VERTIGO AND CHIROPRACTIC
 
   

Chiropractic and Vertigo or Balance

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:   Frankp@chiro.org

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Chiropractic and Vertigo
 
   


  
Sixty Patients With Chronic Vertigo Undergoing Upper Cervical Chiropractic Care to Correct Vertebral Subluxation: A Retrospective Analysis
Journal of Vertebral Subluxation Research 2006 (Nov 8); 1–9 ~ FULL TEXT

Two diagnostic tests, paraspinal digital infrared imaging and laser-aligned radiography, were performed according to IUCCA protocol. These tests objectively identify trauma-induced upper cervical subluxations (misalignments of the upper cervical spine from the neural canal) and resulting neuropathophysiology. Upper cervical subluxations were found in all 60 cases. All 60 patients responded to IUCCA upper cervical care within one to six months of treatment. Forty-eight patients were symptom-free following treatment and twelve cases were improved in that the severity and/or frequency of vertigo episodes were reduced.


  
Cervical Vertigo After Hair Shampoo Treatment at a Hairdressing Salon: A Case Report
Spine 2000 (Mar 1);   25 (5):   632–634

The authors suggest that the hyperextended neck position during hair shampoo treatment in a beauty parlor may be a risk factor for back lifting or cerebellum vascular insufficiency. Public education should lead to avoidance of this position during hair shampoo treatment at hair dressing salons.


  
Clinical Study on Manipulative Treatment of Derangement
of the Atlantoaxial Joint

J Tradit Chin Med 1999 (Dec);   19 (4):   273–278

The derangement of the atlantoaxial joint is one of main cervical sources of dizziness and headache, which were based on the observation on the anatomy of the upper cervical vertebrae, analysis of X-ray film of the atlantoaxial joint, and the manipulative treatment in 35 patients with cervical spondylosis. The clinical diagnosis of derangement consists of: dizziness, headache, prominence and tenderness on one side of the affected vertebra, deviation of the dens for 1 mm-4 mm on the open-mouth X-ray film, abnormal movement of the atlantoaxial joint on head-rotated open-mouth X-ray film. An accurate and delicate adjustment is the most effective treatment.


  
Therapy of Functional Disorders of the Craniovertebral Joints
in Vestibular Diseases

Laryngorhinootologie 1992 (May);   71 (5):   246–250

Cervicogenic vertigo is caused by functional disorders of the craniovertebral joints. The therapeutic effect of chiropractic treatment in 28 patients with vertigo and purely functional disorders of the upper cervical spine or with a combination of functional disorders of the upper cervical spine and the labyrinth was evaluated. In our opinion chiropractic treatment is mandatory for the therapy of patients with vestibular affections and functional disorders of the craniovertebral joints.

 
   

Chiropractic and Balance or Proprioception
 
   

   Single-Leg Balance
            Charles Masarsky, DC

           Even if your practice is not involved in any formal program to rehabilitate balance and proprioception, it is still worthwhile to inform your patients of the interaction between subluxation and balance. The following patient education article is designed to be useful regardless of whether or not you are deeply involved in rehabilitation. Please feel free to use it for bulletin-board display, front-desk handouts, lay lectures or tableside talks.


  
The Effects of Spinal Manipulation on Cervical Kinesthesia in Patients With Chronic Neck Pain: A Pilot Study
J Manipulative Physiol Ther 1997 (Feb);   20 (2):   80–85

Subjects receiving manipulation demonstrated a mean reduction in visual analogue scores of 44%, along with a 41% improvement in mean scores for the head repositioning skill. In comparison, a 9% mean reduction in visual analogue scores and a 12% improvement in head repositioning scores was observed for the stretching group. The difference in the outcomes of the head repositioning skill scores was significant (p < or = .05).


  
Effects of Acupuncture, Cervical Manipulation and NSAID therapy on Dizziness and Impaired Head Repositioning of Suspected Cervical Origin: A Pilot Study
Man Ther 2000 (Aug);   5 (3):   151–157

The effects of different forms of therapy-and none-on dizziness and neck pain were compared, using a 100 mm visual analogue scale (VAS). Active head relocation by subjects with dizziness was significantly less precise than in the control group. Manipulation was the only treatment to diminish the duration of dizziness/vertigo complaints during the past 7 days and increased the cervical range of motion. Both acupuncture and manipulation reduced dizziness/vertigo on the VAS scale and had positive effects on active head repositioning.


  
Cervicocephalic Kinesthetic Sensibility, Active Range of Cervical Motion, and Oculomotor Function in Patients with Whiplash Injury
Arch Phys Med Rehabil 1998 (Sep);   79 (9):   1089–1094

Active head repositioning was significantly less precise in the whiplash subjects than in the control group. Failures in oculomotor functions were observed in 62% of subjects. Significant correlations occurred between smooth pursuit tests and active cervical range of motion. The results suggest that restricted cervical movements and changes in the quality of proprioceptive information from the cervical spine region affect voluntary eye movements. A flexion/extension injury to the neck may result in dysfunction of the proprioceptive system. Oculomotor dysfunction after neck trauma might be related to cervical afferent input disturbances.


  
Therapy of Functional Disorders of the Craniovertebral Joints in Vestibular Diseases
Laryngorhinootologie 1992 (May);   71 (5):   246–250

In our opinion chiropractic treatment is mandatory for the therapy of patients with vestibular affections and functional disorders of the craniovertebral joints.


  
Chiropractic Effects on Athletic Ability
           Chiropractic: The J Chiro Res and Clin Invest 1991;   6 (4):   84–87

           In this study, chiropractic researchers gave chiropractic adjustments to an experimental group, while the control group was simply monitored. Reaction time was measured before the season began and at six weeks. In the control group, the improvement in reaction time at the six-week check-up was less than 1 percent. On the other hand, the experimental group's reaction time was 18 percent faster.


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