Akademik Veri Yönetim Sistemi
Turk Beyin Damar Hastaliklar Dergisi, cilt.9, sa.3, ss.81-85, 2003 (Scopus)
We aimed to investigate the effect of physical therapy in patients with vertebrobasilar insufficiency syndrome (VBIS) secondary to cervical spondylosis. Fifty-five patients with VBIS were randomized as physical (32 patients) and medical therapy (23 patients). Physical therapy including infrared, cervical traction, ultrasound and TENS was applied to group 1. Group II received tenoxicam, paracetamol, phenprobamate, and pentoxifyllin for 15 days. The blood flow velocities (cBFV) of the vertebral and basilar arteries were recorded by transcranial Doppler ultrasonography (TCD). A four points scale was used to evaluate the intensity of symptoms due to vertigo (0= none, 1= mild, 2= moderate, 3= severe). In group 1; cBFV in right and left VA, and in basilar artery increased significantly (p<0.01, p<0.05, and p<0.05, respectively). In group 2, no significant difference in cBFV was observed. When the groups were compared with each other, no significant diference was found. At the end of the treatment, a statistically significant improvement in the scores of subjective vertigo was observed in both groups (p<0.001, p<0.05). Comparison of the post-treatment scores for vertigo between the groups showed significant improvement in favor of the physical therapy group (p<0.05). Our results suggested that physical therapy might be a suitable alternative in the treatment of VBIS secondary to cervical spondylosis.