Neurodynamic responses in children with migraine or cervicogenic headache versus a control group. A comparative study

Piekartz, Harry J. M. von; Schouten, S; Aufdemkampe, Geert

doi:10.1016/j.math.2006.06.004

Cited by 23 publications

(14 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although there is some evidence of altered responses to neural tissue provocation tests in subjects with CGH when compared to migraine 73 , the presence of increased neural tissue mechano-sensitivity in patients with CGH is relatively rare, with the reported incidence between 7 and 10% 42 . Nevertheless, it is important to identify these patients as they usually respond inadequately to joint mobilization or motor control retraining.…”

Section: Neural Systemmentioning

confidence: 99%

Clinical Evaluation of Cervicogenic Headache: A Clinical Perspective

Hall¹,

Briffa²,

Hopper³

2008

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

Headache is a common complaint that aff ects the majority of the population at some point in their lives. Th e underlying pathological bases for headache symptoms are many, diverse, and oft en diffi cult to distinguish. Classifi cation of headache is principally based on the evaluation of headache symptoms as well as clinical testing. Although manual therapy has been advocated to treat a variety of diff erent forms of headache, the current evidence only supports treatment for cervicogenic headache (CGH). Th is form of headache can be identifi ed from migraine and other headache forms by a comprehensive musculoskeletal examination. Examination and subsequent diagnosis is essential not only to identify patients with headache where manual therapy is appropriate but also to form a basis for selection of the most appropriate treatment for the identifi ed condition. Th e purpose of this paper is to outline, in clinical terms, the classifi cation of headache, so that the clinician can readily identify those patients with headache suited to manual therapy.

show abstract

Section: Neural Systemmentioning

confidence: 99%

Clinical Evaluation of Cervicogenic Headache: A Clinical Perspective

Hall¹,

Briffa²,

Hopper³

2008

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

show abstract

“…57 In fact, two recent studies have tied the physical movement properties of the spinal dura to the development of cervicogenic headaches. 66,67 von Piekartz and colleagues 68 investigated the difference in cervical flexion and sensory responses (intensity and location) during the Long Sitting Slump test (LSS) in 123 children aged 6-12 years. The test was performed on children with migraine, cervicogenic headache and a control group and it was found that 18% of the headache subjects felt the responses in their head.…”

Section: Mechanical Properties Of the Dura And Its Dural Ligament Conmentioning

confidence: 99%

Chronic pain and the thoracic spine

Louw

Schmidt²

2015

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

In recent years there has been an increased interest in pain neuroscience in physical therapy.1,2 Emerging pain neuroscience research has challenged prevailing models used to understand and treat pain, including the Cartesian model of pain and the pain gate.2-4 Focus has shifted to the brain's processing of a pain experience, the pain neuromatrix and more recently, cortical reorganisation of body maps.2,3,5,6 In turn, these emerging theories have catapulted new treatments, such as therapeutic neuroscience education (TNE)7-10 and graded motor imagery (GMI),11,12 to the forefront of treating people suffering from persistent spinal pain. In line with their increased use, both of these approaches have exponentially gathered increasing evidence to support their use.4,10 For example, various randomised controlled trials and systematic reviews have shown that teaching patients more about the biology and physiology of their pain experience leads to positive changes in pain, pain catastrophization, function, physical movement and healthcare utilisation.7-10 Graded motor imagery, in turn, has shown increasing evidence to help pain and disability in complex pain states such as complex regional pain syndrome (CRPS).11,12 Most research using TNE and GMI has focussed on chronic low back pain (CLBP) and CRPS and none of these advanced pain treatments have been trialled on the thoracic spine. This lack of research and writings in regards to the thoracic spine is not unique to pain science, but also in manual therapy. There are, however, very unique pain neuroscience issues that skilled manual therapists may find clinically meaningful when treating a patient struggling with persistent thoracic pain. Utilising the latest understanding of pain neuroscience, three key clinical chronic thoracic issues will be discussed - hypersensitisation of intercostal nerves, posterior primary rami nerves mimicking Cloward areas and mechanical and sensitisation issues of the spinal dura in the thoracic spine.

show abstract

“…This could possibly explain the phenomenon of neurotension often identi ed by clinicians when treating patients with headaches and cervical related dysfunctions. (20)(21)(22) Muscular impairment (dysfunctions) has been identi ed as possible contributing factor for the development of CGH. (23,24) The upright position in humans results in loading of the cervical spine due to the weight of the head.…”

Section: Introductionmentioning

confidence: 99%

Cervicogenic Headache and the Relationship Between the Position and Movement of the Upper Cervical Spine and Dura

Sillevis¹,

Shamus²,

Wyss³

2020

Preprint

View full text Add to dashboard Cite

Background: It has been demonstrated that cervicogenic headaches (CGH) is caused by dysfunction of the upper cervical spine. Due the soft tissue connection between muscle, cervical fascia and dura, this region might contribute to the development of CGH’s. This study evaluated if subjects with CGH have concurrent neural tension signs. The secondary aim of this study was to investigate if there is a correlation between the position of atlas and mobility of atlantoaxial joint in those experiencing cervicogenic headaches compared to a healthy control group.Methods: A convenience sample of 60 subjects were recruited for this study. Each subjected completed self-reported outcome measures, after which the passive neck flexion rotation test, upper limb tension test (ULTT), slump test, and straight leg raise test (SLR) was performed by the physical therapist.Outcomes: There was a significant difference in the passive atlantoaxial rotation to the right between the CGH and the control group p = 0.025. There was a no statistically significance in left rotation. There was no significant relationship between CGH and the ULTT, slump ad SLR with P > 0.05. The position of atlas was significantly related with CGH with P < 0.001 and position of atlas was significantly related to AA motion with p < 0.001Discussion: The results of this study demonstrate that there is a direct relationship between the position of atlas, unilateral restriction in AA rotation, and the presence of CGH’s. The presence of fascial connections between structures of the high cervical spine and the dura motion could result in dural tension and should be considered by physical therapists when managing patients with CGH. The use of the ULTT, Slump test, and SLR test do not appear beneficial identifying those with CGH.

show abstract

Neurodynamic responses in children with migraine or cervicogenic headache versus a control group. A comparative study

Cited by 23 publications

References 21 publications

Clinical Evaluation of Cervicogenic Headache: A Clinical Perspective

Clinical Evaluation of Cervicogenic Headache: A Clinical Perspective

Chronic pain and the thoracic spine

Cervicogenic Headache and the Relationship Between the Position and Movement of the Upper Cervical Spine and Dura

Contact Info

Product

Resources

About