Fortner Miles O, Woodham Thomas J, Oakley Paul A, Harrison Deed E
Private Practice, USA.
Private Practice: Newmarket, ON, L3Y 8Y8, Canada.
J Phys Ther Sci. 2022 Feb;34(2):167-171. doi: 10.1589/jpts.34.167. Epub 2022 Feb 23.
[Purpose] To present the successful structural improvement in cervical lordosis in a patient suffering from cervicogenic headache having cervical kyphosis. [Participant and Methods] A 26 year old female presented with the primary complaint of headache. Radiography demonstrated a cervical kyphosis. Chiropractic BioPhysics methods were used to restore the cervical spine alignment. Twenty-five treatments were given over 8 weeks. A 2.5 year follow-up was also reported. [Results] Radiography showed a dramatic increase in cervical lordosis following initial treatment. The patient also reported substantial reductions in headache frequency and severity as well as other bodily improvements, reduced disability and improved quality of life. The long-term follow-up showed a maintenance of lordosis correction and patient wellness. [Conclusion] A cervical kyphosis was reversed back to a normal lordosis in 8 weeks and coincided with dramatic resolution of cervicogenic headache in a young female. The cervical lordosis may be a key biomechanical biomarker in cervicogenic headache.
[目的] 介绍一名患有颈源性头痛且颈椎后凸的患者颈椎前凸成功的结构改善情况。[参与者与方法] 一名26岁女性，主要诉求为头痛。X线检查显示颈椎后凸。采用脊椎矫正生物物理学方法恢复颈椎排列。在8周内进行了25次治疗。还报告了2.5年的随访情况。[结果] 初次治疗后X线检查显示颈椎前凸显著增加。患者还报告头痛频率和严重程度大幅降低，以及身体其他方面有所改善，残疾程度减轻，生活质量提高。长期随访显示前凸矫正得以维持，患者健康状况良好。[结论] 一名年轻女性的颈椎后凸在8周内恢复为正常前凸，同时颈源性头痛显著缓解。颈椎前凸可能是颈源性头痛的关键生物力学生物标志物。
