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Related Experiment Videos

Cervical musculoskeletal dysfunction in post-concussional headache

J Treleaven1, G Jull, L Atkinson

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

Cephalalgia : an International Journal of Headache
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

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Persistent headache after concussion may stem from neck injuries. Patients with post-concussional headache showed upper cervical joint dysfunction and reduced neck muscle endurance, suggesting a link to cervical spine issues.

Area of Science:

  • Neurology
  • Musculoskeletal Medicine
  • Sports Medicine

Background:

  • Persistent headache is a frequent sequela of minor head injury or concussion.
  • Cervical spine structures may be simultaneously injured in head trauma.
  • Post-concussional headache (PCH) warrants investigation into potential cervical contributions.

Purpose of the Study:

  • To evaluate cervical musculoskeletal function in patients with PCH.
  • To compare findings between PCH patients and a healthy control group.
  • To explore the relationship between cervical dysfunction and persistent headaches post-concussion.

Main Methods:

  • Assessed cervical musculoskeletal function in 12 PCH patients and a control group.
  • Measured neck flexor muscle endurance and assessed for upper cervical segmental joint dysfunction.

Related Experiment Videos

  • Evaluated active range of cervical motion and postural attitude.

    • Main Results:

    • PCH patients exhibited painful upper cervical segmental joint dysfunction.
    • Reduced endurance in neck flexor muscles was observed in the PCH group.
    • A higher incidence of moderately tight neck musculature was noted in PCH patients.

    Conclusions:

    • Upper cervical joint dysfunction is a characteristic of cervicogenic headaches.
    • Findings support the inclusion of detailed cervical spine examination in PCH diagnosis.
    • Cervical musculoskeletal assessment is crucial for differential diagnosis of persistent headaches after concussion.