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http://dx.doi.org/10.14400/JDC.2021.19.6.265

An Convergence Analysis of Muscle Characteristics, Muscle Activity and Posture in Patients with Cervicogenic Headache  

Yoon, Jong-Hyuk (Wonkwang University Jangheung Intergrated Medicine Hospital)
Publication Information
Journal of Digital Convergence / v.19, no.6, 2021 , pp. 265-271 More about this Journal
Abstract
This study aimed to define the diagnostic criteria for cervicogenic headache and propose an efficient method of clinical evaluation and physical therapy. Fifteen patients with cervicogenic headache and 15 healthy individuals were recruited and categorized into the test group and the control group, respectively. The groups were compared in terms of muscle characteristics, muscle activity and posture, and the intervariable correlations were analyzed for the test group. A significant between-group difference was found in the stiffness of the suboccipital muscle and the tone and stiffness of the upper trapezius muscle (p<.001). In posture comparison, a significant difference was noted in neck tilt angle and the T1 slope angle (p<.05). The activity of the sternocleidomastoid muscle was also significantly different between the groups (p<.001). When the correlations among the muscle characteristics, the posture, and the activity of the sternocleidomastoid muscle were analyzed for the test group, a positive correlation was found between the tone and the stiffness of the suboccipital muscle (p<.001) and between the tone and the stiffness of the upper trapezius muscle (p<.001). The findings of this study suggest a more efficient approach for the assessment and treatment of cervicogenic headache patients. It is considered that, further studies including more subjects of various job categories and comparing the outcomes.
Keywords
Cervicogenic headache; Muscle characteristics; Convergence analysis; neck tilt angle; T1 slope angle;
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1 D.H Watson, & P.H Trott. (1993). Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 13(1), 272-284. DOI: 10.1046/j.1468-2982.1993.1304272.x   DOI
2 S.K Park, D.J Yang, J.H Kim et al., (2017). Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. The Journal of Physical Therapy Science. 29, 1836-1840. DOI: 10.1589/jpts.29.1836   DOI
3 D.M Biondi. (2005). Cervicogenic Headache: A Review of Diagnostic and Treatment Strategies. The Journal of the American Osteopathic Association. 105. 16-22. DOI: 10.1007/s11916-001-0026-x   DOI
4 L Hamilton, C Boswell, G Fryer. (2007). The effects of high-velocity, low-amplitude manipulation and muscle energy technique on suboccipital tenderness. International Journal of Osteopathic Medicine. 10. 42-49. DOI.org/10.1016/j.ijosm.2007.08.002   DOI
5 D.J Yang, & D.H Kang. (2017). Comparison of muscular fatigue and tone of neck according to craniocervical flexion exercise and suboccipital relaxation in cervicogenic headache patients. J. Phys. Ther. Sci. 29, 869-873. DOI.org/10.1589/jpts.29.869   DOI
6 Shumway-Cook A, Woollacott M.H. (2000). Motor control translating reserch into clinical practice. Lippincott Williams & Wilkins. 169-170.
7 R Virr, K Laiho et al., (2006). Repeatability of trapezius muscle tone assessment by a myometric method. Journal of Mechanics in Medicine and Biology. 6, 215-228. DOI.org/10.1142/S0219519406001856   DOI
8 W Singhatanadgige, D.G Kang, P Luksanapruksa et al., (2015). Correlation and Reliability of Cervical Sagittal Alignment Parameters between Lateral Cervical Radiograph and Lateral Whole-Body EOS Stereoradiograph. Global Spine Journal. 6(5), 548-554.
9 H.Y. Cho. (2011). Effects of cervical stabilization exercise type on muscle strength and endurance, cross sectional area of cervical in patients with chronic cervical pain. Doctoral dissertation. Korea University, seoul.
10 E.M. Seo. (2012). The analysis of Sagittal Balance between Cranium, Cervical Spine, and Thoracic Inlet in Asymptomatic Adult. Doctoral dissertation. Kangwon University, Chuncheon.
11 J.H Park, C.B Cho, J.H Song et al., (2013). T1 Slope and Cervical Sagittal Alignment on Cervical CT Radiographs of Asymptomatic Persons. J Korean Neurosurg Soc. 53, 356-359. DOI: 10.3340/jkns.2013.53.6.356   DOI
12 A.H Peggy. (2001). Therapeutic Exercise for Athletic Injury Hougum. U.S.A, Human Kinetkcs, Inc.
13 D Falla, G Jull, P.W Hodges. (2004). Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine. 29(19), 2108-2114. DOI: 10.1097/01.brs.0000141170.89317.0e   DOI
14 S Racicki, S Gerwin, S.D Claudio et al., (2013). Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review. Journal of Manual and Manipulative Therapy. 21(2), 113-124. DOI: 10.1179/2042618612Y.0000000025   DOI
15 C Kisner, L.A Colby. (2007). Therapeutic Exercise Foundations and Techniques. The F.A, Davis Company Philadelphia Pennsylvania. 518-519.
16 D.H. Kim et al., (2015). Measurement of Low Back Muscle Characteristic Change using MyotonPRO in a Long-term Driving. Ergonomics Society of Korea. 592-598.
17 G. Zito, G Jull, & I Story. (2006). Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache. Manual Therapy. 11, 118-129. DOI: 10.1016/j.math.2005.04.007   DOI
18 J. H. Carr & R.B. Shepherd. (2004). Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Elsevier limited Oxford United Kingdom. 169-170.
19 S.K Park, D.J Yang, J.H Kim et al., (2017). Analysis of mechanical properties of cervical muscles in patients with cervicogenic headache. The Journal of Physical Therapy Science. 29, 332-335. DOI: 10.1589/jpts.29.332   DOI
20 P Page. (2011). Cervicogenic headache: An evidence approach to clinical management. The International Journal of Sports Physical Therapy. 6(3), 254-266.
21 L. Bailey, D. Samuel, M. Warner et al., (2003). Parameters Representing Muscle Tone, Elasticity and Stiffness of Biceps Brachii in Healthy Older Males. J Neurol Disord. 1. 116. DOI: 10.4172/jnd.1000116   DOI
22 G Jull, D Falla, B Vicenzino, P.W Hodges. (2009). The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Manual Therapy. 14 696-701. DOi.org/10.1016/j.math.2009.05.004   DOI
23 H.V. Suijlekom, J.V. Zundert, S Narouze et al. (2010). Cervicogenic Headache. Pain Practice. 10(2), 124-130. DOI:10.1111/j.1533-2500.2009.00354.x   DOI
24 E. Ramezani, & A.M. Arab (2017). The Effect of Suboccipital Myofascial Release Technique on Cervical Muscle Strength of Patients With Cervicogenic Headache. physical treatments. 7(1), 19-28. DOI: 10.29252/nrip.ptj.7.1.19   DOI
25 B.E.B. Gjelsvik. (2008). The Bobath concept in adult neurology. Thieme. New York. 11-12.