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This registration has moved to a local ICTRP (CRIS; https://cris.nih.go.kr, KCT0002565).
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chuna Manual Therapy (CMT) | Experimental |
|
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| Usual Care (UC) | Active Comparator | Usual care therapy (UC), 2 sessions/week, 6 weeks (12 sessions in total)
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chuna Manual Therapy | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline Dizziness Handicap Inventory (DHI) score at week 6 | Week 0, Week 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline Dizziness Handicap Inventory (DHI) score at week 3 | Week 0, Week 3 | |
| Changes from baseline Mean Vertigo Score (MVS) at each measurement week | Week 0, Week 3, Week 6 | |
| Measure | Description | Time Frame |
|---|---|---|
| New Blinding Index (New BI) | Week 6 |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Euiju Lee, Ph.D. | Kyunghee University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kyung Hee University Korean Medicine Hospital | Seoul | Special Seoul City | 02447 | South Korea | ||
| Kyung Hee University Korean Medicine Hospital at Gangdong |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25220110 | Background | 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. | |
| 26218949 | Background | Li Y, Peng B. Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician. 2015 Jul-Aug;18(4):E583-95. |
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|
| Usual care | Procedure |
|
|
| Changes from baseline Visual Analogue Scale (VAS) score at each measurement week |
| Week 0, Week 3, Week 6 |
| Changes from baseline Frequency of Dizziness score at each measurement week | Week 0, Week 3, Week 6 |
| Changes from baseline Pain Intensity Numerical Rating Scale (PI-NRS) score at each measurement week | Week 0, Week 3, Week 6 |
| Changes from baseline Neck Disability Index (NDI) score at each measurement week | Week 0, Week 3, Week 6 |
| Changes from baseline Cervical Range of Motion (CROM) value at each measurement week | Week 0, Week 3, Week 6 |
| Global Perceived Effect (GPE) score at each measurement week | Week 6 |
| Changes from baseline Korean version of Perceived Stress Scale (K-PSS) score at each measurement week | Week 0, Week 3, Week 6 |
| Changes from baseline EuroQoL Five Dimensions Questionnaire (EQ-5D) score at each measurement week | Week 0, Week 3, Week 6 |
| Seoul |
| 05278 |
| South Korea |
| 24057828 | Background | 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. |
| 13279136 | Background | 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. |
| 11153554 | Background | 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. |
| 15681263 | Background | 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. |
| 23078200 | Background | 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. |
| 8822677 | Background | 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. |
| 11034885 | Background | 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. |
| 27419118 | Background | 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. |