Effects of Oculomotor Exercises in Patients With Non Traumatic Cervical Dizziness

A randomized controlled trial compared routine exercise with a combination of oculomotorexercises (OEs) and manual myofascial techniques (MFT) in patients with chronicnon‐specific neck pain (CNNP). Thirty‐eight participants were randomly allocated into twogroups, and both groups completed a six‐week exercise program, while the interventiongroup additionally received OEs and manual MFT. Outcome measures included pain intensity,cervical range of motion (ROM), proprioception, kinesiophobia, and disability. Bothgroups showed significant improvements after treatment. However, the group receiving OEsand manual MFT demonstrated significantly greater improvements in cervical ROM, pain,disability, proprioception, and kinesiophobia compared to the routine exercise group.These findings suggest that adding OEs and manual MFT may enhance rehabilitation outcomesin patients with CNNP.A comparative study evaluated manual therapy alone versus manual therapy combined withproprioception training in patients with cervicogenic dizziness (CGD) and chronic neckpain (CNP). Twenty participants were divided into two groups, with ten patients in eachgroup. One group received manual therapy, while the other received manual therapy alongwith proprioception training. Outcome measures included joint position error sense(JPSE), smooth pursuit performance, Dizziness Handicap Inventory (DHI), and dizzinessvisual analogue scale (VAS). Both groups showed significant improvements followingtreatment; however, the combined therapy group demonstrated greater improvements inproprioception, eye movement control, dizziness severity, and disability. These findingsindicate that adding proprioception training to manual therapy may provide superiortherapeutic benefits for patients with CGD and CNP.A randomized controlled trial investigated the effectiveness of tactile discriminationtraining (TDT) and OEs in individuals with chronic neck pain. Fifty‐seven participantswere randomly assigned to a TDT group, an OE group, or a control group that received nointervention. Both intervention groups underwent treatment three times per week for fourweeks. Outcomes included pain intensity, neck pain‐related disability, pressure painthresholds, mechanical temporal summation of pain, and conditioned pain modulation.Significant improvements in pain intensity and neck‐related disability were observed inboth intervention groups compared with the control group. However, the OEs groupdemonstrated greater reductions in pain intensity and greater improvements in pressurepain thresholds than the TDT group. These findings suggest that both TDT and OEs may beeffective in reducing pain and disability in patients with chronic neck pain, with OEsproviding greater clinical benefits.A multicenter randomized controlled trial compared three vestibular rehabilitationapproaches in patients with unilateral peripheral vestibular dysfunction. Thirty‐fourparticipants were randomly assigned to customized vestibular rehabilitation therapy,generic vestibular rehabilitation therapy using Cawthorne‐Cooksey exercises, orvestibulo‐ocular reflex (VOR) adaptation exercises, with 23 participants completing thestudy. Outcomes included dizziness‐related disability, balance, and visual stability. Allthree intervention groups demonstrated significant improvements following treatment.However, participants performing gaze stabilization exercises demonstrated greaterreductions in dizziness‐related disability and superior improvements in balance. Thesefindings highlight the potential importance of gaze stabilization training as a componentof vestibular rehabilitation, particularly in individuals with gaze stabilityimpairments.A randomized controlled trial compared the short‐ and long‐term effects of two manualtherapy approaches in patients with chronic cervicogenic dizziness. Eighty‐sixparticipants were randomly allocated to groups receiving SNAGs with self‐SNAG exercises,passive joint mobilizations with ROM exercises, or a placebo intervention. Participantsreceived treatment sessions over six weeks, with outcomes assessed up to 12 months. Bothmanual therapy groups demonstrated significant reductions in dizziness intensity andfrequency, improvements in cervical ROM, and lower dizziness‐related disability comparedwith the placebo group. The SNAG intervention produced greater improvements in cervicalmobility and balance performance, while passive joint mobilization resulted in greaterimprovements in dizziness‐related disability and pain reduction.A randomized controlled study investigated the effects of oculomotor exercises inpatients with chronic non‐specific neck pain and associated visual complaints. Thirty‐twoparticipants were randomly allocated into two groups. The control group receivedstretching exercises for the sternocleidomastoid and anterior scalene muscles along withneck isometric exercises, whereas the experimental group received the same conventionaltreatment in addition to a structured OEs program consisting of saccadic eye movements,smooth pursuit exercises, convergence training, and gaze stabilization exercises.Outcomes included pain intensity, the Neck Disability Index (NDI), gaze stability, andvisual symptoms. Significant improvements were observed in neck pain, disability, gazestability, and visual complaints following the intervention. Improvements in eye‐headcoordination and sensorimotor control were also reported, suggesting that OEs may bebeneficial for reducing pain and disability while improving gaze stability and visualfunction in patients with chronic neck pain.A randomized controlled trial compared OEs combined with a cervical proprioceptivetraining program with cervical proprioceptive training alone in patients with chronicneck pain. Forty‐eight patients were equally randomized into two groups. The interventionwas applied three times per week for eight weeks, resulting in 24 sessions. Both groupsdemonstrated significant improvements in deep cervical flexor muscle activation andfunction. However, greater improvements in deep cervical flexor activation and functionaloutcomes were observed in the group receiving combined cervical proprioceptive andoculomotor training. These findings suggest that combining OEs with cervicalproprioceptive training may provide additional benefits for improving clinical symptomsin patients with chronic neck pain.A randomized controlled trial evaluated the efficacy of a self‐exercise program inpatients with cervicogenic dizziness. Thirty‐two participants were randomly allocated toa self‐exercise group or a control group. The self‐exercise program included musclestrengthening, cervical mobilization, and osteopathic manipulative exercises performed athome, while the control group received no specific exercise intervention. Outcomes wereassessed using the DHI, NDI, VAS, cervical ROM, and posturography tests. Theself‐exercise group demonstrated significantly greater improvements in dizziness‐relateddisability and neck disability compared with the control group. However, no significantbetween‐group differences were observed in pain intensity, cervical ROM, or balancemeasures.A randomized controlled trial evaluated the effectiveness of adding sensorimotortraining, including oculomotor and gaze stability exercises, to standard neck exercisesin patients with chronic neck pain and dizziness. Seventy‐two patients were randomlyassigned to a standard neck exercise group or a combined sensorimotor training group. Theintervention lasted ten weeks, and outcomes included neck pain intensity, disability,dizziness, balance, and gaze stability. The combined intervention demonstratedsignificantly greater improvements in dizziness, gaze stability, and balance comparedwith standard neck exercises. Greater reductions in neck pain and disability were alsoreported, suggesting that incorporating sensorimotor and oculomotor exercises may enhancerehabilitation outcomes in patients with chronic neck pain and associated dizziness.A randomized controlled trial investigated the postural and clinical outcomes of SNAGstreatment in patients with cervicogenic dizziness. Eighty‐nine patients were randomlyassigned to either a SNAGs intervention group or a placebo group receiving a detunedlaser. Both groups received six intervention sessions over four weeks. The SNAGs groupdemonstrated a significant reduction in perceived dizziness, neck disability, and pain,along with significant improvements in cervical ROM and selected posturographicparameters.A randomized controlled trial investigated the short‐term effects of atraction‐manipulation protocol on dizziness intensity and disability in patients withcervicogenic dizziness. Forty participants were randomly assigned to an interventiongroup receiving traction‐manipulation treatment or a control group that remained in asupine position. The intervention was delivered according to safety recommendations.Outcomes included dizziness intensity, pain intensity, DHI, cervical ROM, and balance,assessed at 48 hours and one month after treatment. The intervention group demonstratedsignificantly greater improvements in dizziness, neck pain, DHI scores, and uppercervical mobility compared with the control group at both follow‐up periods. Posturalstability also improved significantly in the intervention group at one month. Thesefindings indicate that traction‐manipulation may be effective for reducing dizziness andpain while improving cervical function and balance in patients with cervicogenicdizziness.