Cervical Dizziness in Patients With Acute Non-specific Neck Pain

NCT ID: NCT06866587

Last Updated: 2025-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-14

Study Completion Date

2025-02-01

Brief Summary

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Acute non-specific neck pain (ANSNP) is one of the causes of cervicogenic dizziness (CD).To investigate the severity of CD in patients with ANSNP and to determine the efficacy of the treatment and follow-up.

Detailed Description

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The primary aim of this study was to investigate the contribution of cervical proprioception impairment to the development of cervical dızzıness in patients with acute non specific neck pain and to determine the efficacy of the treatment and follow-up performed in patients coexisting with cervical dizziness and nonspecific neck pain. Our hypothesis was that the objective measurement of muscle stiffness with shear-wave elastography could aid in the differential diagnosis in patients coexisting with cervical dizziness and non specific neck pain.

Conditions

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Dizziness Neck Pain Elastography

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

A number of questionnaires were administered to the patients, including Demographic Data Form, Neck Pain Visual Analogue Scale (Neck-VAS), Neck Disability Index (NDI), Dizziness Handicap Inventory (DHI), Dizziness Visual Analogue Scale (Dizziness-VAS), Vertigo Dizziness Imbalance Symptom Scale (VDI-SS), and Quality of Life Scale (VDI-QOLS) both before and after treatment. Patients that had a recurrent attack of CD during the follow-up period underwent shear-wave elastography (SWE) for the assessment of the stiffness of neck muscles.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients diagnosed with cervical dizziness

A patient-specific, comprehensive clinical examination was performed in each patient. In addition, a detailed patient history was obtained from each patient. To diagnose CD, Head- Neck Differentiation Test (HNDT) and Cervical Torsion Test (CTT) were performed using Frenzel lenses. Patients that were found to be positive in either of these two tests after the exclusion of other peripheral and central causes were diagnosed with cervical Dizziness.

Group Type OTHER

exercise therapy

Intervention Type OTHER

Priorities of the treatment included care and interventions to avoid inappropriate neck positions and to provide a regular exercise program for neck muscles and ergonomics training (ergonomic arrangements for desk setup, reading position, computer and mobile phone use, handcrafts, television watching, and pillow height). Of note, patients were advised to avoid cold exposure, particularly in the neck area (air-conditioned environments, wet hair, and holding the hair dryer too close to the scalp). Patients that did not show improvement after training and regular exercise were initiated on medical treatment after the second week and were given myorelaxant gel and oral tablets (diclofenac sodium) for the neck area.

Interventions

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exercise therapy

Priorities of the treatment included care and interventions to avoid inappropriate neck positions and to provide a regular exercise program for neck muscles and ergonomics training (ergonomic arrangements for desk setup, reading position, computer and mobile phone use, handcrafts, television watching, and pillow height). Of note, patients were advised to avoid cold exposure, particularly in the neck area (air-conditioned environments, wet hair, and holding the hair dryer too close to the scalp). Patients that did not show improvement after training and regular exercise were initiated on medical treatment after the second week and were given myorelaxant gel and oral tablets (diclofenac sodium) for the neck area.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria:

* Inclusion criteria were as follows: pain on palpation in the neck area, neck stiffness, tension and tenderness in the neck muscles, and cervical movement limitation. All the patients included in the study had no history of a maneuver for dizziness, no history of ototoxic drug use, and had normal hearing.

Exclusion Criteria:

* Exclusion criteria included presence of benign paroxysmal positional vertigo (BPPV), Meniere's disease, migraine-associated vertigo, vertebrobasilar insufficiency, postural hypotension, a history of trauma to the cervical region, myofascial pain syndrome, and neurological, rheumatological, and systemic diseases. Additionally, patients detected with neck-related conditions (cervical spondylosis, cervical disc hernia, fracture, dislocation, spondylolisthesis, scoliosis) and fibromyalgia in cervical magnetic resonance imaging (MRI) were also excluded from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yuzuncu Yıl University

OTHER

Sponsor Role lead

Responsible Party

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Semra Ağırbaş

asst.prof.dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Yüzüncü yıl University Faculty of Medicine Dursun Odabas Medical Center

Van, Tuşba, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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04.04.2019/ 2019-07

Identifier Type: -

Identifier Source: org_study_id

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