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

To evaluate the clinical effect of spinal manipulation combined with cervical kinetic chain training on neck muscle function in cervical vertigo.

Approach:
  • Study Design: A prospective, parallel-design, superiority randomized controlled trial involving 50 cervical vertigo patients.
  • Intervention: Participants were divided into a test group receiving spinal manipulation combined with cervical kinetic chain training, and a control group receiving conventional treatment.
  • Assessments: Baseline assessments included vertigo severity (VAS, DHI), cervical muscle MRI, and Shear Wave Elastography (SWE). Follow-ups at 4 and 12 weeks included repeated VAS, DHI, and SWE.
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.
  • The test group demonstrated significant improvements in muscle strength and cross-sectional area at 12 weeks.
  • SWE indicated unchanged elastic modulus in the test group, while the control group showed increased elastic modulus of splenius capitis muscles.
Interpretation:

Spinal Manipulation Combined with Cervical Training enhances neck muscle strength and reduces muscle tension compared to traditional treatment.

Limitations:
  • The study duration was limited to 12 weeks.
  • The sample size may restrict the generalizability of findings.
Conclusion:

Spinal Manipulation Combined with Cervical Training is an effective treatment for cervical vertigo.

Sources:

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