Cervical spondylosis is markedly characterized by degenerative changes. The studies in recent years on the role of cervical soft tissue lesion in cervical spondylosis indicated that cervical soft tissue lesion runs through the whole process of cervical spondylosis and is dominantly responsible for varieties of clinical symptoms. Cervical osseous lesion can be regarded as a result of soft tissue lesion and subordinated to soft tissue lesion in the course of cervical spondylosis.
Objective： To investigate the onset mechanism of cervical vertigo from the proprioceptive sensation and provide clinical basis for its treatment. Methods： Among the 121 cases that conformed to the diagnostic criteria of cervical vertigo, 70 cases who presented with negative neck-rotation test and cervical vertigo without obvious vascular factors by transcranial Doppler （TCD） were assigned to the observation group, while 51 cases who presented with positive neck-rotation test and cervical vertigo due to spasm of vertebral basal artery or insufficient blood supply by TCD were assigned to the control group. The cases in the two groups were treated once every day, 5 days make up one treatment course and the results were statistically analyzed after one treatment course. Results： The skull triaxial spatial offset of the cases in the two groups were significantly reduced after the treatment （P〈0.01）. However, there was no statistically significant difference between the skull triaxial spatial offset between the two groups （P〉0.05）. It is not conclusive that the therapeutic effect in the two groups was significantly different after one treatment course. Conclusion： Tuina manipulation therapy can improve the skull spatial offset repositioning ability of the patients.
