Department of Rehabilitation Medicine, Division of Physical Therapy, Emory University School of Medicine, Atlanta, GA, USA.
Cranio. 2024 Jul;42(4):470-480. doi: 10.1080/08869634.2021.1994226. Epub 2021 Oct 23.
To investigate whether a combination of dry-needling treatments and upper extremity neuromuscular reeducation exercises can significantly improve neck pain and/or headache-related disability, joint position error, cervical range of motion, and pain pressure threshold in individuals suffering from cervicogenic headache (CGH).
This study is a quasi-experimental design. Seven participants met the inclusion criteria and received dry needling to three muscles that reproduced the participant's headache symptoms and completed the Neck Disability Index (NDI), Headache Disability Inventory (HDI), Visual Analog Scale (VAS), and Numeric Pain Rating Scale (NPRS). Participants performed an exercise regimen designed to address strength and mobility of cervical and scapulothoracic musculature.
There were significant improvements seen in cervical range of motion and neck pain-related disability (NDI) during the 4-week treatment period.
Dry needling and neuromuscular re-education (NMR) exercises could be effective components of treatment for individuals suffering from CGH to reduce disability and pain.
研究干针治疗结合上肢神经肌肉再教育运动是否能显著改善颈源性头痛（CGH）患者的颈部疼痛和/或头痛相关残疾、关节位置误差、颈椎活动度以及疼痛压力阈值。
本研究采用准实验设计。7 名符合纳入标准的参与者接受了针对可引发头痛症状的 3 块肌肉的干针治疗，并完成了颈部残疾指数（NDI）、头痛残疾程度评估（HDI）、视觉模拟评分（VAS）和数字疼痛评分（NPRS）。参与者还完成了一套旨在增强颈椎和肩胛胸壁肌肉力量和活动度的运动方案。
在 4 周的治疗期间，颈椎活动度和颈部疼痛相关残疾（NDI）均有显著改善。
干针和神经肌肉再教育（NMR）运动可能是 CGH 患者治疗方案中的有效组成部分，可减轻残疾和疼痛。
