You can save yourself $400 by testing cervical ROM this way!

n/a

Abnormal cervical range of motion (ROM) has been used as part of the clinical decision making for the diagnosis of Cervicogenic Dizziness.  The limitation in range of motion, as well as pain to palpation to upper cervical spinal structures, can help the clinician differentiate between dizziness of vestibular origin vs cervical origin.

I am classically more of an “eye-ball” kind of ROM guy but continuing to look for objective ways to assess cervical dysfunction to not only prove a difference to the patient, but also for goal setting.

Currently the gold standard and most objective way to clinically measure the ROM is the CROM device (Cervical Range of Movement).  I was part of a study about a decade ago and used the device, but it is expensive (upwards to $400) and potentially necessary in a clinical environment.   Plus — its ugly and patients feel weird with it on!  I mean — she doesn’t look too happy does she

You can learn more about the screening and treatment process of Cervicogenic Dizzinesss through Integrative Clinical Concepts, where the author and his wife, a Vestibular Specialist, teach a 2-day course.  Pertinent to this blog post, the first day provides the most up-to-date evidence review from multiple disciplines to diagnose through the “Optimal Sequence Algorithm” to assist in ruling out disorders and ruling in cervical spine, including determining if single or double entity exists.  

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 prices and discounts.

Sign up for more emails on this topic by clicking here

Authors

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

Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts

Danielle N. Vaughan, PT, DPT, Vestibular Specialist  

Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts

http://intouchpt.wordpress.com/