部脊椎在张力类型的头痛
César Fernández-de-Las-Peñas1, Chad Cook2, Joshua A Cleland3
1Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
Musculoskeletal science & practice
|June 2, 2023
概括
椎脊柱在紧张型头痛中起作用,有助于疼痛模式,但不会引起疼痛. 针对部的物理疗法可能有助于管理某些个体的症状.
科学领域:
- 神经学 神经学
- 肌肉骨医学 肌肉骨医学
- 疼痛管理 疼痛管理
背景情况:
- 宫脊椎在头痛中的作用,特别是宫性头痛,是有争议的.
- 新出现的证据表明,部肌肉骨功能障碍也存在于张力型头痛 (TTH) 中.
研究的目的:
- 审查关于椎脊柱参与TTH的最新临床和基于证据的数据.
- 为了区分宫脊椎在TTH与宫性头痛中的作用.
主要方法:
- 审查当前的临床和基于证据的文献.
- 对TTH患者表现的分析,包括疼痛模式和体检结果.
- 讨论拟议的治疗干预措施和临床推理.
主要成果:
- 患有TTH的个体经常表现出部疼痛,宫运动范围减少和运动控制问题.
- 手动检查宫关节和触发点可以重现TTH疼痛.
- 椎可以是TTH疼痛的"组成部分",而不是像宫性头痛那样的主要"来源".
结论:
- 椎脊柱与TTH有关,有助于疼痛体验.
- 针对椎脊柱的物理疗法可能对TTH管理有益.
- 区分宫"组成部分"和"来源"对于准确的诊断和治疗至关重要.
相关概念视频
Muscles that Move the Head
2.2K
The muscles that move the head are a dynamic and complex group of structures that work together to facilitate a wide range of head movements, including rotation, flexion, extension, and lateral bending.
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
The bilateral sternocleidomastoid, or SCM, and the suprahyoid and infrahyoid muscles are significant head flexors. The SCM muscles originate at the sternum and clavicle and attach to the mastoid process of the temporal bone. The SCM contracts bilaterally to bend the head forward, whereas...
2.2K
Cranial and Spinal Meninges
1.6K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
1.6K
Articulations of the Vertebral Column
2.0K
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
2.0K
Veins of Head and Neck
2.2K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
2.2K
Cranial Nerves: Types Part II
2.6K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
Facial Nerve (Cranial Nerve VII)
Cranial nerve VII, or the facial nerve,...
2.6K
Muscles of the Vertebral Column
1.6K
The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
1.6K


