Acute effect of neck mobilization on the head neck blood flow, muscle stiffness, and neck range of motion in cervicogenic headache: a case report
Abstract
Cervicogenic headache (CH) is one of the secondary headaches caused by cervical region problems. In this case study, cervical mobilization techniques were applied to a 40-year-old female patient with CH and body mass index (BMI) of 26.5 kg/m². In the baseline, pain intensity, muscle stiffness, range of motion (ROM) degrees of neck joints, and head-neck artery flow volume were measured by Visual Analogue Scale (VAS), universal goniometer, elastography and Doppler ultrasound, respectively. All evaluations were repeated after the application in order to observe the acute effect of the application. In our case study in which we examined the acute effect of cervical mobilization in CH, 3.3 cm reduction in pain intensity by VAS, an increase of 5-10° in cervical ROM, an increase in arterial blood flow and a reduction in muscle stiffness were observed.
References
- 1. Headache classification committee of the international headache society. The international classification of headache disorders, 3rd edition (beta version). Cephalalgia 2013;33:629–808.
- 2. Haldeman S, Dagenais S. Cervicogenic headaches: a critical review. Spine J. 2001;1:31–46.
- 3. Bogduk N, Govind J. Cervicogenic headache: An assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. 2009;8:959–968.
- 4. Bogduk N. The anatomical basis for cervicogenic headache. J Manipulative Physiol Ther. 1992;15:6770.
- 5. Taher F, Bokums K, Aichmair A, et al. C1–C2 instability with severe occipital headache in the setting of vertebral artery facet complex erosion. Eur Spine J. 2014;23:145–149.
- 6. Bovim G, Sand T. Cervicogenic headache, migraine without aura and tension type headache. Diagnostic blockade of greater occipital and supra orbital nerves. Pain. 1992;51:43-8.
- 7. Biondi DM. Cervicogenic Headache: A review of diagnostic and treatment strategies. J Am Osteopath Assoc. 2005;105;S16-22.
- 8. İnan LE. Servikojenik Baş Ağrıları. Turkiye Klinikleri J Neurol-Special Topics. 2008;1:60-66.
- 9. Fern´andez-de-Las-Pe˜nas C, Alonso-Blanco C, Cuadrado ML, et al. Spinal manipulative therapy in the management of cervicogenic headache. Headache. 2005;45:1260-1263.
- 10. Chaibi A, Russell MB. Manual therapies for cervicogenic headache: a systematic review. J Headache Pain. 2012;13:351–359.
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- 15. Garra BS. Elastography: current status, future prospects, and making it work for you, Ultrasound Q. 2011;27:177–186.
- 16. Ewertsen C, Carlsen J, Perveez MA, et al. Reference Values for shear wave elastography of neck and shoulder muscles in healthy individuals. Ultrasound Int Open. 2018;4:E23–E29.
- 17. Jull G, Trott P, Potter H, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27:1835-1843.
- 18. Şenadım S, Cabalar M, Yazar T, et al. Vertigo olgularında doppler ultrasonografi ve manyetik rezonans anjiografi sonuçları: retrospektif analiz. İstanbul Med J. 2013;14:257-260.
- 19. Uzuner N, Fonksiyonel transkranyal doppler ve migren baş ağrısı. Turk J Neurol. 2004;10:263-271.
Servikojenik baş ağrısında boyun mobilizasyonunun baş boyun kan akışı, kas sertliği ve boyun eklem hareket açıklığı üzerine akut etkisi: olgu sunumu
Abstract
Servikojenik baş ağrısı (SBA), servikal bölge problemlerine bağlı ortaya çıkan ikincil baş ağrılarından biridir. Bu vaka çalışmasında 40 yaşında, vücut kütle indeksi (VKİ) 26,5 kg/m² olan SBA’lı bir kadın hastaya servikal mobilizasyon teknikleri uygulandı. Tedavi öncesi ağrı şiddeti Görsel Analog Skalası (GAS) ile, boyun normal eklem hareket (NEH) açıklık dereceleri
Universal Gonyometre ile, kas sertliği elastografi ile, ve baş-boyun arter akım volümü Doppler ultrason ile değerlendirildi. Uygulamanın akut etkisini gözlemlemek amacı ile bütün değerlendirmeler uygulama sonrası tekrarlandı. SBA’da servikal mobilizasyonun akut etkisinin incelendiği vaka çalışmamızda; ağrı şiddetinde GAS’a göre 3,3 cm azalma, servikal NEH
açıklıklarında 5-10° arasında değişen artış, arteriyel kan akımlarında artış ve kas sertliklerinde azalma gözlendi.
Keywords
Servikojenik baş ağrısı Servikal mobilizasyon Arterial kan akış hızı Kas sertliği Elastografi
References
- 1. Headache classification committee of the international headache society. The international classification of headache disorders, 3rd edition (beta version). Cephalalgia 2013;33:629–808.
- 2. Haldeman S, Dagenais S. Cervicogenic headaches: a critical review. Spine J. 2001;1:31–46.
- 3. Bogduk N, Govind J. Cervicogenic headache: An assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. 2009;8:959–968.
- 4. Bogduk N. The anatomical basis for cervicogenic headache. J Manipulative Physiol Ther. 1992;15:6770.
- 5. Taher F, Bokums K, Aichmair A, et al. C1–C2 instability with severe occipital headache in the setting of vertebral artery facet complex erosion. Eur Spine J. 2014;23:145–149.
- 6. Bovim G, Sand T. Cervicogenic headache, migraine without aura and tension type headache. Diagnostic blockade of greater occipital and supra orbital nerves. Pain. 1992;51:43-8.
- 7. Biondi DM. Cervicogenic Headache: A review of diagnostic and treatment strategies. J Am Osteopath Assoc. 2005;105;S16-22.
- 8. İnan LE. Servikojenik Baş Ağrıları. Turkiye Klinikleri J Neurol-Special Topics. 2008;1:60-66.
- 9. Fern´andez-de-Las-Pe˜nas C, Alonso-Blanco C, Cuadrado ML, et al. Spinal manipulative therapy in the management of cervicogenic headache. Headache. 2005;45:1260-1263.
- 10. Chaibi A, Russell MB. Manual therapies for cervicogenic headache: a systematic review. J Headache Pain. 2012;13:351–359.
- 11. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scale. J Clin Nurs. 2005;14:798-804.
- 12. Otman S, Köse N. Tedavi hareketlerinde Temel Değerlendirme Prensipleri. 6. Baskı, Ankara: Pelikan Kitapevi; 2014.
- 13. Akagi R, Kusama S. Comparison between neck and shoulder stiffness determined by shear wave ultrasound elastography and a muscle hardness meter. Ultrasound Med Biol. 2015;41:2266-2271.
- 14. Kesson, M, Atkins E. Orthopaedic medicine: a practical approach. Butterworth-Heinemann Medical; 1998.
- 15. Garra BS. Elastography: current status, future prospects, and making it work for you, Ultrasound Q. 2011;27:177–186.
- 16. Ewertsen C, Carlsen J, Perveez MA, et al. Reference Values for shear wave elastography of neck and shoulder muscles in healthy individuals. Ultrasound Int Open. 2018;4:E23–E29.
- 17. Jull G, Trott P, Potter H, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine. 2002;27:1835-1843.
- 18. Şenadım S, Cabalar M, Yazar T, et al. Vertigo olgularında doppler ultrasonografi ve manyetik rezonans anjiografi sonuçları: retrospektif analiz. İstanbul Med J. 2013;14:257-260.
- 19. Uzuner N, Fonksiyonel transkranyal doppler ve migren baş ağrısı. Turk J Neurol. 2004;10:263-271.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 31, 2020 |
| Submission Date | March 21, 2019 |
| Published in Issue | Year 2020 Volume: 7 Issue: 1 |
