Chuna Manual Therapy for Cervicogenic Dizziness (CHERIE)

Kyung Hee University

Status: Withdrawn

Conditions: Cervicogenic Dizziness

Treatments: Procedure: Chuna Manual Therapy; Procedure: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT03291912

HB16C0010-CMT

Details and patient eligibility

About

This is a prospective, pragmatic, assessor-blind, randomized controlled trial to explore the effectiveness of an adjuvant Chuna manual therapy (CMT) for cervicogenic dizziness of Dizziness Handicap Inventory (DHI) ≥ 16 at baseline. Participants will be randomized and allocated to either CMT combined with usual care (UC) group or UC group with 1:1 ratio. They will receive 12 sessions of CMT or UC treatment for 6 weeks. UC consists of physical therapy and patients education.

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• male or female aged between 20 and 70
• 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 vestibular disorders (e.g., benign paroxysmal positional vertigo, peripheral vestibulopathy, Meniere disease, vestibular neuronitis)
• 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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0 participants in 2 patient groups

Chuna Manual Therapy (CMT)

Experimental group

Description:

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.

Treatment:

Procedure: Chuna Manual Therapy

Procedure: Usual care

Usual Care (UC)

Active Comparator group

Description:

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.

Treatment:

Procedure: Usual care