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Three Cases of Cervical Vertigo Improved by Traditional Korean Medicine Treatment

한의 치료로 호전된 경추성 현훈 환자 치험 3예

  • Choi, Seonghwan (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Kang, Shinwoo (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Park, Hyeonsun (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Park, Seohyun (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Keum, Dongho (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital)
  • 최성환 (동국대학교 분당한방병원 한방재활의학과) ;
  • 강신우 (동국대학교 분당한방병원 한방재활의학과) ;
  • 박현선 (동국대학교 분당한방병원 한방재활의학과) ;
  • 박서현 (동국대학교 분당한방병원 한방재활의학과) ;
  • 금동호 (동국대학교 분당한방병원 한방재활의학과)
  • Received : 2021.09.13
  • Accepted : 2021.10.07
  • Published : 2022.01.31

Abstract

The purpose of this study is to evaluate the effectiveness of traditional Korean medicine treatment of cervical vertigo. Three patients were diagnosed as cervical vertigo with correlating symptoms of imbalance and dizziness with neck pain. The diagnosis of cervical vertigo is also dependent on excluding other vestibular disorders on the basis of history, examination, and vestibular function tests. They were treated by acupuncture, transcutaneous electrical nerve stimulation therapy and low-intensity pulsed ultrasound at acupoints and sympathetic ganglion chain of their cervical and upper thoracic region. The evaluation of clinical outcome was done by numeric rating scale (NRS), dizziness handicap inventory (DHI) and neck disability index (NDI), EuroQol-five dimensions questionnaire (EQ-5D) index. After the treatment, the value of their NRS, NDI, DHI was significantly decreased and their EQ-5D index was significantly increased. The traditional Korean medicine treatment at cervical and upper thoracic region could be an effective way to treat cervical vertigo.

Keywords

References

  1. Korean Oriental Medical Ophthalmology & Otolaryngology Compilation Committee. Korean oriental medical ophthalmology & otolaryngology & dermatology textbook. 1st ed. Seoul:Globooks. 2019:33-4.
  2. Department of Simgye Internal Medicine in National University of Korean Medicine. Cardiology, neurology of Korean medicine. 4th ed. Seoul:Gunja Publisher. 2010:388.
  3. Association of Korean Professors for Cardiovascular and Neurological Medicine. The Universities of Department of Cardiovascular and Neurological Medicine in Korean Medicine. 1st ed. Seoul:Woori Medical Publishing Co. 2016:219-25.
  4. Xie R, You J, Liu L, Huang C, Liang Y. Acupotomy therapy for cervical vertigo. Medicine (Baltimore). 2020;99(29):e20662. https://doi.org/10.1097/md.0000000000020662
  5. Li Y, Peng B. Pathogenesis, diagnosis, and treatment of cervical vertigo. Pain Physician. 2015;18(4):e583-95.
  6. Ryan GM, Cope S. Cervical vertigo. Lancet. 1955;269:1355-8. https://doi.org/10.1016/S0140-6736(55)93159-7
  7. Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther. 2000;30(12):755-66. https://doi.org/10.2519/jospt.2000.30.12.755
  8. Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the English longitudinal study of ageing. Age Ageing. 2008;37(3):300-5. https://doi.org/10.1093/ageing/afn019
  9. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract. 1998;48(429):1131-5.
  10. Hwang DG, Kim EJ, Choi KH, Heo SJ, Youn DW. A case report on a patient with cervical vertigo who improved with a combination of Korean medicine treatments. The Journal of Korean Oriental Internal Medicine. 2017;38(3):392-400. https://doi.org/10.22246/jikm.2017.38.3.392
  11. Ahn JL, Lee IS. Treatment of cervicogenic vertigo by general coordinative manipulation: cases report. Journal of Oriental Rehabilitation Medicine. 2011;11(1):281-7.
  12. Shin SH, Min KI, Kim EB, Ha WB, Ko YS. Chuna manual therapy alone for cervicogenic dizziness: a systematic review. J Korean Med Rehabil. 2019;29(1):1-6.
  13. Park NR, Choi MS, Yang DH, Wu CH, Ahn HD. Chuna manual therapy for cervicogenic dizziness: a systematic review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2018;13(2):11-21.
  14. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. The Korean Journal of Meridian & Acupoint. 2007;24(2):77-97.
  15. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Jeon EJ. The study of standardization for a Korean adaptation of self-report measures of dizziness. J Korean Balance Society. 2004;3(2):307-25.
  16. Kim SH, Ahn J, Ock M, Shin S, Park J, Luo N, Jo MW. The EQ-5D-5L valuation study in Korea. Qual Life Res. 2016;25(7):1845-52. https://doi.org/10.1007/s11136-015-1205-2
  17. Kind P. The EuroQol instrument: an index of health-related quality of life. In: Spilker B, ed. Quality of life and pharmacoeconomics in clinical trials. Philadelphia, PA:Lippincott-Raven Publishers. 1996:191-201.
  18. Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14:409-15.
  19. Brandt T, Bronstein AM. Cervical vertigo. J Neurol Neurosurg Psychiatry. 2001;71(1):8-12. https://doi.org/10.1136/jnnp.71.1.8
  20. Grob D, Frauenfelder H, Mannion AF. The association between cervical spine curvature and neck pain. Eur Spine J. 2007;16:669-78. https://doi.org/10.1007/s00586-006-0254-1
  21. McAviney J, Schulz D, Bock R, Harrison DE, Holland B. Determining the relationship between cervical lordosis and neck complaints. J Manipulative Physiol Ther. 2005;28(3):187-93. https://doi.org/10.1016/j.jmpt.2005.02.015
  22. Treleaven J. Dizziness, unsteadiness, visual disturbances, and sensorimotor control in traumatic neck pain. Journal of Orthopaedic & Sports Physical Therapy. 2017;47(7):492-502. https://doi.org/10.2519/jospt.2017.7052
  23. Devaraja K. Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management. European Archives of Oto-Rhino-Laryngology. 2018;275(10):2421-33. https://doi.org/10.1007/s00405-018-5088-z
  24. Deyo RA, Centor RM. Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. Journal of Chronic Diseases. 1986;39:897-906. https://doi.org/10.1016/0021-9681(86)90038-X
  25. Kovacs FM, Abraira V, Royuela A, Corcoll J, Alegre L, Tomas M, Mir MA, Cano A, Muriel A, Javier Z, Gil MT, Gestoso M, Mufraggi N. Minimum detectable and minimal clinically important changes for pain in patients with nonspecific neck pain. BMC Musculoskeletal Disorders. 2008;9:43. https://doi.org/10.1186/1471-2474-9-43
  26. Tamber AL, Wilhelmsen KT, Strand LI. Measurement properties of the dizziness handicap inventory by cross-sectional and longitudinal designs. Health Qual Life Outcomes. 2009;7:1-16. https://doi.org/10.1186/1477-7525-7-1
  27. Pool JJ, Ostelo RW, Hoving JL, Bouter LM, de Vet HC. Minimal clinically important change of the neck disability index and the numerical rating scale for patients with neck pain. Spine. 2007;32:3047-51. https://doi.org/10.1097/BRS.0b013e31815cf75b
  28. Young BA, Walker MJ, Strunce JB, Boyles RE, Whitman JM, Childs JD. Responsiveness of the neck disability index in patients with mechanical neck disorders. The Spine Journal. 2009;9:802-8. https://doi.org/10.1016/j.spinee.2009.06.002
  29. Chen P, Lin KC, Liing RJ, Wu CY, Chen CL, Chang KC. Validity, responsiveness, and minimal clinically important difference of EQ-5D-5L in stroke patients undergoing rehabilitation. Qual Life Res. 2016;25(6):1585-96. https://doi.org/10.1007/s11136-015-1196-z
  30. Ai-ping W. Research progress of acupuncture in treating cervical vertigo. Journal of Acupuncture and Tuina Science. 2004;2(1):57-60. https://doi.org/10.1007/BF02861420
  31. Li S, Shen T, Liang Y, Zhang Y, Bai B. Effects of miniscalpel-needle release on chronic neck pain: a retrospective analysis with 12-month follow-up. PLoS One. 2015;10(8):e0137033. https://doi.org/10.1371/journal.pone.0137033
  32. The Society of Korean Rehabilitation Medicine. Korean rehabilitation medicine. 4th ed. Seoul:Koonja. 2015:383-5.
  33. Kim JW, Hy un SW, Seo HK. A comparison of myofascial release and ultrasound in patients with myofascial pain syndrome on neck. Korean J Orthop Manu Ther. 2009;15(2):15-24.
  34. Stevenson JH, Pang CY, Lindsay WK, Zuker RM. Functional, mechanical, and biochemical assessment of ultrasound therapy on tendon healing in the chicken toe. Plast Reconstr Surg. 1986;77(6):965-72. https://doi.org/10.1097/00006534-198606000-00017
  35. Falconer J, Hayes KW, Chang RW. Therapeutic ultrasound in the treatment of musculoskeletal conditions. Arthritis Care Res. 1990;3(2):85-91. https://doi.org/10.1002/1529-0131(199006)3:2<85::AID-ANR1790030206>3.0.CO;2-S
  36. Lee JO, Choi JD, Jung NS, Choi KH. The effect of low intensity ultrasound on pain relief of upper trapezius. KAUTPT. 2002;9(2):97-105.
  37. van der W, van der H, van den B, Gerben ter R. Ultrasound therapy for musculoskeletal disorders: a systematic review. Pain. 1999;81:257-71. https://doi.org/10.1016/S0304-3959(99)00016-0
  38. Kwon DH, Ko JE, Kang JW, Lee SH. A case report of transcutaneous electrical nerve stimulation (TENS) on S2 nerve dermatome for the patient complaining urinary frequency after spinal cord injury. The Association of the Spine and Joint Korean Medicine. 2019;16(1):137-47.
  39. Melzack R, Wall PD. Pain mechanism a new theory. Science. 1965;150(699):971-9. https://doi.org/10.1126/science.150.3699.971
  40. Galm R, Rittmeister M, Schmitt E. Vertigo in patients with cervical spine dysfunction. Eur Spine J. 1998;7(1):55-8. https://doi.org/10.1007/s005860050028
  41. Karlberg M, Magnusson M, Malmstrom EM, Melander A, Moritz U. Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin. Arch Phys Med Rehabil. 1996;77:874-82. https://doi.org/10.1016/S0003-9993(96)90273-7