Thoomes-de Graaf Marloes, Thoomes Erik
Manipulative Physical Therapy Clinic, Hazerswoude, The Netherlands.
J Man Manip Ther. 2016 Feb;24(1):26-33. doi: 10.1179/2042618614Y.0000000067.
This case report introduces an innovative and novel way of functionally retraining the sport specific cervical function in a 13-year-old elite water polo player with a combined tension type headache and cervicogenic headache. After an evidence based assessment and manipulative physical therapy management regime, consisting of manual mobilization and exercise focused on retraining the deep cervical flexors and sub-occipital extensors, the patient was left with persistent residual complaints inhibiting competitive level sport participation. Re-assessment and subsequent retraining of a specific provocative functional task was facilitated by using the Cervical Trainer(™). Using a wireless sensor worn on the head, this device registers three-dimensional movement and displays this on a computer screen, providing direct feedback on movement performance. After a 6-week period of training sessions, the residual complaints subsided and her score on the Headache Impact Test-6 questionnaire improved from 51 to 36 signifying no impact of her headache on daily life activities.
本病例报告介绍了一种创新且新颖的方法，用于对一名13岁患有混合性紧张型头痛和颈源性头痛的精英水球运动员进行特定运动的颈椎功能功能再训练。在基于证据的评估和手法物理治疗管理方案（包括手法松动和专注于再训练颈深屈肌和枕下伸肌的运动）之后，患者仍有持续的残留症状，这抑制了其参与竞技水平运动。使用颈椎训练器（Cervical Trainer™）有助于对特定激发性功能任务进行重新评估和后续再训练。该设备通过佩戴在头上的无线传感器记录三维运动，并在电脑屏幕上显示，提供关于运动表现的直接反馈。经过为期6周的训练课程，残留症状消退，她在头痛影响测试-6问卷上的得分从51分提高到36分，这表明她的头痛对日常生活活动没有影响。
