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has dizziness described as imbalance related to neck movements or positions and a stiff and/or painful neck
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has had the symptoms present for greater than 3 months
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18-90 years old
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Exclusion criteria:
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Known conditions that would put them at risk of injury:
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inflammatory joint disease
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spinal cord pathology
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cervical spine infection
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bony disease or marked osteoporosis
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marked cervical spine disc protrusion
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cervical spine cancer
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acute nerve root symptoms (severe pain, weakness, pins and needles or numbness in the arm or hand for less than 6 weeks)
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recent fracture/dislocation of the neck (in the last 3 months)
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previous surgery to the upper cervical spine
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People will also be excluded if they have the following:
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other types or causes of dizziness, such as vertigo, light headedness, psychogenic dizziness, vertebrobasilar insufficiency
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other causes of poor balance
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migraines
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physiotherapy or similar treatment to the neck in the previous month
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current pregnancy
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compensable cases
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inability to speak or read English
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