Hall T, Robinson K
Curtin University of Technology, Hayman Road, Bentley, Western Australia, Australia.
Man Ther. 2004 Nov;9(4):197-202. doi: 10.1016/j.math.2004.04.004.
A single blind, age and gender matched, comparative measurement study was designed to assess active range of cervical motion and passive range of rotation in cervical flexion in asymptomatic and cervicogenic headache subjects. Both procedures are commonly used in clinical practice to evaluate patients with cervicogenic headache. We studied 20 women and eight men with side dominant cervicogenic headache (mean age 43.3 years) matched with 28 asymptomatic subjects. Two experienced manipulative therapists, who were blind to each other's measurement, noted active ranges of cervical motion and passive cervical rotation performed in the flexion-rotation test using the Cervical Range of Motion Device. Headache severity was assessed by a questionnaire. Additionally, one therapist prior to neck motion assessment determined the dominant symptomatic cervical motion segment. Active cervical motion in each direction was identical between the cervicogenic and control groups. In contrast, average rotation in flexion was 44 degrees to each side in the asymptomatic group and 28 degrees towards the headache side in the symptomatic group. C1-2 was deemed to be the dominant segmental level of headache origin in 24 of 28 subjects. In those 24 subjects range of rotation during the flexion-rotation test was inversely correlated to headache severity.
设计了一项单盲、年龄和性别匹配的对比测量研究，以评估无症状和颈源性头痛受试者的颈椎活动范围以及颈椎前屈时的被动旋转范围。这两种检查方法在临床实践中常用于评估颈源性头痛患者。我们研究了20名女性和8名男性，他们均为单侧优势颈源性头痛患者（平均年龄43.3岁），并与28名无症状受试者进行匹配。两名经验丰富的手法治疗师在彼此不知情的情况下，使用颈椎活动度测量仪记录了颈椎活动范围以及在屈伸旋转试验中进行的颈椎被动旋转情况。通过问卷评估头痛严重程度。此外，一名治疗师在进行颈部活动评估之前确定了主要的有症状颈椎活动节段。颈源性头痛组和对照组在每个方向上的颈椎主动活动相同。相比之下，无症状组在屈伸时向两侧的平均旋转角度为44度，而有症状组向头痛侧的平均旋转角度为28度。28名受试者中有24名受试者的C1-2被认为是头痛起源的主要节段水平。在这24名受试者中，屈伸旋转试验中的旋转范围与头痛严重程度呈负相关。
