CClinicalTrials.gg
Status unknownNCT03531619Updated May 9, 2023

The Relationship Between Dizziness and Neck Pain

An observational study in Dizziness, Vertigo and Neck Pain, sponsored by Haukeland University Hospital. Status unknown at 1 site in Norway. Open to participants aged 18 Years to 67 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-05-09.

Sponsored by Haukeland University Hospital · Observational

The sponsor has not verified this record recently (last verified Apr 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
370
Ages
18 Years to 67 Years
Sex
All
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Study summary

Both dizziness and neck pain are common complaints in the Norwegian population. The cervical spine has a highly developed proprioceptive system, which is involved in head and gaze stabilization as well as postural control. Thus, it has been argued that dizziness and/or unsteadiness can occur due to loss of or inadequate stimulation of neck receptors in patients with neck pain. Still, the notion of dizziness due to cervical dysfunction is a controversial topic. However, clinicians report that patients referred for dizziness often complain of neck pain, and vice versa.

This study is a multi-center study including patients referred to 1) a neuro-otologic clinic due to dizziness and 2) a rehabilitation clinic due to neck pain. Both clinics are tertiary care university clinics. The study explores the prevalence, severity and spectrum of symptoms as well as clinical findings in patients with various combinations of dizziness and neck pain. The aim is to see if these patient groups differ from each other in terms of clinical characteristics, symptoms and quality of life. Additionally, the aim is to examine if there is a relationship between neck dysfunction and dizziness, and last, if the symptoms persist longer in patients with both dizziness and neck pain.

Read the detailed description

This is a longitudinal study with data collected at baseline, 6 months and 3 years follow-up.

Variables collected at baseline include age, sex, symptom variables including Dizziness Handicap Inventory, Vertigo Symptom Scale Short Form, Haukeland Dizziness Questionnaire, Visual analog scale, Hospital Anxiety and Depression Scale, RAND-12, dynamic posturography, video-based head impulse test, bithermal caloric tests, Neck Disability Index, as well as neck examinations including pressure algometry and measurements of the range of neck movements.

Follow-up data after 6 months include the same patient-reported outcomes as at baseline.

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Conditions studied

  • Dizziness
  • Vertigo
  • Neck Pain

Keywords

  • posturography
  • quality of life
  • pressure algometry
  • cervicogenic dizziness
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In context

Vertigo

248 studies on the registry are indexed under Vertigo; 39 are open to participants now.

This study's planned enrollment of 370 is above the median of 151 across 50 observational studies indexed under Vertigo.

Browse Vertigo studies →

Lead sponsor

Haukeland University Hospital is the lead sponsor of 276 studies on the registry; 61 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 67 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

  1. Patients referred to the ENT department of Haukeland University Hospital due to vertigo with suspected vestibular origin will be divided into two groups depending on whether or not they report concurrent neck pain.
  2. Patients referred to the Nordås clinic due to chronic neck pain will be divided into two groups depending on whether or not the report concurrent dizziness.

The healthy controls will be recruited among employees at Haukeland University Hospital.

Eligibility criteria

Inclusion criteria for patients:

  • Residence within the Health Region of Western Norway AND
  • Referral to the ENT department of Haukeland University Hospital due to vertigo OR
  • Referral to Nordås Outpatient Clinic due to neck pain lasting > 3 months

Exclusion criteria for patients:

  • Severe orthopaedic or neurologic disease affecting postural balance
  • Inability to undergo test protocol due to physical or language barriers
  • Quaternary referrals (vestibular schwannomas or divers with vestibular disorders)

Inclusion criteria for healthy controls:

  • Employees at Haukeland University Hospital

Exclusion criteria for healthy controls:

  • Known neurologic or vestibular disease or ongoing ear disease.
  • Neck pain within last 3 months
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
370 participants (estimated)
Patient registry
No

Groups and cohorts

  • Dizziness

    Patients referred to a neuro-otological clinic due to dizziness who answer that they do not suffer from neck pain

  • Dizziness and neck pain

    Patients referred to a neuro-otological clinic due to dizziness who answer that they suffer from neck pain

  • Neck pain

    Patients referred to a rehabilitation center due to neck pain who answer that they do not suffer from dizziness

  • Neck pain and dizziness

    Patients referred to a rehabilitation center due to neck pain who answer that the suffer from dizziness

  • Healthy Control

    Healthy Controls without neck pain or dizziness

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What researchers measure

Primary outcomes

  1. Difference between Groups in the Dizziness Handicap Inventory (DHI)

    25-item symptom score. 0-100 Points on dizziness handicap severity

    Time frame: Baseline and 6 months follow-up

  2. Difference betwee Groups in the Neck Disability Index (NDI)

    10-time symptom score. 0-50 Points on neck disabilty severity

    Time frame: Baseline and 6 months follow-up

Secondary outcomes

  1. Correlation between Posturography and neck pain

    Path length is used as measure of steadiness. Neck pain is measured With a pressure algometer, measuring the pressure pain threshold of the neck in kilo pascal.

    Time frame: Baseline

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Study locations

1 site
  • Haukeland University Hospital
    Bergen, Norway
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References and documents

Publications

  • Knapstad MK, Goplen FK, Ask T, Skouen JS, Nordahl SHG. Associations between pressure pain threshold in the neck and postural control in patients with dizziness or neck pain - a cross-sectional study. BMC Musculoskelet Disord. 2019 Nov 10;20(1):528. doi: 10.1186/s12891-019-2922-4. PubMed 31707980 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 9, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03531619
Lead sponsor
Haukeland University Hospital
Responsible party
Sponsor
First posted
May 22, 2018
Start date
Jul 11, 2017
Primary completion
Feb 1, 2024 (estimated)
Completion
Mar 1, 2024 (estimated)
Last update
May 9, 2023

Study contacts

Stein Helge Glad Nordhal, Professor II
study director · Norwegian National Advisory Unit on Vestibular Disorders

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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