Wrisley D M, Sparto P J, Whitney S L, Furman J M
Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, PA 15260, USA.
J Orthop Sports Phys Ther. 2000 Dec;30(12):755-66. doi: 10.2519/jospt.2000.30.12.755.
The diagnosis of cervicogenic dizziness is characterized by dizziness and dysequilibrium that is associated with neck pain in patients with cervical pathology. The diagnosis and treatment of an individual presenting with cervical spine dysfunction and associated dizziness complaints can be a challenging experience to orthopaedic and vestibular rehabilitation specialists. The purpose of this article is to review the incidence and prevalence, historical background, and proposed pathophysiology underlying cervicogenic dizziness. In addition, we have outlined the diagnostic criteria, evaluation, and treatment of dizziness attributed to disorders of the cervical spine. The diagnosis of cervicogenic dizziness is dependent upon correlating symptoms of imbalance and dizziness with neck pain and excluding other vestibular disorders based on history, examination, and vestibular function tests. When diagnosed correctly, cervicogenic dizziness can be successfully treated using a combination of manual therapy and vestibular rehabilitation. We present 2 cases, of patients diagnosed with cervicogenic dizziness, as an illustration of the clinical decision-making process in regard to this diagnosis.
颈源性头晕的诊断特征为头晕和平衡失调，这与存在颈椎病变的患者的颈部疼痛相关。对于出现颈椎功能障碍及相关头晕主诉的个体进行诊断和治疗，对于骨科和前庭康复专科医生而言可能是一项具有挑战性的工作。本文旨在综述颈源性头晕的发病率和患病率、历史背景以及提出的潜在病理生理学机制。此外，我们还概述了归因于颈椎疾病的头晕的诊断标准、评估方法和治疗手段。颈源性头晕的诊断依赖于将失衡和头晕症状与颈部疼痛相关联，并根据病史、体格检查和前庭功能测试排除其他前庭疾病。如果诊断正确，颈源性头晕可通过手法治疗和前庭康复相结合的方法成功治愈。我们呈现2例被诊断为颈源性头晕的患者病例，以说明关于该诊断的临床决策过程。
