PTCase ReportJournal of physical therapy science2020

The treatment of dizziness by improving cervical lordosis: a Chiropractic BioPhysics® case report.

Gregg Gerstin, Paul A Oakley, Deed E Harrison

PMID 33362360

WHAT IT FOUND

A woman with idiopathic dizziness reported her dizziness handicap score changed from 56 to 12 after a year of combined chiropractic care with instrument adjusting, electrical stimulation, cryotherapy, exercise, cervical traction, manipulation and a home orthotic.

No single component can be credited.

Key findings

01At 1 year, the dizziness handicap inventory score was 12, compared with 56 initially.

02Neck pain at its worst was 9/10 initially and averaged 1/10 at 12 months.

03Cervical lordosis measured -13.7° initially and -33° at 12 months.

STILL TO COME

How it was doneWhat they found

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What it does not show

This is one case report, so it cannot show that the treatment works for other patients. The patient received many treatments together over 115 visits, including instrument adjusting, electrical stimulation, cryotherapy, exercise, cervical traction, manipulation and a home orthotic, so the effect of any single part cannot be separated. The authors have financial and commercial ties to the CBP method and products used in the case. The follow-up was short, and the authors state that a longer follow-up would have improved the report. The patient continued a once per week maintenance schedule and home orthotic after the 1-year examination, so later scores are not from a treatment-free period. The diagnosis was idiopathic dizziness, and the paper does not establish that cervical alignment caused the symptoms.

Declared interests

Dr. Paul Oakley is a paid consultant for CBP NonProfit, Inc.; Dr. Deed Harrison teaches chiropractic rehabilitation methods and sells products used in this manuscript.

The easy way to misread this

Do not conclude that improving cervical lordosis or Chiropractic BioPhysics treats idiopathic dizziness. This is one patient who received many treatments at once, and the authors cannot separate which component, if any, produced the change.

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