{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:47:56Z","timestamp":1782712076791,"version":"3.54.5"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Neck muscle dysfunction is associated with cervical vertigo. This study evaluated the clinical effect of \u201cSpinal Manipulation Combined with Cervical Kinetic Chain Training\u201d on neck muscle function in cervical vertigo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were collected from August 2023 to October 2024. 50 cervical vertigo patients were divided into a test group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925) receiving spinal manipulation combined with cervical kinetic chain training, and a control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925) receiving conventional treatment. Assessments at baseline included vertigo severity (Visual Analog Scale, VAS; Dizziness Handicap Inventory, DHI), cervical muscle magnetic resonance imaging (MRI), and Shear Wave Elastography (SWE). Follow-ups at 4 weeks repeated VAS, DHI, and SWE. At 12 weeks, vertigo severity and muscle strength were assessed, with the test group undergoing repeat MRI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      DHI and VAS scores decreased significantly in both groups at 4 and 12 weeks compared to baseline. At 12 weeks, scores in the test group were significantly lower than at 4 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.003), whereas the control group showed no difference (P\n                      <jats:sub>DHI<\/jats:sub>\n                      \u2009=\u20090.677; P\n                      <jats:sub>VAS<\/jats:sub>\n                      \u2009=\u20090.885). The test group's DHI was significantly lower than the control group's at 12 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001), and its VAS was lower at both 4 and 12 weeks. SWE showed the elastic modulus of bilateral splenius capitis muscles increased in the control group at 4 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      left\u2009=\u20090.032;\n                      <jats:italic>P<\/jats:italic>\n                      right\u2009=\u20090.033), but remained unchanged in the test group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). At 4 weeks, the test group had a significantly lower elastic modulus in the right splenius capitis and obliquus capitis inferior than the control group (Right musculus splenius capitis,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.031; Right obliquus capitis inferior,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.031). At 12 weeks, the test group demonstrated a significant increase in the cross-sectional area (CSA) and oblique diameter compared to pre-treatment, the test group showed significant improvements in all the aforementioned metrics compared to baselines. The test group\u2019s muscle strength of all directions were significantly better to those of control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Spinal Manipulation Combined with Cervical Training enhances neck muscle strength, reduces suboccipital muscle tension compared to traditional treatment, and is an effective treatment for cervical vertigo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.chictr.org.cn\/<\/jats:ext-link>\n                      , Identi\ufb01er ChiCTR2300075144.\n                    <\/jats:p>\n                  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