Use of Translatoric Mobilization in a Patient With Cervicogenic Dizziness and Motion Restriction: A Case Report

Melodie Kondratek, DScPT, OMPT, Doug Creighton, DPT, OCS, FAAOMPT, John Krauss, PhD, PT, OCS, FAAOMPT

This case report describes the examination, evaluation, diagnosis, intervention, and outcomes for a 64-year-old woman who presented with limited cervical mobility and the complaint of dizziness during lower cervical rotaion in extension. Examination included a clinical differentiation process to determine the cause of the movement-related dizziness. Intervention included movement re-education and application of translatoric joint mobilization to the hypomobile segments. Following intervention there was complete resolution of dizziness during all active cervical movements and improved cervical mobility. The authors conclude that this case report demonstrates that clinical symptoms consistent with cervicogenic dizziness and limited cervical mobility may be treated safely and effectively using translatoric joint mobilization techniques. Confirmatory diagnostic ultrasound analysis of the vertebral artery revealed no compromise in flow velocity during the application of these translatoric mobilization techniques.

The Journal of Manual & Manipulative Therapy Vol. 14 No. 3 (2006), 140-151

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