Retrospective Review: Effectiveness of Cervical Proprioception Retraining for Dizziness After Mild Traumatic Brain Injury in a Military Population With Abnormal Cervical Proprioception

Journal of Manipulative and Physiological Therapeutics
Miriam HammerleJulia Treleaven

Abstract

This study aimed to assess the outcomes of 2 treatments for patients with dizziness after mild traumatic brain injury (mTBI) who demonstrate abnormal cervical spine proprioception (CSP). A retrospective records review was conducted on the medical charts of patients treated for dizziness after mTBI who received either standard care (vestibular rehabilitation therapy [VRT]) or cervical spine proprioceptive retraining (CSPR) from 2009 to 2013. All patients included in the analysis were active-duty military with recurring dizziness after mTBI who had at least 1 abnormal CSP test. Patients were excluded for dizziness with a clear peripheral vestibular or central symptom origin, incomplete data, or no CSP assessment, or if both treatments were administered. Forty-eight total patients were included in the final dataset (22 VRT; 26 CSPR). Traditional VRT was compared with CSPR when abnormal CSP tests were present, regardless of the presence or absence of neck pain. A clinician review of records was used to determine improvement of dizziness based on patient reports of symptoms at discharge evaluation (ie, no symptoms for at least 2 weeks). Patients who received CSPR were 30 times more likely to report improvement in dizziness symptoms ...Continue Reading

Citations

Apr 14, 2020·Current Sports Medicine Reports·Johna K Register-Mihalik, Christine E Callahan
Dec 23, 2020·Brain Sciences·Frederick Robert CarrickElena Oggero
Oct 20, 2020·Journal of Sport Rehabilitation·Kelly CheeverKeisuke Kawata
Aug 23, 2020·Survey of Ophthalmology·Jason J S Barton, Paul J Ranalli
Apr 24, 2021·Sports Medicine·Kelly CheeverKeisuke Kawata
Sep 9, 2021·Brain Injury : [BI]·Adrienne CramptonI J Gagnon

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