Results evaluation in cervical vertigo kinesitherapy – preliminary report
Journal Title: Otolaryngologia Polska - Year 2009, Vol 63, Issue 7
Abstract
Introduction: The work aimed at analyzing results of kinesitherapeutic procedures in patients with cervical vertigo as well as evaluating a mobility range of the cervical spine. Material and methods: The study was conducted on 23 people, including 1 7 women and 6 men suffering from cervical vertigo, at the age of 23-73 (the average age of 49,5). All the patients had an individually selected cycle of kinesitherapeutic exercises through the period of 2 months. The objective effi ciency evaluation of the applied therapy was made on the grounds of the videonystagmographic examination (VNG). Additionally, the range of active mobility of the cervical spine was analyzed and the evaluation of vertigo according to Silvoniemi’s criteria was performed. Study results: After a 2-month therapy 4 patients (17,4%) out of the examined material showed a total lack of vertigo, 15 patients (65,2%) demonstrated a meaningful decrease in the vertigo intensity, also in the frequency of their occurrence in 14 cases (60,8%). Only 3 patients did not show any decrease in vertigo whereas in 1 patient a slight increase in the intensity was indicated. On the basis of a subjective evaluation of the vertigo increase according to the 5-stage Silvoniemi’s scale it was proved that a mean point assessment claimed by the patients at the beginning of the therapy amounts to 3,0 points whereas after the therapy it was as follows: 1,43 pt after 2 weeks, 1,17 pt after 1 month and 1,13 pt after 2 months of kinesitherapy. Conclusions: It is extremely difficult to fully eliminate the symptoms of cervical vertigo (in the studied material in 4 cases – 17,3%) because the causes of their occurrence, which are connected with excessive tension and degeneration in the cervical spine, cannot usually be eradicated. Additionally, as a diagnostic means, the videonystagmographic examination (VNG) accompanied by the positioning tests and the cervical rotation test facilitates precise and objective monitoring of the progress in treatment and rehabilitation of vertigo.
Authors and Affiliations
Marzena Bielińska, Jurek Olszewski
Keywords
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