Chuna Manual Therapy for Cervicogenic Dizziness (CHERIE)
Cervicogenic Dizziness
About this trial
This is an interventional treatment trial for Cervicogenic Dizziness
Eligibility Criteria
Inclusion Criteria:
- male or female aged between 20 and 70
- neck pain and/or stiffness with dizziness, which is related to movement or positioning of cervical spine
- recurring symptom of dizziness over 1 month or more
- Dizziness Handicap Inventory ≥ 16 at baseline
- Informed consent
Exclusion Criteria:
- dizziness induced by vestibular disorders (e.g., benign paroxysmal positional vertigo, peripheral vestibulopathy, Meniere disease, vestibular neuronitis)
- dizziness induced by central nervous system (CNS) disorders (e.g., cerebellar ataxia,cerebellum infarction/hemorrhage, demyelination, vertebrobasilar insufficiency, seizure, increased intracranial pressure, Parkinson's disease, migraines)
- dizziness induced by cardiovascular disorders (e.g., arrhythmia, heart valvular disease, anemia, orthostatic hypotension, coronary artery disease)
- dizziness induced by active or uncontrolled disease (e.g., uncontrolled diabetes mellitus, hypertension, respiratory or endocrinological disorders)
- dizziness induced by side effects of medications
- severe chronic or terminal diseases (malignant cancer, tuberculosis, etc.)
- chronic psychiatric diseases under treatment (epilepsy, depression, panic disorder, etc.)
- conditions where CMT are forbidden (spinal tumor, acute fracture, infectious spondylopathy, congenital malformations of spine, operation history of spine within 3 months, progressive neurological damage, severe neurological symptoms, spinal fixation devices, syringomyelia, hydrocephaly)
- Treatment history within 1 week for cervicogenic dizziness (NSAIDs, steroid, herbal drug, acupuncture, manual therapy)
- Women of (suspected) pregnancy or breast-feeding
- Suspicion of alcohol and/or drug abuse
- Participation in another clinical study within 1 month
- Difficulty in communicating with the investigators
- Other reasons for ineligibility of participation
Sites / Locations
- Kyung Hee University Korean Medicine Hospital
- Kyung Hee University Korean Medicine Hospital at Gangdong
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Chuna Manual Therapy (CMT)
Usual Care (UC)
Chuna manual therapy (CMT), 2 sessions/week, 6 weeks (12 sessions in total) Usual care therapy (UC), 2 sessions/week, 6 weeks (12 sessions in total) Usual care consists of physical therapy and patients education. Physical therapy consists of meridian muscle interferential current electricity (or meridian transcutaneous electricity) and hot pack (or infrared lamp). Patients will be educated about cause and risk factors of cervicogenic dizziness, general neck muscle functions, self-exercising for relieving the symptoms. CMT and UC group will receive the same UC regimen.
Usual care therapy (UC), 2 sessions/week, 6 weeks (12 sessions in total) Usual care consists of physical therapy and patients education. Physical therapy consists of meridian muscle interferential current electricity (or meridian transcutaneous electricity) and hot pack (or infrared lamp). Patients will be educated about cause and risk factors of cervicogenic dizziness, general neck muscle functions, self-exercising for relieving the symptoms. CMT and UC group will receive the same UC regimen.