Lin Yin-Chou, Lai Cheng-Hsiu, Chang Wei-Han, Tu Li-Wen, Lin Jung-Charng, Chou Shih-Wei
School of Medicine, Chang Gung University, Department of Physical and Rehabilitation Medicine, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan.
J Manipulative Physiol Ther. 2012 May;35(4):301-7. doi: 10.1016/j.jmpt.2012.04.009.
Cervicogenic cephalic syndrome (CCS), a group of diseases, consists of cervicogenic headache and dizziness. These symptoms may cause loss of physical function compared with other headache and dizziness disorders. The purpose of this case-control study was to assess the clinical effects of ischemic compression (IC) in patients with CCS.
Twenty-seven subjects with chronic neck pain (persisting for >3 months) and 26 healthy volunteers were examined. Subjects with organic lesion of the ear, nose, throat, eye, or central nervous system were excluded. The CCS group received IC over the maximal tender points of the origin of the posterior nuchal muscle. Sensory organization test (SOT) scores, cervical range of motion (ROM), and isometric strength of neck were measured before IC and after IC.
The ROM of the cervical spine increased in all directions after IC (P < .0083) in the CCS group, and isometric strength in the CCS group rose in all directions after IC (P = .000). There was a significant difference in ankle strategy score under the sway-referenced vision and fixed support condition (P = .003) between the control group and CCS before IC. The ankle strategy score of the CCS group improved substantially after IC under eyes closed and sway-referenced support conditions (P = .003). The visual and vestibular ratios in the CCS group also increased after IC (P = .006 and P = .002, respectively).
The findings of this study showed that ROM of the cervical spine and isometric strength increased in all directions, and the SOT scores showed increased postural stability under conditions with swayed reference support after IC in the CCS group. The ratios for vestibular and visual function also increased after IC in the CCS group.
颈源性头部综合征（CCS）是一组疾病，包括颈源性头痛和头晕。与其他头痛和头晕疾病相比，这些症状可能导致身体功能丧失。本病例对照研究的目的是评估缺血性按压（IC）对CCS患者的临床效果。
对27名患有慢性颈部疼痛（持续超过3个月）的受试者和26名健康志愿者进行检查。排除患有耳、鼻、喉、眼或中枢神经系统器质性病变的受试者。CCS组在项后肌起点的最大压痛点进行IC治疗。在IC治疗前和治疗后测量感觉组织测试（SOT）评分、颈椎活动范围（ROM）和颈部等长肌力。
CCS组IC治疗后颈椎ROM在各个方向均增加（P <.0083），CCS组IC治疗后等长肌力在各个方向均升高（P =.000）。IC治疗前，对照组和CCS组在摇摆参考视觉和固定支撑条件下的踝关节策略评分存在显著差异（P =.003）。在闭眼和摇摆参考支撑条件下，CCS组IC治疗后的踝关节策略评分显著改善（P =.003）。CCS组IC治疗后视觉和前庭比值也增加（分别为P =.006和P =.002）。
本研究结果表明，CCS组IC治疗后颈椎ROM和等长肌力在各个方向均增加，SOT评分显示在摇摆参考支撑条件下姿势稳定性增加。CCS组IC治疗后前庭和视觉功能比值也增加。
