Clinical trial NCT06866587: Cervical Dizziness in Patients With Acute Non-specific Neck Pain
Official title: Evaluation of Proprioceptive Sense in Patients With Acute Non-specific Neck Pain and Elucidation of Its Relationship With Cervical Vertigo.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dizziness
Neck Pain
Elastography
Keywords: elastography
neck pain
cervical dizziness
Lead sponsor: Yuzuncu Yıl University
Sponsor class: OTHER
First posted: 2025-03-10
Enrollment: 121
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: 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.
Primary purpose: TREATMENT

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.

Detailed description: The primary aim of this study was to investigate the contribution of cervical proprioception impairment to the development of cervical dızzıness in patients with acute non specific neck pain and to determine the efficacy of the treatment and follow-up performed in patients coexisting with cervical dizziness and nonspecific neck pain. Our hypothesis was that the objective measurement of muscle stiffness with shear-wave elastography could aid in the differential diagnosis in patients coexisting with cervical dizziness and non specific neck pain.

Eligibility criteria: Inclusion Criteria:

* Inclusion criteria were as follows: pain on palpation in the neck area, neck stiffness, tension and tenderness in the neck muscles, and cervical movement limitation. All the patients included in the study had no history of a maneuver for dizziness, no history of ototoxic drug use, and had normal hearing.

Exclusion Criteria:

* Exclusion criteria included presence of benign paroxysmal positional vertigo (BPPV), Meniere's disease, migraine-associated vertigo, vertebrobasilar insufficiency, postural hypotension, a history of trauma to the cervical region, myofascial pain syndrome, and neurological, rheumatological, and systemic diseases. Additionally, patients detected with neck-related conditions (cervical spondylosis, cervical disc hernia, fracture, dislocation, spondylolisthesis, scoliosis) and fibromyalgia in cervical magnetic resonance imaging (MRI) were also excluded from the study.

Primary outcomes:
measure: Neck pain Visual analog scale scores
timeFrame: Patients were invited for follow-up visits at 2, 6, 8 weeks and at 3, 4, 6, and 12 months.
measure: Dizziness Handicap Inventory,
timeFrame: Patients were invited for follow-up visits at 2, 6, 8 weeks and at 3, 4, 6, and 12 months.
measure: Vertigo Dizziness Imbalance Symptom Scale (VDI-SS),
timeFrame: Patients were invited for follow-up visits at 2, 6, 8 weeks and at 3, 4, 6, and 12 months.
Secondary outcomes:
Other outcomes:
Locations:
city: VAN
country: Turkey
facility: Yüzüncü yıl University Faculty of Medicine Dursun Odabas Medical Center
state: Tuşba
Study officials:
References: