Traction Manipulation of Upper Cervical Spine on Cervicogenic Dizziness

Study Overview
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Brief Summary
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Manual therapy reduces symptoms in patients with cervicogenic dizziness. The mobilization and manipulation of upper cervical spine are the most popular treatment in this patients. The International Federation of Orthopaedic Manipulative Physical Therapists suggest different recommendations for the safety application of manual therapy techniques in the upper cervical spine, traction manipulation techniques complies with this conditions. However, there isn´t investigation about the effect of traction manipulation in patients with cervicogenic dizziness. The aim of this study is to investigate the effects of traction manipulation in dizziness intensity, range of motion of cervical spine and quality of life on patients with cervicogenic dizziness.

Official Title
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Effectiveness of Traction Manipulation of Upper Cervical Spine on Cervicogenic Dizziness

Conditions
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Dizziness, Neck Pain

Intervention / Treatment
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* Other: Intervention Group
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Dizziness associated with neck stiffness and/or neck pain. Hypomobility of upper cervical spine. Sing the informed consent form. Exclusion Criteria: Contraindications for Traction manipulation. Pending litigation or legal claim. Poor language and communication skills making difficult to understand the informed consent.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>Investigators will performed traction manipulation of those articulations of upper cervical spine with indication for this treatment. Before manipulation soft tissue techniques will be applied in order to prepare the joint. After manipulation the patient rest in supine position. The intervention will have a duration of 10 minutes. | Other: Intervention Group<br> <br> |
| Other: Control Group<br>The patient of the control group maintain the supine position for 10 minutes. | Other: Control Group<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of baseline in Dizziness Intensity (100mm VAS) at 1 week and 1 month |  | Baseline- 1 week- 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of baseline in range of motion of cervical spine change (Tool: Cervical range of motion) |  | Baseline- 1 week- 1 month | 
| Change of baseline in upper cervical spine range of motion (Tool: Cervical range of motion) |  | Baseline- 1 week- 1 month | 
| Change of baseline in dizziness Handicap Inventory (questionnaire) |  | Baseline- 1 week- 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Manual Therapy, Physiotherapy, Manipulation