RESUMO
En la presente revisión sistemática se discute la relación entre la etiología del mareo de origen cervical, el uso de pruebas vestibulares y el rol del especialista en audiología en el abordaje de esta patología. La búsqueda de artículos se realizó a través de bases de datos electrónicas. Se usaron términos libres como mareo de origen cervical, vértigo cervicogénico, cervicogenic dizziness, dolor cervical, latigazo cervical y espondilosis cervical. La valoración de la calidad de los estudios incluidos se realizó con la guía de análisis crítico de calidad metodológica propuesta por (Carvajal C, 2004). Los resultados de la revisión muestran las evidencias etiológicas del mareo de origen cervical reportadas en la literatura y si el especialista en audiología, por su formación, puede abordar esta condición de acuerdo con los procedimientos hallados para su manejo actualmente. Las evidencias sugieren que la afectación de las estructuras musculo esqueléticas del cuello puede derivar en sensaciones de mareo. Adicionalmente, a partir de la revisión se concluye que, aunque la literatura no reporte el rol específico del especialista en audiología en el abordaje del mareo de origen cervical, es pertinente que este lo aborde desde su fase diagnóstica y de inter vención
This systematic review discusses the relationship between the etiology of cervical dizziness, the use of ear canal testing, and the role of the audiology specialist in approaching this pathology. An electronic database was used in researching articles that utilized open terminologies such as cervical dizziness, cervicogenic vertigo, cervicogenic dizziness, sharp cervical pain, and cervical spondylosis. The studies included were evaluated for quality by using the critical analysis guide of methodological quality. The results of the review show reported etiological evidence of cervicogenic dizziness in literature and whether an audiology specialist, through their training, is able to address and handle this condition in accordance with the most up-to-date procedures. The evidence suggests that the affectation of the musculoskeletal framework in the neck can be derived from dizziness symptoms. Additionally, it could be concluded from the review that although the literature does not report the specific role of the audiology specialist in approaching cervical dizziness, it is pertinent to address this role as early as the diagnostic and intervention phases
Assuntos
Audiologia , Meato Acústico Externo , Métodos , Patologia , Sensação , Especialização , Vertigem , Cervicalgia , Tontura , Espondilose , Relatório de Pesquisa , LiteraturaRESUMO
OBJECTIVE: To investigate the therapeutic effect of blade needle therapy for cervicogenic dizziness (CD) and changes of blood flow of vertebral artery in patients with CD. METHODS: A total of 60 patients with CD were equally randomized into medication (16 women and 14 men, 38.9±10.9 years in age) group and blade needle group (17 women and 13 men, 40.1±12.4 years in age). Patients of the blade needle group were treated by performing blade needle stimulation (longitudinal cutting along the musculoaponeurotic layer) to the tender points (attachment points) of the bilateral superior and inferior oblique muscles of the head, major and minor posterior cephalic rectus, about 2/3 of suboccipital nuchal line, and near the cervical processes of C1-C2 segments. The treatment was conducted once every 3 days for 15 days. Patients of the medication group were ordered to take Flunarizine Hydrochloride capsules (10 mg) once every night for 15 days. Transcranial Doppler was used to measure changes of mean blood flow velocities of the left vertebral artery (LVA), right vertebral artery (RVA), and basilar artery (BA) before and after the treatment. The therapeutic effect was assessed according to the Criteria for Diagnosis and Therapeutic Effect Evaluation of Syndromes or Illnesses of Traditional Chinese Medicine (1994) and the Assessment Scale for Symptoms and Function of Cervicogenic Dizziness (2017). RESULTS: Following the treatment, of the two 30 cases in the medication and blade needle groups, 5 (16.7%) and 7 (23.3%) were cured, 16 (53.3%) and 20 (66.7%) were improved in their symptoms, 9 (30.0%) and 3 (10.0%) failed, with the effective rate being 70.0% and 90.0%, respectively. The effective rate of the blade needle was significantly superior to that of the medication (P<0.05). The scores of vertigo, neck-should pain, daily living and work, psychology, social adaptation, and total score of the assessment scale, as well as the average blood flow velocities of LVA, RVA and BA were considerably increased in both groups in comparison with their own pre-treatment (P<0.05), and obviously higher in the blade needle group than in the medication group (P<0.05). CONCLUSION: Blade needle treatment has a good clinical effect in the treatment of CD patients, which is probably associated with its function in increasing blood perfusion of the brain tissue, and thus being worthy of clinical application.