IJCRR - Vol 05 Issue 08, April, 2013
EFFICACY OF DEEP CERVICAL FLEXOR STRENGTH TRAINING VERSUS CONVENTIONAL TREATMENT IN CERVICOGENIC HEADACHE
Author: Rabiul Islam, Nishat Quddus, Mohammad Miraj, Shahnawaz Anwer
Objective: To evaluate the effectiveness of Pressure-biofeedback as an add-on therapy with conventional exercise on deep cervical strength, pain, and headache disability index in patient with cervicogenic headache. Design: Pretest-posttest experimental group design.
Methods: Thirty patients (17 men, 13 women) with cervicogenic headache participated in the study completed the trial. Subjects were randomly placed into two groups receiving the pressure biofeedback training (n=15) and a control group (n=15). The pressure biofeedback group received biofeedback stabilizer (PBU) guided DCF strength training along with conventional treatment program for 3 days a week for 3 week, whereas the control group received an exercise program only. Pain intensity was assessed with a visual analogue scale (VAS) and the headache score of the patients were measured by the Headache Disability Index (HDI) respectively.
Results: On between group comparisons, pressure biofeedback group has shown significant improvement in pain intensity and headache disability score as compared to control group at the end of trial (p<0.05).
Conclusion: The results of the study suggests that the deep cervical flexor’s training using pressure biofeedback along with conventional exercise was more effective to reduce pain intensity and Headache Disability and thus improving the endurance capacity of deep cervical flexor muscle over a period of 3 weeks for the management of CGH.
Keywords: Pressure-biofeedback stabilizer, Deep Cervical Flexors exercise, Cervicogenic Headache, Neck pain
Rabiul Islam, Nishat Quddus, Mohammad Miraj, Shahnawaz Anwer. EFFICACY OF DEEP CERVICAL FLEXOR STRENGTH TRAINING VERSUS CONVENTIONAL TREATMENT IN CERVICOGENIC HEADACHE International Journal of Current Research and Review. Vol 05 Issue 08, April, 84-90
1. K Niere, P Robinson. Determination of manipulative physiotherapy treatment outcome in headache patients. Manual therapy 1997; 2(4):199-205.
2. Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: Diagnostic criteria. Headache 1998;38:442-445.
3. Blau JN, MacGregor EA. Migraine and the neck. Headache 1994;34:88-90.
4. Sjaasted O, Saunte C, Hovdahl H, Breivik H, Gronback E. “Cervicogenic” headache. A hypothesis. Cephalalgia 1983;3:249-256.
5. Nilsson N. The Prevalence of Cervicogenic Headache in a Random Population Sample of 20-59 Year Olds: Spine 1995;20(17):1884- 1888
6. Gwendolen A. Jull. Grieve’s modern manual therapy. The vertebral column. 2nd edition. Cervical headache: A review 1994;333-347.
7. Darryl D Curl. Classification of headache: A new look. “Chiropractic approach to head pain” (Chap. 9) Williams and Wilkins, 1994: 182-189.
8. Beeton K. Jull G. Effectiveness of manipulative physiotherapy in the management of cervicogenic headache: a single case study. Physiotherapy 1994;80:417-423
. 9. Shannon M. Peterson. Articular and muscular impairments in cervicogenic headache: Acase report. Journal of orthopedic and sports physical therapy 2003;33:21-30.
10. Fernandez Cesar, Calos Juan. Performance of the craniocervical flexion test, forward head posture, and headache clinical parameters in patients with chronic tension-type headache: A pilot study. JOSPT 2007; 37(2):33-39.
11. Bovfim G., Berg Rakel, Dale L. Cervicogenic headache: anesthetic blockades of cervical nerve (C2-C5) and facet joints (C2/C3). Pain 1992;49:315-320.
12. Gwendolen Jull, Patricia Trott, Helen Potter et al. A Randomized Controlled Trial of exercise and Manipulative Therapy for Cervicogenic Headache: Spine 2002;27:1835- 1843.
13. Jull G, Barrett C, Magee R et al. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia 1999;19(3):179- 175.
14. Benson TB, Copp EB. The effects of therapeutic forms of heat and ice on the pain threshold of the normal shoulder. Rheumatol Rehabil 1978;13:100-104.
15. Lehman JF, DeLateur BJ. Therapeutic heat. In therapeutic heat and cold. Baltimore: Williums and Wilkins.p404-562; 1982.
16. H Duane Saunders. Use of spinal traction in the treatment of neck and back conditions. Clinical orthopaedics and related research 1983; 179:32-38.
17. Geert JMG van der Heijden, Anna JHM Beurskens et al. The efficacy of traction for back and neck pain: A systematic, blinded review of randomized clinical trial methds. Physical therapy 1995;75(2):93-104.
18. Mary J. Murphy. Effects of cervical traction on muscle activity. JOSPT 1991;13(5):220- 225.