Study Results
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Basic Information
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WITHDRAWN
NA
INTERVENTIONAL
2018-03-01
2019-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Chuna Manual Therapy (CMT)
1. Chuna manual therapy (CMT), 2 sessions/week, 6 weeks (12 sessions in total)
2. 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.
Chuna Manual Therapy
* Unique manual therapy in traditional Korean medicine
* Mandatory techniques for neck part and selective techniques for other part (if necessary)
* Selective techniques depends on a patient's condition (judged by traditional Korean medicine doctor)
Usual care
1. Physical therapy based on traditional Korean medicine theory
* Electrical stimulation: either Meridian muscle interferential current electricity or Meridian transcutaneous electricity
* Heat stimulation: either Hot pack or Infrared lamp
2. Patient education
* Physical and pathological explanation of cervicogenic dizziness
* Cause and risk factors of cervicogenic dizziness
* Functions of muscles related to cervicogenic dizziness
* Home exercising to self-manage cervicogenic dizziness
Usual Care (UC)
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
1. Physical therapy based on traditional Korean medicine theory
* Electrical stimulation: either Meridian muscle interferential current electricity or Meridian transcutaneous electricity
* Heat stimulation: either Hot pack or Infrared lamp
2. Patient education
* Physical and pathological explanation of cervicogenic dizziness
* Cause and risk factors of cervicogenic dizziness
* Functions of muscles related to cervicogenic dizziness
* Home exercising to self-manage cervicogenic dizziness
Interventions
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Chuna Manual Therapy
* Unique manual therapy in traditional Korean medicine
* Mandatory techniques for neck part and selective techniques for other part (if necessary)
* Selective techniques depends on a patient's condition (judged by traditional Korean medicine doctor)
Usual care
1. Physical therapy based on traditional Korean medicine theory
* Electrical stimulation: either Meridian muscle interferential current electricity or Meridian transcutaneous electricity
* Heat stimulation: either Hot pack or Infrared lamp
2. Patient education
* Physical and pathological explanation of cervicogenic dizziness
* Cause and risk factors of cervicogenic dizziness
* Functions of muscles related to cervicogenic dizziness
* Home exercising to self-manage cervicogenic dizziness
Eligibility Criteria
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Inclusion Criteria
* 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 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
20 Years
70 Years
ALL
No
Sponsors
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Kyunghee University
OTHER
Responsible Party
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Lee Eui-ju
Professor, Ph.D. KMD.
Principal Investigators
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Euiju Lee, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Kyunghee University
Locations
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Kyung Hee University Korean Medicine Hospital
Seoul, Special Seoul City, South Korea
Kyung Hee University Korean Medicine Hospital at Gangdong
Seoul, , South Korea
Countries
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References
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Reid SA, Callister R, Snodgrass SJ, Katekar MG, Rivett DA. Manual therapy for cervicogenic dizziness: Long-term outcomes of a randomised trial. Man Ther. 2015 Feb;20(1):148-56. doi: 10.1016/j.math.2014.08.003. Epub 2014 Aug 27.
Li Y, Peng B. Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician. 2015 Jul-Aug;18(4):E583-95.
Yacovino DA, Hain TC. Clinical characteristics of cervicogenic-related dizziness and vertigo. Semin Neurol. 2013 Jul;33(3):244-55. doi: 10.1055/s-0033-1354592. Epub 2013 Sep 21.
RYAN GM, COPE S. Cervical vertigo. Lancet. 1955 Dec 31;269(6905):1355-8. doi: 10.1016/s0140-6736(55)93159-7. No abstract available.
Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther. 2000 Dec;30(12):755-66. doi: 10.2519/jospt.2000.30.12.755.
Reid SA, Rivett DA. Manual therapy treatment of cervicogenic dizziness: a systematic review. Man Ther. 2005 Feb;10(1):4-13. doi: 10.1016/j.math.2004.03.006.
Reid SA, Rivett DA, Katekar MG, Callister R. Efficacy of manual therapy treatments for people with cervicogenic dizziness and pain: protocol of a randomised controlled trial. BMC Musculoskelet Disord. 2012 Oct 18;13:201. doi: 10.1186/1471-2474-13-201.
Karlberg M, Magnusson M, Malmstrom EM, Melander A, Moritz U. Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin. Arch Phys Med Rehabil. 1996 Sep;77(9):874-82. doi: 10.1016/s0003-9993(96)90273-7.
Heikkila H, Johansson M, Wenngren BI. 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):151-7. doi: 10.1054/math.2000.0357.
Minguez-Zuazo A, Grande-Alonso M, Saiz BM, La Touche R, Lara SL. Therapeutic patient education and exercise therapy in patients with cervicogenic dizziness: a prospective case series clinical study. J Exerc Rehabil. 2016 Jun 30;12(3):216-25. doi: 10.12965/jer.1632564.282. eCollection 2016 Jun.
Other Identifiers
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HB16C0010-CMT
Identifier Type: -
Identifier Source: org_study_id
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