Physical therapy in the treatment of chronic headache

Current Pain and Headache Reports - Tập 7 - Trang 482-489 - 2003
Julie Mills Roth1
1Michigan Head Pain & Neurological Institute, Ann Arbor, USA

Tóm tắt

Careful evaluation of the chronic headache patient can reveal the presence or absence of musculoskeletal factors to be causative or contributory to the headache condition. This article presents a review of the literature surrounding physical findings in patients with cervicogenic and musculoskeletal sources of pain and specific treatment with physical therapy. Included in the discussion is the identification of muscular and joint involvement in a given headache, the relevance of postural, range of motion, and strength deficits, and appropriate individualized treatment strategies with a review of relevant outcome studies. Possible mechanisms for treatment effects also are considered.

Tài liệu tham khảo

International Headache Society: ICD-10 Guide for Headaches. Cephalalgia 1997, 17(supp19):29–30.

Sjaastad O, Fredriksen TA, Pfaffenrath V: Cervicogenic headache: diagnostic criteria. The Cervicogenic Headache International Study Group. Headache 1998, 38:442–445.

Sjaastad O, Saunte C, Hovdahl H, et al.: “Cervicogenic” headache: a hypothesis. Cephalagia 1983, 3:249–256.

Simons D, Travell J, Simons L: Myofascial Pain and Dysfunction: The Trigger Point Manual, vol 1, edn 2. Baltimore: Williams & Wilkins; 1999. This is the definitive text on myofascial pain. It includes an extensive review of the state of the science of the pathophysiology of myofascial pain and comprehensive clinical information including referral patterns.

Jull G, Trott P, Potter H, et al.: A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine 2002, 27:1835–1843. This is a large, well-designed, and carefully controlled study that demonstrates the efficacy of manual therapies and specific low-load exercises in the long-term management of cervicogenic headaches.

Lewit K: Postisometric relaxation in combination with other methods of muscular facilitation and inhibition. Man Med 1986, 2:101–104.

Hoving JL, Koes BW, de VetHCW, et al.: Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain: a randomized, controlled trial. Ann Intern Med 2002, 136:713–722.

Rothwell DM, Bandy SJ, Williams JC: Chiropractic manipulation and stroke: a population-based case-control study. Stroke 2001, 32:1054–1060.

Treleaven J, Jull G, Sterling M: Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med 2003, 35:36–43.

Greenman PE: Manipulation and mobilization. In Headache: Diagnosis and Treatment.Edited by Tollison CD, Kunkel RJ. Philadelphia: Lippincott Williams & Wilkins; 1993:347–355.