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. 2020 Mar 23;9(1):62.
doi: 10.1186/s13643-020-01335-4.

Physical therapy interventions for cervicogenic dizziness in a military-aged population: protocol for a systematic review

Carrie W Hoppes  1 , Anthony J Romanello  2 , Kathryn E Gaudette  2 , William K Herron  2 , Anne E McCarthy  2 , Catherine J McHale  2 , Joan Bares  3 , Rose Turner  4 , Susan L Whitney  5
Affiliations

Physical therapy interventions for cervicogenic dizziness in a military-aged population: protocol for a systematic review

Carrie W Hoppes et al. Syst Rev. .

Abstract

Background: Traumatic cervicogenic dizziness is dizziness that is temporally associated with neck pain and injury after other causes of dizziness have been excluded. It can lead to activity limitations and participation restrictions that may include lost duty or work days. The objective of this systematic review is to determine which interventions are most effective in decreasing dizziness or vertigo and neck pain in military-aged adults with traumatic cervicogenic dizziness.

Methods: The literature will be systematically searched using the following online databases: MEDLINE, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, CENTRAL, Cochrane Methodology Register), CINAHL, SCOPUS, Web of Science, and J-STAGE. The review will include randomized controlled trials (RCTs), including cluster RCTs and controlled (non-randomized) clinical trials or cluster trials, and observational studies (including prospective and retrospective comparative cohort and case-control or nested case-control studies) and determine the effectiveness of physical therapy interventions for the treatment of traumatic cervicogenic dizziness in military-aged adults. Assessment of methodological quality will be performed by two independent, blinded reviewers using the PEDro scale. The level of evidence will be determined using the GRADE scale. The primary outcome measures will be change in dizziness and neck pain and disability from baseline to the last available follow-up, measured using the Dizziness Handicap Inventory and Neck Disability Index. Other relevant outcome measures will include self-reported change in symptoms, time to return to duty or work, and quality of life.

Discussion: This systematic review will identify, evaluate, and integrate the evidence on the effectiveness of physical therapy interventions for cervicogenic dizziness in a military-aged population. We anticipate our findings may inform individual treatment and future research. Clinical recommendations generated from this systematic review may inform military physical therapy treatment of individuals with cervicogenic dizziness.

Systematic review registration: In accordance with the guidelines, our systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 21 January 2020 (registration number CRD42020150853). In the event of protocol amendments, the date of each amendment will be accompanied by a description of the change and the rationale.

Keywords: Cervicogenic dizziness; Military; Physical therapy; Systematic review.

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Conflict of interest statement

The views expressed are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, Department of the Navy, Department of the Air Force, Department of Defense, or the US Government.

References

    1. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract. 1998;48(429):1131–1135. - PMC - PubMed
    1. Strupp M, Brandt T. Diagnosis and treatment of vertigo and dizziness. Dtsch Arztebl Int. 2008;105(10):173–180. - PMC - PubMed
    1. Li Y, Peng B. Pathogenesis, diagnosis, and treatment of cervical vertigo. Pain Physician. 2015;18(4):E583–E595. - PubMed
    1. Ryan GM, Cope S. Cervical vertigo. Lancet. 1955;269(6905):1355–1358. - PubMed
    1. Hulse M. Differential diagnosis of vertigo in functional cervical vertebrae joint syndromes and vertebrobasilar insufficiency. HNO. 1982;30(12):440–446. - PubMed