Effects of spinal manipulation combined with cervical kinetic chain training on neck muscle function in cervical vertigo: a preliminary prospective controlled study - Report - MDSpire

Effects of spinal manipulation combined with cervical kinetic chain training on neck muscle function in cervical vertigo: a preliminary prospective controlled study

  • By

  • Bingyan Wang

  • Shuangyuan Xu

  • Xinyue Zheng

  • Shujia Liu

  • Shizheng Chen

  • Jiesheng Liu

  • Jiaxin Fu

  • Hehu Tang

  • Fangyong Wang

  • Junwei Zhang

  • Zhen Lyu

  • June 29, 2026

  • 0 min

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Clinical Report: Impact of Combined Spinal Manipulation and Cervical Kinetic Chain Training

Overview

This study investigates the effects of spinal manipulation combined with cervical kinetic chain training on neck muscle performance in patients with cervical vertigo. Results indicate significant improvements in vertigo severity and neck muscle strength in the treatment group compared to conventional treatment.

Background

Cervical vertigo is a common condition linked to neck muscle dysfunction. This study explores a combined therapeutic approach to enhance neck muscle function in affected patients.

Data Highlights

GroupDHI Score (12 weeks)VAS Score (12 weeks)Elastic Modulus (Right Splenius Capitis)Cross-Sectional Area Improvement
Test GroupLower than Control (P = 0.001)Lower at both 4 and 12 weeksLower than Control (P = 0.031)Significant increase
Control GroupNo significant changeNo significant changeIncreased (P left = 0.032; P right = 0.033)N/A

Key Findings

  • Both groups showed significant decreases in DHI and VAS scores at 4 and 12 weeks compared to baseline.
  • The test group had significantly lower DHI and VAS scores at 12 weeks compared to the control group.
  • Elastic modulus of the right splenius capitis was significantly lower in the test group at 4 weeks.
  • The test group demonstrated significant improvements in muscle strength across all directions compared to the control group.
  • Cross-sectional area and oblique diameter of neck muscles increased significantly in the test group at 12 weeks.

Clinical Implications

The findings indicate differences in treatment outcomes between the combined approach and conventional methods.

Conclusion

Spinal manipulation combined with cervical kinetic chain training shows potential in enhancing neck muscle strength and reducing symptoms of cervical vertigo.

Related Resources & Content

  1. Frontiers in Neurology, 2026 -- Comparative effectiveness of acupuncture and Tuina for cervical vertigo: a systematic review and network meta-analysis of randomized controlled trials
  2. Frontiers in Medicine, 2026 -- Manual therapy combined with core muscle training for chronic non-specific low back pain in sedentary individuals: a study protocol for a single-center randomized controlled trial
  3. Image-guided navigation for minimally invasive placement of pedicle screws in cervical spine trauma
  4. Frontiers in Medicine, 2026 -- Randomized controlled trial evaluating mixed reality technology for training scrub nurses in anterior cervical spine surgery
  5. The Bárány Society position on ‘Cervical Dizziness’ - PMC
  6. Is manual therapy effective for cervical dizziness? A systematic review and meta-analysis of randomized controlled trials - PMC
  7. Treatment and Outcomes of Cervical Artery Dissection in Adults - Professional Heart Daily | American Heart Association
  8. The Bárány Society position on ‘Cervical Dizziness’ - PMC
  9. Is manual therapy effective for cervical dizziness? A systematic review and meta-analysis of randomized controlled trials - PMC
  10. Treatment and Outcomes of Cervical Artery Dissection in Adults - Professional Heart Daily | American Heart Association

Original Source(s)

Effects of spinal manipulation combined with cervical kinetic chain training on neck muscle function in cervical vertigo: a preliminary prospective controlled study

  • by Bingyan Wang, Shuangyuan Xu, Xinyue Zheng, Shujia Liu, Shizheng Chen, Jiesheng Liu, Jiaxin Fu, Hehu Tang, Fangyong Wang, Junwei Zhang, Zhen Lyu

  • June 29, 2026

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