Evalution of the effectiveness of multimodal approach to the management of cervical vertigo.
Identifieur interne : 000108 ( Main/Exploration ); précédent : 000107; suivant : 000109Evalution of the effectiveness of multimodal approach to the management of cervical vertigo.
Auteurs : Olexandr A. Jaroshevskyi [Ukraine] ; Oleksandr S. Payenok [Ukraine] ; Anna V. Logvinenko [Ukraine]Source :
- Wiadomosci lekarskie (Warsaw, Poland : 1960) [ 0043-5147 ]
Descripteurs français
- KwdFr :
- Adulte (MeSH), Association thérapeutique (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Jeune adulte (MeSH), Manipulation vertébrale (méthodes), Mesure de la douleur (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Syndromes de la douleur myofasciale (complications), Syndromes de la douleur myofasciale (imagerie diagnostique), Syndromes de la douleur myofasciale (thérapie), Thérapie par acupuncture (méthodes), Vertige (complications), Vertige (imagerie diagnostique), Vertige (thérapie), Vertèbres cervicales (imagerie diagnostique), Vertèbres cervicales (physiopathologie).
- MESH :
- imagerie diagnostique : Syndromes de la douleur myofasciale, Vertige, Vertèbres cervicales.
- méthodes : Manipulation vertébrale, Thérapie par acupuncture.
- physiopathologie : Vertèbres cervicales.
- thérapie : Syndromes de la douleur myofasciale, Vertige.
- complications : Adulte, Association thérapeutique, Femelle, Humains, Indice de gravité de la maladie, Jeune adulte, Mesure de la douleur, Mâle, Résultat thérapeutique, Syndromes de la douleur myofasciale, Vertige.
English descriptors
- KwdEn :
- Acupuncture Therapy (methods), Adult (MeSH), Cervical Vertebrae (diagnostic imaging), Cervical Vertebrae (physiopathology), Combined Modality Therapy (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Manipulation, Spinal (methods), Myofascial Pain Syndromes (complications), Myofascial Pain Syndromes (diagnostic imaging), Myofascial Pain Syndromes (therapy), Pain Measurement (MeSH), Severity of Illness Index (MeSH), Treatment Outcome (MeSH), Vertigo (complications), Vertigo (diagnostic imaging), Vertigo (therapy), Young Adult (MeSH).
- MESH :
- complications : Myofascial Pain Syndromes, Vertigo.
- diagnostic imaging : Cervical Vertebrae, Myofascial Pain Syndromes, Vertigo.
- methods : Acupuncture Therapy, Manipulation, Spinal.
- physiopathology : Cervical Vertebrae.
- therapy : Myofascial Pain Syndromes, Vertigo.
- Adult, Combined Modality Therapy, Female, Humans, Male, Pain Measurement, Severity of Illness Index, Treatment Outcome, Young Adult.
Abstract
INTRODUCTION
Vertigo is one of the most common complaints among patients consulting neurologists and general practitioners - family medicine. A special form of dizziness is cervical vertigo. However, the presence of chronic vertigo and imbalance in this group of patients makes it possible to include the treatment of vestibular rehabilitation in the program.
AIM
Evalution of the effectiveness of multimodal approach to the management of cervical vertigo.
MATERIAL AND METHODS
109 patients aged from 18 to 45 with vertigo together with myofascial pain syndrome of neck and shoulder area were examined. The survey included a sample of Dix-Hallpike, neurological and otoneurological examinations, Doppler ultrasound of the main arteries of the head and neck, brain MRI, functional spondylography of the cervical spine. For quantitive evaluation of the impact of vertigo on daily life the questionnaire DHI (Dizziness Handicap Inventory) was used. Testing was performed in two stages - before treatment and in 2 weeks' time. Patients were randomly divided into 3 groups which differ in their therapeutic tactics.
RESULTS
In all three groups the normalization of the biomechanical pattern and elimination of musculo-tonic disorders accompanied by a decrease of a pain syndrome and a decrease in the severity or complete regression of dizziness and postural instability. At the same time, in groups 2 and 3, in which in addition to manual therapy, patients received acupuncture, there was a distinct positive dynamics of a pain syndrome according to VAS, Neck Disability Index and the Dizziness Handicap Inventory. A marked regression of vertigo and postural instability can be observed in patients in which the treatment along with manual therapy and acupuncture, a complex of vestibular rehabilitation was used.
CONCLUSIONS
The multimodal approach using manual therapy in combination with acupuncture and vestibular rehabilitation showed the maximum therapeutic effect on elimination of musculo-tonic disorders, reduction of a pain syndrome with a complete regression of vertigo and postural instability.
PubMed: 28713084
Affiliations:
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A special form of dizziness is cervical vertigo. However, the presence of chronic vertigo and imbalance in this group of patients makes it possible to include the treatment of vestibular rehabilitation in the program.</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>Evalution of the effectiveness of multimodal approach to the management of cervical vertigo.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>109 patients aged from 18 to 45 with vertigo together with myofascial pain syndrome of neck and shoulder area were examined. The survey included a sample of Dix-Hallpike, neurological and otoneurological examinations, Doppler ultrasound of the main arteries of the head and neck, brain MRI, functional spondylography of the cervical spine. For quantitive evaluation of the impact of vertigo on daily life the questionnaire DHI (Dizziness Handicap Inventory) was used. Testing was performed in two stages - before treatment and in 2 weeks' time. Patients were randomly divided into 3 groups which differ in their therapeutic tactics.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>In all three groups the normalization of the biomechanical pattern and elimination of musculo-tonic disorders accompanied by a decrease of a pain syndrome and a decrease in the severity or complete regression of dizziness and postural instability. At the same time, in groups 2 and 3, in which in addition to manual therapy, patients received acupuncture, there was a distinct positive dynamics of a pain syndrome according to VAS, Neck Disability Index and the Dizziness Handicap Inventory. A marked regression of vertigo and postural instability can be observed in patients in which the treatment along with manual therapy and acupuncture, a complex of vestibular rehabilitation was used.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The multimodal approach using manual therapy in combination with acupuncture and vestibular rehabilitation showed the maximum therapeutic effect on elimination of musculo-tonic disorders, reduction of a pain syndrome with a complete regression of vertigo and postural instability.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28713084</PMID><DateCompleted><Year>2018</Year><Month>10</Month><Day>02</Day></DateCompleted><DateRevised><Year>2018</Year><Month>10</Month><Day>04</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0043-5147</ISSN><JournalIssue CitedMedium="Print"><Volume>70</Volume><Issue>3 pt 2</Issue><PubDate><MedlineDate>2017</MedlineDate></PubDate></JournalIssue><Title>Wiadomosci lekarskie (Warsaw, Poland : 1960)</Title><ISOAbbreviation>Wiad Lek</ISOAbbreviation></Journal><ArticleTitle>Evalution of the effectiveness of multimodal approach to the management of cervical vertigo.</ArticleTitle><Pagination><MedlinePgn>571-573</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Vertigo is one of the most common complaints among patients consulting neurologists and general practitioners - family medicine. A special form of dizziness is cervical vertigo. However, the presence of chronic vertigo and imbalance in this group of patients makes it possible to include the treatment of vestibular rehabilitation in the program.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">Evalution of the effectiveness of multimodal approach to the management of cervical vertigo.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">109 patients aged from 18 to 45 with vertigo together with myofascial pain syndrome of neck and shoulder area were examined. The survey included a sample of Dix-Hallpike, neurological and otoneurological examinations, Doppler ultrasound of the main arteries of the head and neck, brain MRI, functional spondylography of the cervical spine. For quantitive evaluation of the impact of vertigo on daily life the questionnaire DHI (Dizziness Handicap Inventory) was used. Testing was performed in two stages - before treatment and in 2 weeks' time. Patients were randomly divided into 3 groups which differ in their therapeutic tactics.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In all three groups the normalization of the biomechanical pattern and elimination of musculo-tonic disorders accompanied by a decrease of a pain syndrome and a decrease in the severity or complete regression of dizziness and postural instability. At the same time, in groups 2 and 3, in which in addition to manual therapy, patients received acupuncture, there was a distinct positive dynamics of a pain syndrome according to VAS, Neck Disability Index and the Dizziness Handicap Inventory. A marked regression of vertigo and postural instability can be observed in patients in which the treatment along with manual therapy and acupuncture, a complex of vestibular rehabilitation was used.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The multimodal approach using manual therapy in combination with acupuncture and vestibular rehabilitation showed the maximum therapeutic effect on elimination of musculo-tonic disorders, reduction of a pain syndrome with a complete regression of vertigo and postural instability.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jaroshevskyi</LastName><ForeName>Olexandr A</ForeName><Initials>OA</Initials><AffiliationInfo><Affiliation>Department of Reflexology Medical Academy of Postgraduate Education, Kharkіv, Ukraine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Payenok</LastName><ForeName>Oleksandr S</ForeName><Initials>OS</Initials><AffiliationInfo><Affiliation>Department of Physical Rehabilitation State University of Physical Culture, Lviv, Ukraine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Logvinenko</LastName><ForeName>Anna V</ForeName><Initials>AV</Initials><AffiliationInfo><Affiliation>Department Of Reflexology Medical Academy of Postgraduate Education, Kharkіv, Ukraine.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Poland</Country><MedlineTA>Wiad Lek</MedlineTA><NlmUniqueID>9705467</NlmUniqueID><ISSNLinking>0043-5147</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D015670" MajorTopicYN="N">Acupuncture Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002574" MajorTopicYN="N">Cervical Vertebrae</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020393" MajorTopicYN="N">Manipulation, Spinal</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009209" MajorTopicYN="N">Myofascial Pain Syndromes</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N"> management of cervical vertigo</Keyword><Keyword MajorTopicYN="N"> vestibular rehabilitation</Keyword><Keyword MajorTopicYN="N">acupuncture </Keyword><Keyword MajorTopicYN="N">manual therapy </Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28713084</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ukraine</li></country></list><tree><country name="Ukraine"><noRegion><name sortKey="Jaroshevskyi, Olexandr A" sort="Jaroshevskyi, Olexandr A" uniqKey="Jaroshevskyi O" first="Olexandr A" last="Jaroshevskyi">Olexandr A. Jaroshevskyi</name></noRegion><name sortKey="Logvinenko, Anna V" sort="Logvinenko, Anna V" uniqKey="Logvinenko A" first="Anna V" last="Logvinenko">Anna V. Logvinenko</name><name sortKey="Payenok, Oleksandr S" sort="Payenok, Oleksandr S" uniqKey="Payenok O" first="Oleksandr S" last="Payenok">Oleksandr S. Payenok</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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