Evaluation of Paraclinical Tests in the Diagnosis of Cervicogenic XXXX .

@entity1 @entity1319 @entity148 @entity158 @entity1296 @entity2720 @entity346 @entity8769
OBJECTIVE: To assess the utility of the paraclinical tests in @entity1 presenting with clinical diagnosis of cervicogenic dizziness. STUDY DESIGN: Case controlled. SETTING: Otolaryngology clinic of a tertiary referral hospital center. @entity1 : Twenty-five subjects with cervicogenic dizziness and 25 subjects with benign paroxysmal positional vertigo. MAIN OUTCOME MEASURES: Symptoms description, @entity1296 Handicap Inventory-short form (DHI), Trait @entity148 score, cervical joint position error, the smooth pursuit neck torsion and cervical torsion tests on videonystagmography, and standing balance test (timed 10-meter walk with head turns). RESULTS: The results showed differences in reported symptoms, in mean cervical joint position error (p = 0.001), and cervical torsion test (p = 0.001) between the two groups. There was no between-group difference for DHI scores (p = 0.137), trait @entity148 scores (p = 0.240), and walking test: time (p = 0.797), steps (p = 0.963). The Youden index is 0.60 for the predictive value of the cervical joint position error, and the smooth pursuit and the cervical torsion tests. CONCLUSION: This study showed differences in sensorimotor disturbances between the two groups, particularly in the control of @entity1319 and cervical proprioception. @entity1 with cervicogenic dizziness were more likely to (1) have a sensation of @entity8769 and lightheadedness, (2) have @entity158 induced during the physical examination of the upper cervical vertebrae, (3) have an @entity2720 .5 degrees during the cervical relocation test, and (4) exhibit more than 2 degrees per second @entity346 during the cervical rotation test. The walking test was not able to differentiate the two groups.
