cervicogenic dizziness

[Alessia]

Ciao!
Here are some other articles that i found of interest:
Mitchell J. Doppler insonation of vertebral artery blood flow changes
associated with cervical spine rotation: Implications for manual therapists.
Physiother Theory Pract. 2007 Nov-Dec;23(6):303-13

Bayrak IK, Durmus D, Bayrak AO, Diren B, Canturk F. Effect of cervical
spondylosis on vertebral arterial flow and its association with vertigo. Clin
Rheumatol. 2009 Jan;28(1):59-64

Karatas M. Central vertigo and dizziness: epidemiology, differential
diagnosis, and common causes. Neurologist. 2008 Nov;14(6):355-64

Endo K, Suzuki H, Yamamoto K.
Consciously postural sway and cervical vertigo after whiplash injury.
Spine. 2008 Jul 15;33(16):E539-42

Cheers

[thabiso]

Hi,

Try this article
Landel R. Dizziness: A Screening Examination and Differential Diagnosis Decision-Making Process for Physiotherapist. Physiotherapy Singapore 2002;5(3):46-50

The educata website must have something from him in more detail as well.

All the best

[sheri]

Hi, i have not read the presenting articles in the previous posts. i shall do so shortly though
not going to harp on about the various possible causes of the problem. what i do know from experience is that patients with neck pain with related dizziness/nausea/vertigo have ridiculously tight and tender anterior cervical musculature. these are very often ignored and physio head straight for the upper traps, lev scap etc etc. lie the patient in supine with the head rotated to the contralateral side and extended (if position does not reproduce dizziness) and just palpate SCM, scalenes etc. this palpation can often reproduce symptoms.
in addition to this dizziness is related to neural structures. i would try gentle neural mobilisation probably just passive neck flexion with/without an added slump (see butlers text).

good luck with your project!

[sheri]

found this excellent case study which assists in going about differentiating causes for dizziness. its online in pdf format:

http://jmmtonline.com/documents/v14n3/SchenkV14N3.pdf