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Management of cervical headache.

G. Jull1

  • 1Department of Physiotherapy, University of Queensland, Queensland, Australia

Manual Therapy
|July 7, 2001
PubMed
Summary

Accurate diagnosis of cervical musculoskeletal issues is key for successful physical therapy for headaches. Treatment must comprehensively address neck dysfunction, including joint, muscle, and kinesthetic impairments for lasting relief.

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Area of Science:

  • Orthopedics
  • Neurology
  • Physical Therapy

Background:

  • Headaches are often linked to cervical musculoskeletal dysfunction.
  • Accurate diagnosis is crucial for effective physical therapy management of headaches.

Purpose of the Study:

  • To highlight the importance of differential diagnosis for cervical headaches.
  • To outline key physical impairments associated with cervicogenic headaches.

Main Methods:

  • Clinical examination to identify headache patterns related to neck dysfunction.
  • Assessment of cervical articular and muscle systems for physical impairments.
  • Evaluation of deep neck muscle activation, endurance, and kinesthesia.

Main Results:

  • Cervicogenic headaches are associated with dysfunction in the upper three cervical joints.
  • Patients exhibit poor activation and endurance in deep and postural neck muscles.
  • Deficits in kinesthesia are identified in individuals with cervical headaches.

Conclusions:

  • Precise and comprehensive treatment addressing interrelated dysfunctions is necessary for long-term success in managing cervical headaches.
  • Physical therapy interventions should target cervical joint mobility, muscle function, and proprioception.

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