title: Therapeutic patient education and exercise therapy in patients with cervicogenic dizziness: a prospective case series clinical study.
abstract: The purpose of this study was to evaluate the effectiveness of a treatment for patients with cervicogenic dizziness that consisted of therapeutic education and exercises. The Dizziness Handicap Inventory and Neck Disability Index were used. Secondary outcomes included range of motion, postural control, and psychological variables. Seven patients (two males and five females) aged 38.43±14.10 with cervicogenic dizziness were included. All the participants received eight treatment sessions. The treatment was performed twice a week during a four weeks period. Outcome measures included a questionnaire (demographic data, body chart, and questions about pain) and self-reported disability, pain, and psychological variables. Subjects were examined for cervical range of motion and postural control. All of these variables were assessed pre- and postintervention. Participants received eight sessions of therapeutic education patient and therapeutic exercise. The majority of participants showed an improvement in catastrophism (mean change, 11.57±7.13; 95% confidence interval [CI], 4.96-18.17; d=1.60), neck disability (mean change, 5.14±2.27.28; 95% CI, 3.04-7.24; d=1.32), and dizziness disability (mean change, 9.71±6.96; 95% CI, 3.26-16.15; d=1.01). Patients also showed improved range of motion in the right and left side. Therapeutic patient education in combination with therapeutic exercise was an effective treatment. Future research should investigate the efficacy of therapeutic patient education and exercise with larger sample sizes of patients with cervicogenic dizziness.
authors.affiliation: Departamento de Fisioterapia. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain; La Salle-Optomic Balance Researching Chair: Sensorio-Motor Rehabilitation and Posturography, Madrid, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Minguez-Zuazo
authors.affiliation: Departamento de Fisioterapia. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain; La Salle-Optomic Balance Researching Chair: Sensorio-Motor Rehabilitation and Posturography, Madrid, Spain; Research Gruop Motion in Brains. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Grande-Alonso
authors.affiliation: Departamento de Fisioterapia. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain; La Salle-Optomic Balance Researching Chair: Sensorio-Motor Rehabilitation and Posturography, Madrid, Spain; Movement Analysis Laboratory Niño Jesús University Hospital, Madrid, Spain.
authors.forename: Beatriz Moral
authors.initials: BM
authors.lastname: Saiz
authors.affiliation: Departamento de Fisioterapia. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain; La Salle-Optomic Balance Researching Chair: Sensorio-Motor Rehabilitation and Posturography, Madrid, Spain; Movement Analysis Laboratory Niño Jesús University Hospital, Madrid, Spain.
authors.forename: Roy
authors.initials: R
authors.lastname: La Touche
authors.affiliation: Departamento de Fisioterapia. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain; La Salle-Optomic Balance Researching Chair: Sensorio-Motor Rehabilitation and Posturography, Madrid, Spain; Research Gruop Motion in Brains. Centro Superior de Estudios Universitarios La Salle. Universidad Autónoma de Madrid. Madrid, Spain; Movement Analysis Laboratory Niño Jesús University Hospital, Madrid, Spain.
authors.forename: Sergio Lerma
authors.initials: SL
authors.lastname: Lara
keywords: Cervicogenic dizziness; Dizziness handicap inventory; Education; Neck disability index; Therapeutic exercise