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By Harrison N. Vaughan, PT, DPT, OCS, Cert. SMT
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2 manual techniques are better than 1 for Cervicogenic Dizziness

Friday, May 17, 2019 9:24

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Generally speaking, combined procedures are what most clinicians perform in the clinic. This is due to multiple impairments (such as joint restriction, heightened muscle tone, motor control deficits, etc) are typically found in a patient suffering from cervical pain. Randomized trials have to limit variables in order to make a correlation hypothesis so as clinicians “in the trenches” who are looking for the best approaches to manage our patients, reviewing the results of randomized trials have limitations.

Even though most aged clinicians in our industry are tired of the “comparison” model of different manual therapy techniques, I like how this study combined techniques for a 3rd group — one of which I personally see better improvements in the clinic vs a single procedure. I’m sure all treating clinicians agree.

Interesting enough to the clinician, the Dizziness Handicap Inventory did not show a significant improvement in the combined groups compared to single procedures. See table below.

This is how we approach Cervicogenic Dizziness, coming solely as a single entity but also combined entity (i.e. associated with BPPV, mTBI, concussion, whiplash, peripheral hypofunction, etc). We do this through our Physio Blend — a solid mix of combined approaches with research from the Physical Therapy (Manual and Vestibular Rehabilitation) Chiropractic, Acupuncture, and Osteopathic Medicine. We find that this is the ultimate combined approach for this more complex and “moving parts” diagnosis.

You can learn more about the screening and treatment process of Cervicogenic Dizzinesss through Integrative Clinical Concepts, where the authors (husband–a manual therapist a wife—a vestibular specialist), teach a very unique course combining both the theory and practice of vestibular and manual principles in their 2-day course. Pertinent to this blog post, the 2nd day includes the “Physio Blend”, a multi-faceted physiotherapist approach to the management of Cervicogenic Dizziness, which includes treatments of the articular and non-articular system of manual therapy and the most updated sensorimotor exercise regimen.

If you would like to host a course for your staff (either a vestibular, neuro, sports or ortho clinic), please do not hesitate to contact me at [email protected] for more information.

AUTHORS

Harrison N. Vaughan, PT, DPT, OCS, Dip. Osteopracic, FAAOMPT

Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts

Danielle N. Vaughan, PT, DPT, Vestibular Specialist

http://intouchpt.wordpress.com/

Source: https://intouchpt.wordpress.com/2019/05/17/2-manual-techniques-are-better-than-1-for-cervicogenic-dizziness/

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