Army-Baylor University Doctoral Program in Physical Therapy, Joint Base San Antonio-Fort Sam Houston, TX, 78234, USA.
Stimson Library, U.S. Army Medical Center of Excellence, Joint Base San Antonio-Fort Sam Houston, TX, USA.
Syst Rev. 2020 Mar 23;9(1):62. doi: 10.1186/s13643-020-01335-4.
Traumatic cervicogenic dizziness is dizziness that is temporally associated with neck pain and injury after other causes of dizziness have been excluded. It can lead to activity limitations and participation restrictions that may include lost duty or work days. The objective of this systematic review is to determine which interventions are most effective in decreasing dizziness or vertigo and neck pain in military-aged adults with traumatic cervicogenic dizziness.
The literature will be systematically searched using the following online databases: MEDLINE, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, CENTRAL, Cochrane Methodology Register), CINAHL, SCOPUS, Web of Science, and J-STAGE. The review will include randomized controlled trials (RCTs), including cluster RCTs and controlled (non-randomized) clinical trials or cluster trials, and observational studies (including prospective and retrospective comparative cohort and case-control or nested case-control studies) and determine the effectiveness of physical therapy interventions for the treatment of traumatic cervicogenic dizziness in military-aged adults. Assessment of methodological quality will be performed by two independent, blinded reviewers using the PEDro scale. The level of evidence will be determined using the GRADE scale. The primary outcome measures will be change in dizziness and neck pain and disability from baseline to the last available follow-up, measured using the Dizziness Handicap Inventory and Neck Disability Index. Other relevant outcome measures will include self-reported change in symptoms, time to return to duty or work, and quality of life.
This systematic review will identify, evaluate, and integrate the evidence on the effectiveness of physical therapy interventions for cervicogenic dizziness in a military-aged population. We anticipate our findings may inform individual treatment and future research. Clinical recommendations generated from this systematic review may inform military physical therapy treatment of individuals with cervicogenic dizziness.
In accordance with the guidelines, our systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 21 January 2020 (registration number CRD42020150853). In the event of protocol amendments, the date of each amendment will be accompanied by a description of the change and the rationale.
创伤性颈源性头晕是指在排除其他头晕原因后，与颈部疼痛和损伤同时发生的头晕。它可能导致活动受限和参与受限，包括丧失职责或工作日。本系统评价的目的是确定哪些干预措施在减少有创伤性颈源性头晕的军人年龄成年人的头晕或眩晕和颈部疼痛方面最有效。
将使用以下在线数据库系统地搜索文献：MEDLINE、EMBASE、Cochrane 图书馆（Cochrane 系统评价数据库、CENTRAL、Cochrane 方法学登记册）、CINAHL、SCOPUS、Web of Science 和 J-STAGE。本综述将包括随机对照试验（RCT），包括集群 RCT 和对照（非随机）临床试验或集群试验，以及观察性研究（包括前瞻性和回顾性比较队列和病例对照或嵌套病例对照研究），并确定物理治疗干预创伤性颈源性头晕在军人年龄成年人中的治疗效果。将由两位独立的、盲法的评审员使用 PEDro 量表评估方法学质量。将使用 GRADE 量表确定证据水平。主要结局指标将是从基线到最后一次可获得的随访时头晕和颈部疼痛以及残疾的变化，使用头晕障碍量表和颈部残疾指数进行测量。其他相关结局指标将包括症状的自我报告变化、恢复职责或工作的时间和生活质量。
本系统评价将确定、评估和整合物理治疗干预颈源性头晕在军人年龄人群中的有效性证据。我们预计我们的研究结果可能会为个体治疗和未来研究提供信息。从本次系统评价中得出的临床建议可能会为军事物理治疗治疗颈源性头晕患者提供信息。
根据指南，我们的系统评价方案于 2020 年 1 月 21 日在国际前瞻性系统评价登记册（PROSPERO）上进行了注册（登记号 CRD42020150853）。在方案修订的情况下，每次修订的日期都将附有变更描述和变更理由。
