The Effects of cervical mobilization and clinical pilates exercises in cervicogenic headache: randomized controlled trial.

IF 1.2 4区医学 Q4 CLINICAL NEUROLOGY Neurosciences Pub Date : 2024-10-01 DOI:10.17712/nsj.2024.4.20240012

Meltem Uzun, Yasemin Ekmekyapar Fırat, Nevin Ergun, Türkan Akbayrak

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Abstract

Objectives: To investigate the effects of Cervical Mobilization (CM) and Clinical Pilates Exercises (CPE) in Cervigogenic Headache (CHA).

Methods: 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.

Results: In within-group comparison a decrease in pain parameters, neck-shoulder postural deviation and an increase DNFE and CROM were observed in all groups (p<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 p<0,001, p=0,001, p=0,018). Head and shoulder angulation were significant in the CPE and CM+CPE groups according to CM (respectively p=0.009, p=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 p=0,026, p=0,040). DNFE were significantly increased in CM+CPE according to CM and CPE (p=0.001).

Conclusion: This study suggests that it would be beneficial to add CM and CPE to the treatment plans of patients with CHA.

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颈椎活动和临床普拉提运动对颈源性头痛的影响：随机对照试验。

目的研究颈椎运动（CM）和临床普拉提运动（CPE）对颈源性头痛（CHA）的影响：将 37 名患者随机分为 3 组。方法：将 37 名患者随机分为 3 组，第一组进行颈椎按摩，第二组进行普拉提锻炼，第三组进行颈椎按摩+普拉提锻炼，每周 3 天，持续 6 周。记录疼痛频率、疼痛强度和镇痛次数。使用姿势屏幕测量姿势，使用 CROM 设备测量颈椎活动范围，使用加压生物反馈设备测量颈深屈肌耐力。作为治疗前和治疗后的评估，共进行了两次：在组内比较中，所有组的疼痛参数、颈肩姿势偏差均有所减少，DNFE 和 CROM 均有所增加（ppp=0,001，p=0,018）。在 CPE 组和 CM+CPE 组中，头部和肩部角度的变化对 CM 有显著影响（分别为 p=0.009 和 p=0,011）。据CPE测定，颈椎右侧屈活动范围和右旋转在CM组和CM+CPE组有显著变化（分别为P=0,026和P=0,040）。CM+CPE组的DNFE较CM组和CPE组明显增加（P=0.001）：本研究表明，在CHA患者的治疗方案中加入CM和CPE是有益的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.