scholarly journals Effect of Cervical Mobilization, Transcutaneous Electrical Stimulation and Suboccipital Release in Cervicogenic Headache: A Case Report

2021 ◽  
Vol 11 (8) ◽  
pp. 81-85
Author(s):  
Darshana Fursule ◽  
Kapil Garg
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Range Of Motion ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Cervicogenic Headache ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: Cervicogenic headaches are one of the common musculoskeletal disorders that originates in the neck and are radiates from neck to head. Cervicogenic headache is usually treated with a comprehensive strategy that includes pharmacologic, nonpharmacologic, manipulative, anesthetic, surgical procedures and physiotherapy. Physiotherapy includes spinal manipulation, mobilization, myofascial release, exercises and electrotherapeutic modalities. Purpose: This case report aims to evaluate the effects of combination of cervical spine mobilization, TENS, Suboccipital release on cervicogenic headache in maintaining long-term benefits. Methods: This a case report of 31-year-old male having cervicogenic headache from 4-5 years. He reported symptoms like pain in right side neck which radiates into head till forehead and stiffness in neck. Physiotherapy treatment like cervical spine mobilization, TENS and Suboccipital release was given for 5 sessions (alternate days) for 10 days. Outcome Measures: Numerical pain rating scale, Neck disability Index and Cervical range of motion was used as outcome measures. Results: There was marked decrease in pain intensity from 8 on NPRS to 1 on NPRS. Also there was increase in cervical range of motion specially flexion, lateral flexion and rotation and decrease in neck disability index from 28 to 10. Conclusion: Physical therapy with TENS, Cervical spine mobilization & sub occipital release can be used as an effective intervention protocol for reducing pain and stiffness and increasing range of motion in patients with Cervicogenic Headache. Key words: Transcutaneous electrical nerve stimulation, Cervical Spine mobilization, Suboccipital release, Cervicogenic Headache, Numerical Pain Rating Scale, Neck Disability Index.

scholarly journals Effectiveness of Progressive Resisted Exercise along with Conventional Exercise and Conventional Exercise Program alone in Subjects with Text Neck Syndrome

2021 ◽  
pp. 536-542
Author(s):  
Divya Jain ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Exercise Program ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: "Text neck" is a term coined to describe the posture created by leaning forward for lengthy periods of time, such as when reading and texting on a cellphone which has been linked to stress injuries. Neck pain, upper back discomfort, shoulder pain, frequent headaches, and greater curvature of the spine are all dangerous indications of text neck. According to a survey, 35% of smartphone users suffer from text neck syndrome. People between the ages of 15 and 18 are more likely to have neck pain. This protocol has been created that describes the design of comparative study to evaluate effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in text neck syndrome. Methods: The participants (n=80) will be recruited in the study suffering from text neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated with conventional therapy and group B will be treated with progressive resisted exercise (PRE) along with conventional therapy. The protocol will cover 4 weeks of treatment. In the rehabilitation period, we will evaluate the pain intensity, strength of neck muscles and functional activity. Our outcome measures will be- Numerical pain rating scale (NPRS) and Neck disability index (NDI). Discussion: Efficacy of the intervention will be evaluated by analyzing the pain intensity by using Numerical pain rating scale (NPRS) and level of functional disability by using Neck disability index (NDI). The result of the study will significantly provide affirmation on either using combination therapy of PRE with conventional exercise or conventional exercise alone.

scholarly journals USING NECK DISABILITY INDEX, NUMERICAL PAIN RATING SCALE AND COMPUTERIZED DYNAMIC POSTUROGRAPHY TO ASSESS CORTICAL INTEGRATIVE THERAPY IN PRACTICE BASED CLINICAL RESEARCH

2021 ◽  
Vol 57 (1) ◽  
pp. 19-31
Author(s):  
Victor M. Pedro ◽  
◽  
Richard L. Lyon ◽  
Elena Oggero ◽  
◽  
...  
Keyword(s):  
Rating Scale ◽  
Clinical Status ◽  
Neck Disability Index ◽  
Pain Rating ◽  
Dynamic Posturography ◽  
Integrative Therapy ◽  
Numerical Pain Rating Scale ◽  
Computerized Dynamic Posturography ◽  
Neck Disability ◽  
Pain Rating Scale

In this retrospective study of adult patient’s charts from an outpatient clinical practice, three tools, Neck Disability Index (NDI), Numerical Pain Rating Scale (NPRS), and Computerized Dynamic Posturography (CDP), were investigated to evaluate how they are affected by demographics, anthropometry and clinical status, and if they are can detect the effects of Cortical Integrative Therapy (PedroCIT®) received by these patients all affected by neck pain. The results show that they are robust metrics not affected by sex, age, payee’s type, treatment duration, or comorbidities number. CDP is affected by the primary diagnosis (traumatic brain injury/concussion, vertigo/dizziness, migraine/headaches, or other), NDI and NPRS are not. Whereas NDI and NPRS could be used interchangeably as an overall measure of the pain the patient is experiencing, their results do not correlate in general with CDP, indicating the need to use both a subjective (NDI or NPRS) and an objective tool (CDP) as they capture different aspects: how the subject rates its ability to perform daily activities and how much pain it feels, and how the postural control system maintains balance. When considering the time constraint physicians often face when dealing with patients, this chart review points toward the possibility of using the simple NPRS as subjective measure of pain, and only one instead of several CDP tests to determine the pre-post effect of a therapy. Future studies evaluating PedroCIT® outcomes for specific diagnoses in larger populations, multiple location settings, and observation for longitudinal cohesion are needed before these metrics can be fully endorsed.

scholarly journals Διερεύνηση της αποτελεσματικότητας των ασκήσεων κινητοποίησης του περιφερικού νευρικού ιστού σε συνδυασμό με αυχενική έλξη σε ασθενείς με αυχενική ριζοπάθεια

2014 ◽  
Author(s):  
Χρήστος Σάββα
Keyword(s):  
Rating Scale ◽  
Neck Disability Index ◽  
Patient Specific ◽  
Pain Rating ◽  
Functional Scale ◽  
Numeric Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Στόχος της διδακτορικής διατριβής ήταν να διερευνήσει την αποτελεσματικότητα της αυχενικής έλξης σε συνδυασμό με την εφαρμογή των ασκήσεων κινητοποίησης του περιφερικού νευρικού ιστού στην αντιμετώπιση της αυχενικής ριζοπάθειας. Πιλοτικά η διερεύνηση του συγκεκριμένου θεραπευτικού πλάνου πραγματοποιήθηκε με μια περιπτωσιακή μελέτη ενώ αργότερα πραγματοποιήθηκε μια διπλά τυφλή τυχαιοποιημένη ελεγχόμενη δοκιμασία (συμμετοχή σαράντα δύο ασθενών που ισομερώς κατανεμήθηκαν στις ομάδες ελέγχου και θεραπείας) με σαφώς καλύτερο μεθοδολογικό σχεδιασμό σε σχέση με την προηγούμενη μελέτη. Για την αξιολόγηση του συγκεκριμένου θεραπευτικού πλάνου χρησιμοποιήθηκαν τα όργανα αξιολόγησης the Neck Disability Index, the Patient-Specific Functional Scale and the Numeric Pain Rating Scale. Επιπρόσθετα, αξιολογήθηκε η δύναμη της λαβής της άκρας χειρός αλλά και το εύρος κίνησης της αυχενικής μοίρας της σπονδυλικής στήλης. Σύμφωνα με τα ευρήματα της διατριβής αποδείχτηκε πως η εφαρμογή της αυχενικής έλξης και των ασκήσεων κινητοποίησης του περιφερικού νευρικού ιστού μπορεί να αντιμετωπίσουν τον νευρογενή πόνο αλλά και να αναβαθμίσουν το επίπεδο λειτουργικότητας των ασθενών με αυχενική ριζοπάθεια. Περισσότερες μελλοντικές ερευνητικές εργασίας θα πρέπει να διεξαχθούν έτσι ώστε να διερευνηθεί η μακροπρόθεσμη αποτελεσματικότητα του συγκεκριμένου θεραπευτικού πλάνου αλλά και να συγκριθεί η δράση του σε σχέση με την αποτελεσματικότητα άλλων θεραπευτικών εργαλείων όπως είναι ο θεραπευτικός υπέρηχος κτλ.

Psychometric properties of the Numeric Pain Rating Scale and Neck Disability Index in patients with cervicogenic headache

Cephalalgia ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Ian A Young ◽  
James Dunning ◽  
Raymond Butts ◽  
Joshua A Cleland ◽  
César Fernández-de-las-Peñas
Keyword(s):  
Rating Scale ◽  
Neck Disability Index ◽  
Self Report ◽  
Pain Rating ◽  
Short Term ◽  
Point Reduction ◽  
Cervicogenic Headaches ◽  
Numeric Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background Self-reported disability and pain intensity are commonly used outcomes in patients with cervicogenic headaches. However, there is a paucity of psychometric evidence to support the use of these self-report outcomes for individuals treated with cervicogenic headaches. Therefore, it is unknown if these measures are reliable, responsive, or result in meaningful clinically important changes in this patient population. Methods A secondary analysis of a randomized clinical trial (n = 110) examining the effects of spinal manipulative therapy with and without exercise in patients with cervicogenic headaches. Reliability, construct validity, responsiveness and thresholds for minimal detectable change and clinically important difference values were calculated for the Neck Disability Index and Numeric Pain Rating Scale. Results The Neck Disability Index exhibited excellent reliability (ICC = 0.92; [95 % CI: 0.46–0.97]), while the Numeric Pain Rating Scale exhibited moderate reliability (ICC = 0.72; [95 % CI: 0.08–0.90]) in the short term. Both instruments also exhibited adequate responsiveness (area under the curve; range = 0.78–0.93) and construct validity ( p < 0.001) in this headache population. Conclusions Both instruments seem well suited as short-term self-report measures for patients with cervicogenic headaches. Clinicians and researchers should expect at least a 2.5-point reduction on the numeric pain rating scale and a 5.5-point reduction on the neck disability index after 4 weeks of intervention to be considered clinically meaningful.

scholarly journals THU0453 THIRD OCCIPITAL NERVE RADIO-FREQUENCY UNDER FLUOROSCOPIC GUIDANCE IN MANAGEMENT OF CERVICOGENIC HEADACHE IN RHEUMATOID ARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 463.2-464
Author(s):  
A. Alawamy ◽  
M. Hassanien ◽  
E. Talaat ◽  
E. Kamel
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Neck Pain ◽  
Neck Disability Index ◽  
Cervicogenic Headache ◽  
Control Group ◽  
Fluoroscopic Guidance ◽  
Occipital Nerve ◽  
Nocturnal Pain ◽  
Neck Disability

Background:Rheumatoid arthritis is a common type of autoimmune arthritis characterized by chronic inflammation. Cervical spine is often affected specially in long lasting diseaseObjectives:Evaluate efficacy of Third occipital nerve Radiofrequency under fluoroscopic guidance to treat refractory cervicogenic headache in RA patients.Methods:The current study was revised and approved from the local ethical committee of Faculty of Medicine; Assiut University, then registered in the clinical trials under the number ofNCT03852355. Inclusion criteria included, Patients who fulfilled the American College of Rheumatology (ACR) (2010) criteria for RA and suffering from upper neck pain and/or headache due to bilateral 3rd occipital nerve involvement, excluding other local cervical spine pathologies was confirmed by MRI and previously failed conservative treatment for at least three months prior to enrollment. Sixty adult patients were randomly assigned to one of the two studied groups Group 1 (RF, n = 30), received bilateral Third occipital nerve Radiofrequency under fluoroscopic guidance or Group 2 (control group, n = 30), received oral prednisolone 10 mg/day. The two groups were then followed-up with neck disability index (NDI), nocturnal neck pain VAS score and headache score every two weeks for three months. Sleep disturbance, sleep disability index were reassessed six months post intervention. Post interventional assessment was done by pain physician who were kept blind to the grouping process.Results:Neck disability index (1ry outcome), Nocturnal pain VAS, and severity of headache showed significant differences during the whole post-interventional study period. The patients in RF group demonstrated significant improvement of pain in comparison to baseline value over the whole six months with p-value < 0.001 as regard to the fore-mentioned three parameters. On the other aspect, the control group patients showed significant improvement in comparison to its baseline value after the 2nd, 12th and 24th weeks only as follows: (0.001,0.003, 0.003 for the NDI) (p values of 0.02,0.01, 0.01 for the nocturnal pain VAS), (0.001 0.009, 0.005 for the headache VAS severity.Conclusion:Radiofrequency of 3rd occipital nerve is effective in treatment of refractory cervicogenic headache in RA.Disclosure of Interests: :None declared

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