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Articular and muscular impairments in cervicogenic headache: a case report
1Division of Physical Therapy, Des Moines University/Osteopathic Medical Center, Des Moines, IA 50312, USA. Shannon.Petersen@dmu.edu
Study Design:
Case report.
Objectives:
To describe the use of manual therapy and muscle re-education for an individual with suspected cervicogenic headache.
Background:
This patient was a 27-year-old woman with complaint of headache. She was functionally limited with prolonged postures and lifting. She also demonstrated impairments in cervical mobility and muscular performance.
Methods And Measures:
This patient was treated 8 times over an 8-week period. Intervention included manual upper cervical spine mobilization techniques, muscle re-education for the deep neck flexor muscles, and scapular stabilization exercises.
Results:
Following treatment, the patient demonstrated an increase in cervical mobility, improved muscular performance, a decrease in headaches, and complete resolution of functional limitations.
Conclusion:
The combination of manual therapy and muscle re-education was successful in relieving headaches and improving function in this patient.