Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. | Lystad et al. Chiropractic Manual Therapies 2011 19 21 http content 19 1 21 CHIROPRACTIC MANUAL THERAPIES REVIEW Open Access Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness a systematic review Reidar P Lystad Gregory Bell Martin Bonnevie-Svendsen and Catherine V Carter Abstract Background Manual therapy is an intervention commonly advocated in the management of dizziness of a suspected cervical origin. Vestibular rehabilitation exercises have been shown to be effective in the treatment of unilateral peripheral vestibular disorders and have also been suggested in the literature as an adjunct in the treatment of cervicogenic dizziness. The purpose of this systematic review is to evaluate the evidence for manual therapy in conjunction with or without vestibular rehabilitation in the management of cervicogenic dizziness. Methods A comprehensive search was conducted in the databases Scopus Mantis CINHAL and the Cochrane Library for terms related to manual therapy vestibular rehabilitation and cervicogenic dizziness. Included studies were assessed using the Maastricht-Amsterdam criteria. Results A total of fifteen articles reporting findings from thirteen unique investigations including five randomised controlled trials and eight prospective non-controlled cohort studies were included in this review. The methodological quality of the included studies was generally poor to moderate. All but one study reported improvement in dizziness following either unimodal or multimodal manual therapy interventions. Some studies reported improvements in postural stability joint positioning range of motion muscle tenderness neck pain and vertebrobasilar artery blood flow velocity. Discussion Although it has been argued that manual therapy combined with vestibular rehabilitation may be superior in the treatment of cervicogenic dizziness there are currently no observational and experimental studies demonstrating such effects. A rationale .
