Download PDF
manuelletherapie 2016; 20(03): 116-121
DOI: 10.1055/s-0042-108662
Schwerpunkt Schwindel
Vertiefung
Georg Thieme Verlag KG Stuttgart · New York

Zervikogener Schwindel – ein Überblick zu Diagnose und evidenzbasierter Therapie

Sue Reid
1   School of Physiotherapy, Faculty of Health Sciences Australian Catholic University, Level 9, 33 Berry Street North Sydney | NSW | 2060, URL: www.acu.edu.au
› Author Affiliations
Further Information

Publication History

Publication Date:
22 July 2016 (online)

    Permissions and Reprints

Zusammenfassung

Zervikogener Schwindel ist eine Ausschlussdiagnose. Ein verlässlicher Test für eine Diagnose existiert nicht, sodass der Therapeut sich mit Hilfe eines Flussdiagrammes und eines klaren Clinical Reasonings bewegt, um Hypothesen zu verwerfen und zu bestätigen. Lautet die Behandlungshypothese dann zervikogener Schwindel, ist die Evidenz für Manuelle Therapie gut – sie bewegt sich immerhin auf Level 2 [31].

Anmerkung der Redaktion: Der Artikel ist aus dem Englischen übersetzt. In der englischen Sprache wird zwischen Vertigo und Dizziness unterschieden. Diese Unterscheidung gibt es in der deutschen Sprache üblicherweise nicht – im Deutschen existiert nur der Begriff Schwindel. In dem Artikel wird Dizziness, was eher ein Überbegriff ist und oft Vertigo miteinbezieht, mit Schwindel übersetzt und der Begriff Vertigo, der eher den vestibulären Schwindel meint, aus dem Englischen übernommen.

 

  • Literaturverzeichnis

  • 1 Aspinall W. Clinical testing for cervical mechanical disorders which produce ischemic vertigo. The Journal of Orthopaedic and Sports Physical Therapy 1989; 11: 176-182
    CrossrefPubMedGoogle Scholar
  • 2 Baloh RW, Halmagyi GM. Disorders of the vestibular system. New York: Oxford University Press; 1996
    Google Scholar
  • 3 Bisdorff A, Von Brevern M, Lempert T et al. Classification of vestibular symptoms: towards an international classification of vestibular disorders. J Vestib Res 2009; 19 (1–2) 1-13
    PubMedGoogle Scholar
  • 4 Bjorne A, Agerberg G. Reduction in sick leave and costs to society of patients with Menieres disease after treatment of temperomandibular and cervical disorders. Cranio 2003; 21 (2) 136-143
    PubMedGoogle Scholar
  • 5 Bogduk N. Cervical causes of headache and dizziness. In: Grieve G. ed. Modern manual therapy of the vertebral column. New York: Churchill Livingstone; 1986: 289-302
    Google Scholar
  • 6 Brandt T. Cervical vertigo--reality or fiction?. Audiology & Neuro-Otology 1996; 1 (4) 187-196
    CrossrefPubMedGoogle Scholar
  • 7 Drachman D, Hart C. An approach to the dizzy patient. Neurology 1972; 22: 323-334
    CrossrefPubMedGoogle Scholar
  • 8 Du HG, Wei H, Huang MZ et al. Randomized controlled trial on manipulation for the treatment of cervical vertigo of high flow velocity type. Zhongguo Gushang 2010; 23 (3) 212-215
    PubMedGoogle Scholar
  • 9 Fang J. Observation of curative effect on fixed-point spin reduction of spinal manipulation therapy for cervical vertigo. Zhongguo Gushang 2010; 23 (2) 99-101
    PubMedGoogle Scholar
  • 10 Fattori B, Ursino F, Cingolani C et al. Acupuncture treatment of whiplash injury. International Tinnitus Journal 2004; 10 (2) 156-160
    PubMedGoogle Scholar
  • 11 Fernández L, Breinbauer HA, Delano PH. Vertigo and Dizziness in the Elderly. Frontiers In Neurology 2015; 6: 144-144
    PubMedGoogle Scholar
  • 12 Furman J, Whitney S. Central causes of dizziness. Physical Therapy 2000; 80 (2) 179-187
    PubMedGoogle Scholar
  • 13 Galm R, Rittmeister M, Schmitt E. Vertigo in patients with cervical spine dysfunction. European Spine Journal 1998; 7: 55-58
    CrossrefPubMedGoogle Scholar
  • 14 Gopinath B, McMahon CM, Rochtchina E et al. Dizziness and vertigo in an older population: the Blue Mountains prospective cross-sectional study. Clinical Otolaryngology 2009; 34 (6) 552-556
    CrossrefPubMedGoogle Scholar
  • 15 Halker RB, Barrs DM, Wellik KE et al. Establishing a diagnosis of benign paroxysmal positional vertigo through the dix-hallpike and side-lying maneuvers: a critically appraised topic. Neurologist 2008; 14 (3) 201-204
    CrossrefPubMedGoogle Scholar
  • 16 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. Manual Therapy 2000; 5 (3) 151-157
    CrossrefPubMedGoogle Scholar
  • 17 Hinoki M. Vertigo due to whiplash injury: A neurotological approach. Acta Otolaryngologica (Stockholm) Supplementum 1985; 419: 9-29
    PubMedGoogle Scholar
  • 18 Huijbregts P, Vidal P. Dizziness in Orthopaedic Physical Therapy Practice: Classification and Pathophysiology. Journal of Manual & Manipulative Therapy 2004; 12 (4) 199-214
    CrossrefPubMedGoogle Scholar
  • 19 Hulse M. Disequelibrium caused by a functional disturbance of the upper cervical spine, clinical aspects and differential diagnosis. Manual Medicine 1983; 1 (1) 18-23
    PubMedGoogle Scholar
  • 20 Humphries B, Bolton J, Peterson C et al. A cross-sectional study of the association between pain and disability in neck pain patients with dizziness of suspected cervical origin. Journal of Whiplash and Related Disorders 2002; 1 (2) 63-73
    PubMedGoogle Scholar
  • 21 Humphreys BK, Peterson C. Comparison of outcomes in neck pain patients with and without dizziness undergoing chiropractic treatment: a prospective cohort study with 6 month follow-up. Chiropr Man Therap 2013; 21 (1) 3
    CrossrefPubMedGoogle Scholar
  • 22 Kang F, Wang QC, Ye YG. A randomised controlled trial of rotatory reduction manipulation and acupoint massage in the treatment of younger cervical vertigo. Zhongguo Gu Shang 2008; 21: 270-2
    PubMedGoogle Scholar
  • 23 Karlberg M, Johansson M, Magnussen M et al. Dizziness of suspected cervical origin distinguished by posturographic assessment of human postural dynamics. Journal of Vestibular Research 1996; 6 (1) 37-47
    CrossrefPubMedGoogle Scholar
  • 24 Karlberg M, Magnusson M, Malmstrom EM et al. Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin. Archives of Physical Medicine & Rehabilitation 1996; 77 (9) 874-882
    CrossrefPubMedGoogle Scholar
  • 25 Kerry R, Taylor A, Mitchell J et al. Cervical artery dysfunction and manual therapy: a critical literature review to inform professional practice. Manual Therapy 2008; 13: 278-288
    CrossrefPubMedGoogle Scholar
  • 26 Kondratek M, Creighton D, Krauss J. Use of translatoric mobilization in a patient with cervicogenic dizziness and motion restriction: A case report. Journal of Manual and Manipulative Therapy 2006; 14 (3) 140-151
    CrossrefPubMedGoogle Scholar
  • 27 Konrad K, Gereneser F. Manuelle Therapie bei Schwindelpatienten [Manual treatment in patients with vertigo]. Manual Medicine 1990; 28 (4) 62-64
    PubMedGoogle Scholar
  • 28 Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. Journal of Orthopaedic & Sports Physical Therapy 2009; 39 (5) 364-377
    CrossrefPubMedGoogle Scholar
  • 29 Li Y, Peng B. Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician 2015; 18 (4) E583-E595
    PubMedGoogle Scholar
  • 30 Luxon LM. Vertigo in old age. Vertigo. Chichester: Wiley and Sons; 1984
    Google Scholar
  • 31 Lystad RP, Bell G, Bonnevie-Svendsen M et al. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropr Man Therap 2011; 19 (1) 21-23
    CrossrefPubMedGoogle Scholar
  • 32 Magarey M, Rebbeck T, Coughlan B et al. Pre-manipulative testing of the cervical spine review, revision and new clinical guidelines. Manual Therapy 2004; 9: 95-108
    CrossrefPubMedGoogle Scholar
  • 33 Mahlstedt K, Westhofen M, König K. Zur Therapie funktioneller Kopfgelenksstörungen bei Vestibularisaffektionen. Therapy of Disorders of the Craniovertebral Joints – Combined with Vestibular Disorders. Laryngo-Rhino-Otol 1992; 71 (5) 246-250
    PubMedGoogle Scholar
  • 34 Maitland G. Vertebral manipulation. London: Butterworth Heineman; 1977
    Google Scholar
  • 35 Maitland G. Vertebral manipulation. 6th ed. Oxford: butter worth Heineken; 2001
    Google Scholar
  • 36 Malmström EM, Karlberg M, Melander A et al. Cervicogenic dizziness – musculoskeletal findings before and after treatment and long-term outcome. Disability And Rehabilitation 2007; 29 (15) 1193-1205
    CrossrefPubMedGoogle Scholar
  • 37 Mulligan B. Manual therapy NAGS, SNAGS and MWMs etc. 5th ed. Wellington New Zealand: Plane View Services; 2004
    Google Scholar
  • 38 Newman-Toker DE. Charted records of dizzy patients suggest emergency physicians emphasize symptom quality in diagnostic assessment. Annals of Emergency Medicine 2007; 50 (2) 204-205
    CrossrefPubMedGoogle Scholar
  • 39 Newman-Toker DE, Cannon LM, Stofferahn ME et al. Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an acute care setting. Mayo Clinic Proceedings 2007; 82 (11) 1329-1340
    CrossrefPubMedGoogle Scholar
  • 40 Newman-Toker DE. A New Approach to the Dizzy Patient. Spencer S. Eccles Health Sciences Library University of Utah 2010;
    PubMedGoogle Scholar
  • 41 Ozono Y, Kitahara T, Fukushima M et al. Differential diagnosis of vertigo and dizziness in the emergency department. Acta Oto-Laryngologica 2014; 134 (2) 140-145
    CrossrefPubMedGoogle Scholar
  • 42 Reid SA, Rivett DA, Katekar MG et al. Sustained natural apophyseal glides (SNAGs) are an effective treatment for cervicogenic dizziness. Manual Therapy 2008; 13 (4) 357-366
    CrossrefPubMedGoogle Scholar
  • 43 Reid SA, Rivett DA, Katekar MG et al. Comparison of mulligan sustained natural apophyseal glides and maitland mobilizations for treatment of cervicogenic dizziness: a randomized controlled trial. Physical Therapy 2014; 94 (4) 466-476
    CrossrefPubMedGoogle Scholar
  • 44 Reid SA, Callister R, Katekar MG et al. Effects of cervical spine manual therapy on range of motion, head repositioning, and balance in participants with cervicogenic dizziness: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2014; 95 (9) 1603-1612
    CrossrefPubMedGoogle Scholar
  • 45 Reid S, Callister R, Snodgrass S et al. Manual therapy treatment of cervicogenic dizziness: long-term outcomes of a randomised controlled trial. Manual Therapy 2015; 20: 148-156
    CrossrefPubMedGoogle Scholar
  • 46 Schenk R, Coons L, Bennett S et al. Cervicogenic dizziness: a case report illustrating orthopaedic manual and vestibular physical therapy co-management. The Journal of Manual and Manipulative Therapy 2006; 14 (3) 56-68
    PubMedGoogle Scholar
  • 47 Tjell C, Rosenhall U. Smooth pursuit neck torsion test: a specific test for cervical dizziness. Am J Otol 1998; 19 (1) 76-81
    PubMedGoogle Scholar
  • 48 Tjell C. Cervicogenic vertigo: With special emphasis on whiplash-associated disorder. In: Vernon H.. ed. The Cranio-cervical Syndrome. Toronto: Butterworth-Heinemann; 2001
    Google Scholar
  • 49 Treleaven J, Jull G, Sterling M. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. Journal of Rehabilitation Medicine 2003; 35 (1) 36-43
    CrossrefPubMedGoogle Scholar
  • 50 Treleaven J, Jull G, LowChoy N. Smooth pursuit neck torsion test in whiplash-associated disorders: relationship to self-reports of neck pain and disability, dizziness and anxiety. Journal of Rehabilitation Medicine 2005; 37 (4) 219-223
    PubMedGoogle Scholar
  • 51 Uhlemann C, Gramowski KH, Endres U et al. 1993; Manuelle Diagnostik und Therapie beim halsbedingtem Schwindel [Manual diagnosis and therapy in cervical giddiness]. Manual Medicine 1993; 31 (4) 77-81
    PubMedGoogle Scholar
  • 52 Wrisley D, Sparto P, Whitney S et al. Cervicogenic dizziness: A review of diagnosis and treatment. Journal of Orthopaedic and Sports Physical Therapy 2000; 30 (12) 755-766
    CrossrefPubMedGoogle Scholar
  • 53 Wu JR, Fang M, Hu J et al. Effects of manipulation on head repositioning skill in patients with cervical vertigo. Journal of Chinese Integrative Medicine 2006; 4 (1) 76-78
    CrossrefPubMedGoogle Scholar
  • 54 Wyke B. Cervical articular contributions to posture and gait: Their relation to senile disequilibrium. Age and Ageing 1979; 8: 251-258
    CrossrefPubMedGoogle Scholar
  • 55 Zhou W, Jiang W, Li X et al. Clinical study on manipulative treatment of derangement of the atlantoaxial joint. Journal of Traditional Chinese Medicine 1999; 19 (4) 273-278
    PubMedGoogle Scholar