The Relationship Between Dizziness and Neck Pain
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|ClinicalTrials.gov Identifier: NCT03531619|
Recruitment Status : Active, not recruiting
First Posted : May 22, 2018
Last Update Posted : August 26, 2021
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Both dizziness and neck pain are common complaints in the Norwegian population. The cervical spine has a highly developed proprioceptive system, which is involved in head and gaze stabilization as well as postural control. Thus, it has been argued that dizziness and/or unsteadiness can occur due to loss of or inadequate stimulation of neck receptors in patients with neck pain. Still, the notion of dizziness due to cervical dysfunction is a controversial topic. However, clinicians report that patients referred for dizziness often complain of neck pain, and vice versa.
This study is a multi-center study including patients referred to 1) a neuro-otologic clinic due to dizziness and 2) a rehabilitation clinic due to neck pain. Both clinics are tertiary care university clinics. The study explores the prevalence, severity and spectrum of symptoms as well as clinical findings in patients with various combinations of dizziness and neck pain. The aim is to see if these patient groups differ from each other in terms of clinical characteristics, symptoms and quality of life. Additionally, the aim is to examine if there is a relationship between neck dysfunction and dizziness, and last, if the symptoms persist longer in patients with both dizziness and neck pain.
|Condition or disease|
|Dizziness Vertigo Neck Pain|
This is a longitudinal study with data collected at baseline, 6 months and 3 years follow-up.
Variables collected at baseline include age, sex, symptom variables including Dizziness Handicap Inventory, Vertigo Symptom Scale Short Form, Haukeland Dizziness Questionnaire, Visual analog scale, Hospital Anxiety and Depression Scale, RAND-12, dynamic posturography, video-based head impulse test, bithermal caloric tests, Neck Disability Index, as well as neck examinations including pressure algometry and measurements of the range of neck movements.
Follow-up data after 6 months include the same patient-reported outcomes as at baseline.
|Study Type :||Observational|
|Estimated Enrollment :||370 participants|
|Official Title:||Dizziness and Neck Pain - is There a Relationship and Does it Matter?|
|Actual Study Start Date :||July 11, 2017|
|Estimated Primary Completion Date :||February 1, 2022|
|Estimated Study Completion Date :||March 1, 2022|
Patients referred to a neuro-otological clinic due to dizziness who answer that they do not suffer from neck pain
Dizziness and neck pain
Patients referred to a neuro-otological clinic due to dizziness who answer that they suffer from neck pain
Patients referred to a rehabilitation center due to neck pain who answer that they do not suffer from dizziness
Neck pain and dizziness
Patients referred to a rehabilitation center due to neck pain who answer that the suffer from dizziness
Healthy Controls without neck pain or dizziness
- Difference between Groups in the Dizziness Handicap Inventory (DHI) [ Time Frame: Baseline and 6 months follow-up ]25-item symptom score. 0-100 Points on dizziness handicap severity
- Difference betwee Groups in the Neck Disability Index (NDI) [ Time Frame: Baseline and 6 months follow-up ]10-time symptom score. 0-50 Points on neck disabilty severity
- Correlation between Posturography and neck pain [ Time Frame: Baseline ]Path length is used as measure of steadiness. Neck pain is measured With a pressure algometer, measuring the pressure pain threshold of the neck in kilo pascal.
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|Ages Eligible for Study:||18 Years to 67 Years (Adult, Older Adult)|
|Sexes Eligible for Study:||All|
|Accepts Healthy Volunteers:||Yes|
|Sampling Method:||Non-Probability Sample|
- Patients referred to the ENT department of Haukeland University Hospital due to vertigo with suspected vestibular origin will be divided into two groups depending on whether or not they report concurrent neck pain.
- Patients referred to the Nordås clinic due to chronic neck pain will be divided into two groups depending on whether or not the report concurrent dizziness.
The healthy controls will be recruited among employees at Haukeland University Hospital.
Inclusion criteria for patients:
- Residence within the Health Region of Western Norway AND
- Referral to the ENT department of Haukeland University Hospital due to vertigo OR
- Referral to Nordås Outpatient Clinic due to neck pain lasting > 3 months
Exclusion criteria for patients:
- Severe orthopaedic or neurologic disease affecting postural balance
- Inability to undergo test protocol due to physical or language barriers
- Quaternary referrals (vestibular schwannomas or divers with vestibular disorders)
Inclusion criteria for healthy controls:
- Employees at Haukeland University Hospital
Exclusion criteria for healthy controls:
- Known neurologic or vestibular disease or ongoing ear disease.
- Neck pain within last 3 months
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03531619
|Haukeland University Hospital|
|Study Director:||Stein Helge Glad Nordhal, Professor II||Norwegian National Advisory Unit on Vestibular Disorders|
|Responsible Party:||Haukeland University Hospital|
|Other Study ID Numbers:||
|First Posted:||May 22, 2018 Key Record Dates|
|Last Update Posted:||August 26, 2021|
|Last Verified:||August 2021|
|Studies a U.S. FDA-regulated Drug Product:||No|
|Studies a U.S. FDA-regulated Device Product:||No|
quality of life
Nervous System Diseases