PMID- 31580705
OWN - NLM
STAT- MEDLINE
DCOM- 20200224
LR  - 20200224
IS  - 1557-7708 (Electronic)
IS  - 1075-5535 (Linking)
VI  - 26
IP  - 1
DP  - 2020 Jan
TI  - Shi-Style Cervical Mobilizations Versus Massage for Cervical Vertigo: A 
      Multicenter, Randomized, Controlled Clinical Trial.
PG  - 58-66
LID - 10.1089/acm.2019.0113 [doi]
AB  - Objectives: Large sample and high-quality evidence to evaluate the preliminary 
      safety of the mobilizations and massage for cervical vertigo are not yet 
      available. Thus, the present study aimed to investigate the comparative 
      effectiveness and preliminary safety of Shi-style cervical mobilizations (SCM) 
      compared with traditional massage (TM) in cervical vertigo patients. Design: A 
      prospective, multicenter, open-label, randomized, controlled clinical trial with 
      a 1:1 allocation ratio. Settings: Five academic medical centers. Subjects: A 
      total of 360 adult patients with a diagnosis of cervical vertigo. Interventions: 
      The patients were randomly allocated to either an SCM (n = 180) or TM (n = 180) 
      group. The patients were treated during six sessions over 2 weeks. The primary 
      outcome was the Dizziness Handicap Inventory (DHI) total scale score, and 
      secondary outcomes included the DHI subscales, Chinese version of the Short-Form 
      36 Health Survey (CSF-36), and adverse events (AEs). Outcomes were assessed in 
      the short term at 2 weeks, 1 month, and 3 months, and in the intermediate term at 
      6 months after randomization. Results: Significant changes were observed from the 
      baseline in the DHI total scale and subscales at 2 weeks and 1, 3, and 6 months 
      in both groups (all p < 0.05). However, the differences between the two groups 
      were not significant (all p > 0.05). Furthermore, we noted significant changes 
      from the baseline in SF-36 scores at 2 weeks in both groups (all p < 0.05), 
      whereas CSF-36 scores were not significantly higher in the SCM group (all 
      p > 0.05) compared with the TM group. No serious AEs were reported in either of 
      the two groups. Conclusions: No differences in outcomes were detected between the 
      SCM and TM groups in terms of treatment of cervicogenic dizziness. Efficacy 
      trials are required to determine whether the improvement observed for each 
      treatment was causally related to the interventions.
FAU - Yao, Min
AU  - Yao M
AD  - Institute of Spine Disease, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Tang, Zhan-Ying
AU  - Tang ZY
AD  - Rehabilitation Department, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Cui, Xue-Jun
AU  - Cui XJ
AD  - Institute of Spine Disease, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Sun, Yue-Li
AU  - Sun YL
AD  - Institute of Spine Disease, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Ye, Xiu-Lan
AU  - Ye XL
AD  - Rehabilitation Department, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Wang, Ping
AU  - Wang P
AD  - Orthopaedics and Traumatology, First Teaching Hospital, Tianjin University of 
      Traditional Chinese Medicine, Tianjin, China.
FAU - Zhong, Wei-Hong
AU  - Zhong WH
AD  - Rehabilitation Department, Rehabilitation Hospital, Fujian University of 
      Traditional Chinese Medicine, Fuzhou, China.
FAU - Zhang, Rui-Chun
AU  - Zhang RC
AD  - Tuina Department, Xinjiang Uygur Autonomous Region Hospital of Traditional 
      Chinese Medicine, Urumqi, China.
FAU - Li, Hui-Ying
AU  - Li HY
AD  - Orthopaedics and Traumatology, First Affiliated Hospital, Henan University of 
      Traditional Chinese Medicine, Zhengzhou, China.
FAU - Hu, Zhi-Jun
AU  - Hu ZJ
AD  - Rehabilitation Department, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Wang, Wei-Min
AU  - Wang WM
AD  - Orthopaedics and Traumatology, First Teaching Hospital, Tianjin University of 
      Traditional Chinese Medicine, Tianjin, China.
FAU - Qiao, Wei-Ping
AU  - Qiao WP
AD  - Orthopaedics and Traumatology, First Affiliated Hospital, Henan University of 
      Traditional Chinese Medicine, Zhengzhou, China.
FAU - Li, Jun
AU  - Li J
AD  - Rehabilitation Department, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Gao, Yang
AU  - Gao Y
AD  - Rehabilitation Department, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Shi, Qi
AU  - Shi Q
AD  - Institute of Spine Disease, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
FAU - Wang, Yong-Jun
AU  - Wang YJ
AD  - Institute of Spine Disease, Longhua Hospital, Shanghai University of Traditional 
      Chinese Medicine, Shanghai, China.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20191003
PL  - United States
TA  - J Altern Complement Med
JT  - Journal of alternative and complementary medicine (New York, N.Y.)
JID - 9508124
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - *Massage
MH  - Middle Aged
MH  - *Musculoskeletal Manipulations
MH  - Neck/physiopathology
MH  - Vertigo/physiopathology/*therapy
OTO - NOTNLM
OT  - Shi-style cervical mobilizations
OT  - cervical vertigo
OT  - randomized controlled clinical trial
OT  - traditional massage
EDAT- 2019/10/04 06:00
MHDA- 2020/02/25 06:00
CRDT- 2019/10/04 06:00
PHST- 2019/10/04 06:00 [pubmed]
PHST- 2020/02/25 06:00 [medline]
PHST- 2019/10/04 06:00 [entrez]
AID - 10.1089/acm.2019.0113 [doi]
PST - ppublish
SO  - J Altern Complement Med. 2020 Jan;26(1):58-66. doi: 10.1089/acm.2019.0113. Epub 
      2019 Oct 3.