From the Department of Physiotherapy and Rehabilitation (Uzun, Ergun), Department of Neurology (Fırat), Faculty of Health Sciences, SANKO University, Gaziantep, and from Faculty of Physical Therapy and Rehabilitation (Akbayrak), Hacettepe University, Ankara, Turkey.
Neurosciences (Riyadh). 2024 Oct;29(4):231-238. doi: 10.17712/nsj.2024.4.20240012.
To investigate the effects of Cervical Mobilization (CM) and Clinical Pilates Exercises (CPE) in Cervigogenic Headache (CHA).
The 37 patients were randomized into the 3 groups. The CM for 1st group, CPE for 2nd group and CM+CPE for 3rd group were applied 3 days/a week for 6 weeks. Pain frequency, pain intensity, number of analgesic, were recorded. The posture was measured by Posture Screen application, the cervical range of motion by the CROM device, deep neck flexor muscle endurance by the pressurized biofeedback device. Evaluations were applied 2 times as pre-post treatment.
In within-group comparison a decrease in pain parameters, neck-shoulder postural deviation and an increase DNFE and CROM were observed in all groups (<0.05). In between-group comparison pain frequency, intensity and number of analgesics were significant changes in the CM and CM+CPE groups according to CPE (respectively <0,001, =0,001, =0,018). Head and shoulder angulation were significant in the CPE and CM+CPE groups according to CM (respectively =0.009, =0,011). It was determined that the cervical right lateral flexion range of motion and right rotation were significant changes in the CM and CM+CPE groups according to CPE (respectively =0,026, =0,040). DNFE were significantly increased in CM+CPE according to CM and CPE (=0.001).
This study suggests that it would be beneficial to add CM and CPE to the treatment plans of patients with CHA.
研究颈椎动员（CM）和临床普拉提运动（CPE）对颈源性头痛（CHA）的影响。
将 37 例患者随机分为 3 组。第 1 组接受 CM，第 2 组接受 CPE，第 3 组接受 CM+CPE，每周 3 天，共 6 周。记录疼痛频率、疼痛强度、镇痛药使用次数。姿势通过姿势筛查应用程序测量，颈椎活动范围通过 CROM 设备测量，深层颈屈肌耐力通过加压生物反馈设备测量。治疗前后各进行 2 次评估。
组内比较显示，所有组的疼痛参数、颈肩部姿势偏差以及深颈屈肌耐力和 CROM 均有下降（<0.05）。组间比较显示，CM 和 CM+CPE 组的疼痛频率、强度和镇痛药使用次数均有显著变化，与 CPE 相比（分别为<0.001、=0.001、=0.018）。CPE 对 CM 和 CM+CPE 组的头部和肩部倾斜角有显著影响（分别为=0.009、=0.011）。CM 和 CM+CPE 组的颈椎右侧侧屈范围和右侧旋转范围均有显著变化，与 CPE 相比（分别为=0.026、=0.040）。CM+CPE 组的深颈屈肌耐力明显增加，与 CM 和 CPE 相比（=0.001）。
本研究表明，在 CHA 患者的治疗计划中加入 CM 和 CPE 将是有益的。
