Alleviation of posttraumatic dizziness by restoration of the cervical lordosis: a CBP® case study with a one year follow-up.
Miles O Fortner, Paul A Oakley, Deed E Harrison
PMID 29765191WHAT IT FOUND
A 46-year-old man with post-whiplash dizziness reported complete daily dizziness relief and no neck pain at one-year follow-up after multimodal cervical treatment.
Several components were given together, so no component can be credited.
Key findings
01At one-year follow-up, after 56 treatments overall, the patient reported no neck pain and daily dizziness completely resolved, although he was mildly bothered on a boat.
02The patient received neck extension exercises with a Pro-lordotic device and PowerPlate, spinal manipulative therapy, cervical extension traction, and a home Denneroll device, so the contribution of any single component cannot be separated.
03The report describes changes in radiographic measures of forward head posture, cervical lordosis, and atlas plane line from baseline to one-year follow-up in this isolated case.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This is an isolated case, so it cannot show that treatment caused improvement or would work for other patients. The patient received multiple treatments at once, so the contribution of any single component cannot be separated. All treatments and assessments were performed by the first author. Dizziness and symptom improvement were patient-reported, and the paper notes that objective measures for this condition are lacking. The patient had many symptoms and a history of car crashes while racing cars, which may affect how his outcomes should be interpreted.
The easy way to misread this
Do not conclude that cervical lordosis correction or Chiropractic BioPhysics treats post-traumatic dizziness. This is an isolated case, and multiple treatments were given together, so no single component can be credited.