Cervical Musculoskeletal Dysfunction in Post-Concussional Headache

Treleaven, Julia; Jull, Gwendolen; Atkinson, Leigh

doi:10.1046/j.1468-2982.1994.1404273.x

Cited by 117 publications

(76 citation statements)

References 23 publications

(61 reference statements)

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“…Therefore, as a part of the education process, patients and parents should be apprised that persistent postconcussion symptoms warrant additional investigation to determine their underlying causes. [39][40][41] After returning to play, planned, routine follow-up assessments should be conducted to ensure the adolescent's quality of life is not being compromised. Clinicians need to acknowledge the potential for postconcussion emotional sequelae and work with the injured adolescent to identify potential causes, thereby easing the transition to full recovery.…”

Section: Discussionmentioning

confidence: 99%

Qualitative Examination of Adolescent Health-Related Quality of Life at 1 Year Postconcussion

Iadevaia

Roiger

Zwart

2015

Journal of Athletic Training

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Context: Moderate to severe traumatic brain injuries can negatively influence health-related quality of life (HRQOL) in adolescent patients. The effect of sport-related concussion on adolescent HRQOL remains unclear.Objective: To investigate the perceptions of adolescent student-athletes and their parents regarding the adolescents' HRQOL 1 year after sport-related concussion.Design: Qualitative study. Setting: Secondary school.Patients or Other Participants: Seven adolescent studentathletes (age range, 12-16 years) who sustained a sport-related concussion at least 1 year (15.3 6 2.8 months) before the study participated along with their primary care-giving parents (n ¼ 7).Data Collection and Analysis: Fourteen semistructured face-to-face interviews (7 adolescents, 7 parents) were completed. Interviews were transcribed and inductively analyzed by a team of 3 athletic trainers with 32 combined years of professional experience. Themes were negotiated through a consensual review process. Participant checks were completed to ensure trustworthiness of the results.Results: Four major themes emerged from the interviews: (1) significant effect of symptoms, (2) feelings of frustration, (3) influence on school attendance and activities, and (4) nature of interpersonal and team relationships. Participants indicated that the physical symptoms of the concussion substantially affected their emotional and academic function. The influence of the concussion on social interactions seemed to depend on the nature of interpersonal relationships.Conclusions: Sport-related concussion can negatively influence physical and emotional function, academics, and interpersonal interactions as perceived by adolescent studentathletes and their parents. Education of parents and their children, school professionals, coaches, and teammates remains critical to effectively recognize and manage sport-related concussion. Secondary school districts also play a critical role in the concussion-management process by establishing and implementing accommodation policies that alleviate student concerns about falling behind while ensuring a healthy return to normal school routines. Furthermore, adolescent support systems must be considered throughout the recovery process.

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Section: Discussionmentioning

confidence: 99%

Qualitative Examination of Adolescent Health-Related Quality of Life at 1 Year Postconcussion

Iadevaia

Roiger

Zwart

2015

Journal of Athletic Training

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“…10 Our group of patients with CTS also showed a smaller craniovertebral angle, confirming than FHP is present in patients with CTS. Because FHP is also related to other pain conditions, 7,8,10,13,31,34 the change of head posture had a smaller craniovertebral angle (greater FHP) in both sitting and standing positions compared to healthy controls (P.001). Additionally, the craniovertebral angle was smaller in the sitting position when compared to the standing position for both groups (P.01).…”

Section: Discussionmentioning

confidence: 99%

“…As suggested by the American Association of Electrodiagnostic Medicine, the American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation guidelines, 15 patients with normal standard electrodiagnostic tests (median nerve distal motor latency or median passing through the center of gravity of the body. 12 FHP has been previously identified in patients with neck pain, 13 temporomandibular disorders, 7 postconcussion headache, 31 cervicogenic headache, 34 chronic tension-type headache, 8 and migraine. 10 In addition, restricted cervical range of motion has also been found in patients with tension-type or cervicogenic headache.…”

mentioning

confidence: 99%

Increased Forward Head Posture and Restricted Cervical Range of Motion in Patients With Carpal Tunnel Syndrome

de-la-Llave-Rincón¹,

Fernández‐de‐las‐Peñas

Palacios‐Ceña³

et al. 2009

J Orthop Sports Phys Ther

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“…3,8,32,38 Of the subjects assessed for inclusion, 32 of 43 were deemed positive on the FRT. These finding give credence to the relevance of the FRT in cervicogenic headache management.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a C1-C2 Self-sustained Natural Apophyseal Glide (SNAG) in the Management of Cervicogenic Headache

Hall¹,

Chan²,

Christensen³

et al. 2007

J Orthop Sports Phys Ther

130

110

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Headache is a common condition frequently encountered by physiotherapists in clinical practice. 18 Cervicogenic headache has been classified by the International Headache Society (IHS) 1 and accounts for 15% to 20% of all chronic and recurrent headaches. 20 Individuals with chronic cervicogenic headache experience considerable restriction of daily function, limitation of social participation, and emotional distress. 5 In addition, these t sTudy design: Randomized, double-blind, placebo controlled trial.t objeCTives: To determine the effect of a C1-C2 self-sustained natural apophyseal glide (SNAG) on cervicogenic headache. t baCkground: Cervicogenic headache is a common condition causing significant disability. Recent studies have shown a high incidence of C1-C2 dysfunction, evaluated by the flexion-rotation test (FRT), in subjects with cervicogenic headache. To manage this dysfunction, Mulligan has described a C1-C2 self-SNAG, though no studies have investigated the efficacy of this intervention approach.t meTHods: A sample of 32 subjects (mean 6 SD age, 36 6 3 years) with cervicogenic headache and FRT limitation were randomized into a C1-C2 self-SNAG or placebo group. After an initial instruction and practice visit in the clinic, interventions consisted of exercises applied independently by the subject twice daily at home on a continual basis. FRT range was measured twice, before and immediately after the instruction and practice visit. Headache symptoms were determined by a headache index over time, assessed by questionnaire preintervention, at 4 weeks postintervention, and at 12 months postintervention.t resulTs: No differences were found in baseline measures between groups. Immediately after the initial instruction and practice visit performed with the supervision of the therapist, FRT range increased by 15° (SD, 9) for the C1-C2 self-SNAG group (P,.001), which was significantly more than 5° (SD, 5) for the placebo intervention (P,.001). There was also a significant interaction for the variable headache index between group and time (P,.001), indicating that group difference was dependent on time. There was no difference in headache index scores at baseline between groups. Headache index scores were substantially less in the C1-C2 self-SNAG group (mean 6 SD points at 4 weeks, 31 6 9; mean 6 SD points at 12 months, 24 6 9) compared to the placebo group (mean 6 SD points at 4 weeks, 51 6 15; mean 6 SD points at 12 months, 44 6 13) at 4 weeks (P,.001) and 12 months (P,.001), with an overall (6SD) reduction of 54% (617%) for the individuals in the C1-C2 self-SNAG group.t ConClusions: These results provide evidence for the efficacy of the C1-C2 self-SNAG technique in the management of individuals with cervicogenic headache.

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Cervical Musculoskeletal Dysfunction in Post-Concussional Headache

Cited by 117 publications

References 23 publications

Qualitative Examination of Adolescent Health-Related Quality of Life at 1 Year Postconcussion

Qualitative Examination of Adolescent Health-Related Quality of Life at 1 Year Postconcussion

Increased Forward Head Posture and Restricted Cervical Range of Motion in Patients With Carpal Tunnel Syndrome

Efficacy of a C1-C2 Self-sustained Natural Apophyseal Glide (SNAG) in the Management of Cervicogenic Headache

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