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    CERVICAL PROPRIOCEPTION AND VESTIBULAR FUNCTIONS IN PATIENTS WITH NECK PAIN AND CERVICOGENIC HEADACHE: A COMPARATIVE STUDY
    (Galenos Publishing House, 2024) Apaydin, A.S.; Söylemez, E.; Günes, M.; Söylemez, T.G.; Apaydin, Z.K.
    Objective: To investigate cervical proprioceptive input and vestibular system function in patients with cervicogenic headaches (CGH). In addition, this study aimed to determine whether abnormal proprioceptive or vestibular inputs are effective in the emergence of cervicogenic dizziness. Materials and Methods: Thirty patients with CGH and 25 healthy individuals were included in this study. Participants were asked about their recent falls. A visual analog scale was used to evaluate headache severity. Furthermore, static posturography, dizziness handicap index (DHI), neck disability index, subjective visual vertical, cervical vestibular-evoked myogenic potentials (cVEMP), and cervical joint position error test (CJPET) were applied to the participants. Results: Patients with CGH had more falls in the last year than the control group (p<0.05). DHI, standing with eyes closed on a foam surface, cVEMP, and CJPET scores were worse in patients with CGH than in healthy individuals (p<0.05). The CJPET score of patients with CGH who reported cervicogenic dizziness was worse than that of patients with CGH who did not report dizziness (p<0.05). However, no difference in cVEMP findings was observed between patients with CGH and those without dizziness (p>0.05). Conclusion: It was determined that there were abnormalities in both cervical and vestibular inputs in patients with CGH. However, abnormal cervical proprioceptive inputs, not vestibular responses, were found to play a role in the mechanism of cervicogenic dizziness. ©Copyright 2024 The Author. Published by Galenos Publishing House on behalf of Turkish Spine Society.