Shi-Style Cervical Mobilizations Versus Massage for Cervical Vertigo: A Multicenter, Randomized, Controlled Clinical Trial

被引：12

作者：

Yao, Min ^{[1
]}

Tang, Zhan-ying ^{[2
]}

Cui, Xue-jun ^{[1
]}

Sun, Yue-li ^{[1
]}

Ye, Xiu-lan ^{[2
]}

Wang, Ping ^{[3
]}

Zhong, Wei-hong ^{[4
]}

Zhang, Rui-chun ^{[5
]}

Li, Hui-ying ^{[6
]}

Hu, Zhi-jun ^{[2
]}

Wang, Wei-min ^{[3
]}

Qiao, Wei-ping ^{[6
]}

Li, Jun ^{[2
]}

Gao, Yang ^{[2
]}

Shi, Qi ^{[1
]}

Wang, Yong-jun ^{[1
]}

机构：

[1] Shanghai Univ Tradit Chinese Med, Longhua Hosp, Inst Spine Dis, 725 South Wanping Rd, Shanghai 200032, Peoples R China

[2] Shanghai Univ Tradit Chinese Med, Longhua Hosp, Rehabil Dept, Shanghai, Peoples R China

[3] Tianjin Univ Tradit Chinese Med, Teaching Hosp 1, Orthopaed & Traumatol, Tianjin, Peoples R China

[4] Fujian Univ Tradit Chinese Med, Rehabil Hosp, Rehabil Dept, Fuzhou, Fujian, Peoples R China

[5] Xinjiang Uygur Autonomous Reg Hosp Tradit Chinese, Tuina Dept, Urumqi, Peoples R China

[6] Henan Univ Tradit Chinese Med, Affiliated Hosp 1, Orthopaed & Traumatol, Zhengzhou, Henan, Peoples R China

来源：

JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE | 2020年 / 26卷 / 01期

基金：

中国国家自然科学基金;

关键词：

cervical vertigo; Shi-style cervical mobilizations; traditional massage; randomized controlled clinical trial; CERVICOGENIC DIZZINESS; MANUAL THERAPY; MOTION;

D O I：

10.1089/acm.2019.0113

中图分类号：

R [医药、卫生];

学科分类号：

10 ;

摘要：

Objectives: Large sample and high-quality evidence to evaluate the preliminary safety of the mobilizations and massage for cervical vertigo are not yet available. Thus, the present study aimed to investigate the comparative effectiveness and preliminary safety of Shi-style cervical mobilizations (SCM) compared with traditional massage (TM) in cervical vertigo patients. Design: A prospective, multicenter, open-label, randomized, controlled clinical trial with a 1:1 allocation ratio. Settings: Five academic medical centers. Subjects: A total of 360 adult patients with a diagnosis of cervical vertigo. Interventions: The patients were randomly allocated to either an SCM (n = 180) or TM (n = 180) group. The patients were treated during six sessions over 2 weeks. The primary outcome was the Dizziness Handicap Inventory (DHI) total scale score, and secondary outcomes included the DHI subscales, Chinese version of the Short-Form 36 Health Survey (CSF-36), and adverse events (AEs). Outcomes were assessed in the short term at 2 weeks, 1 month, and 3 months, and in the intermediate term at 6 months after randomization. Results: Significant changes were observed from the baseline in the DHI total scale and subscales at 2 weeks and 1, 3, and 6 months in both groups (all p < 0.05). However, the differences between the two groups were not significant (all p > 0.05). Furthermore, we noted significant changes from the baseline in SF-36 scores at 2 weeks in both groups (all p < 0.05), whereas CSF-36 scores were not significantly higher in the SCM group (all p > 0.05) compared with the TM group. No serious AEs were reported in either of the two groups. Conclusions: No differences in outcomes were detected between the SCM and TM groups in terms of treatment of cervicogenic dizziness. Efficacy trials are required to determine whether the improvement observed for each treatment was causally related to the interventions.

引用

页码：58 / 66

页数：9

共 22 条

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