals for interpretation include 0-4 (no limitation), 5-14 (mild limitation), 15-24 (moderate limitation), 25-34 (severe limitation), and above 34 (completely limited).

  Patients were invited for follow-up visits at 2, 6, 8 weeks and at 3, 4, 6, and 12 months.

• Vertigo Dizziness Imbalance Symptom Scale (VDI-SS),

  Vertigo Dizziness Imbalance Symptom Scale (VDI-SS) is used to assess head imbalance and the severity and frequency of dizziness symptoms. The scale consists of 14 items scored between 0 and 5. Vertigo Dizziness Imbalance Quality of Life Scale (VDI- QOLS) consists of 22 items scored between 0 and 5 and the severity of the symptoms is evaluated based on the total score.

  Patients were invited for follow-up visits at 2, 6, 8 weeks and at 3, 4, 6, and 12 months.

Study Arms (1)

Patients diagnosed with cervical dizziness

OTHER

A patient-specific, comprehensive clinical examination was performed in each patient. In addition, a detailed patient history was obtained from each patient. To diagnose CD, Head- Neck Differentiation Test (HNDT) and Cervical Torsion Test (CTT) were performed using Frenzel lenses. Patients that were found to be positive in either of these two tests after the exclusion of other peripheral and central causes were diagnosed with cervical Dizziness.

Other: exercise therapy

Interventions

exercise therapy OTHER

Priorities of the treatment included care and interventions to avoid inappropriate neck positions and to provide a regular exercise program for neck muscles and ergonomics training (ergonomic arrangements for desk setup, reading position, computer and mobile phone use, handcrafts, television watching, and pillow height). Of note, patients were advised to avoid cold exposure, particularly in the neck area (air-conditioned environments, wet hair, and holding the hair dryer too close to the scalp). Patients that did not show improvement after training and regular exercise were initiated on medical treatment after the second week and were given myorelaxant gel and oral tablets (diclofenac sodium) for the neck area.

Patients diagnosed with cervical dizziness

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

Sponsors & Collaborators

• Yuzuncu Yil University: lead

Study Sites (1)

Yüzüncü yıl University Faculty of Medicine Dursun Odabas Medical Center

Van, Tuşba, 65090, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Dizziness; Neck Pain

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: asst.prof.dr

Model Details: A number of questionnaires were administered to the patients, including Demographic Data Form, Neck Pain Visual Analogue Scale (Neck-VAS), Neck Disability Index (NDI), Dizziness Handicap Inventory (DHI), Dizziness Visual Analogue Scale (Dizziness-VAS), Vertigo Dizziness Imbalance Symptom Scale (VDI-SS), and Quality of Life Scale (VDI-QOLS) both before and after treatment. Patients that had a recurrent attack of CD during the follow-up period underwent shear-wave elastography (SWE) for the assessment of the stiffness of neck muscles.

Study Record Dates

• First Submitted: February 27, 2025
• First Posted: March 10, 2025
• Study Start: April 14, 2019
• Primary Completion: February 1, 2025
• Study Completion: February 1, 2025
• Last Updated: March 10, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)