The utilization of dry needling and an upper extremity exercise program for individuals with cervicogenic headaches: A pilot study.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-07-01 Epub Date: 2021-10-23 DOI:10.1080/08869634.2021.1994226

Kathleen Geist, Elizabeth Frierson, Olivia Hudson, Sarah Lavin, Maddy Myers, Leda McDaniel, Vincent Carter

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Abstract

Objective: 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).

Methods: 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.

Results: There were significant improvements seen in cervical range of motion and neck pain-related disability (NDI) during the 4-week treatment period.

Conclusion: Dry needling and neuromuscular re-education (NMR) exercises could be effective components of treatment for individuals suffering from CGH to reduce disability and pain.

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利用干针疗法和上肢锻炼计划治疗颈源性头痛患者：试点研究。

目的研究干针疗法与上肢神经肌肉再教育运动相结合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、颈椎活动范围和疼痛压力阈值：本研究采用准实验设计。七名参与者符合纳入标准，接受了再现参与者头痛症状的三块肌肉干针疗法，并完成了颈部残疾指数（NDI）、头痛残疾量表（HDI）、视觉模拟量表（VAS）和数字疼痛评分量表（NPRS）。参与者还进行了针对颈部和肩胛胸肌肉力量和活动度的锻炼：结果：在为期 4 周的治疗期间，颈椎活动范围和颈部疼痛相关残疾（NDI）均有明显改善：结论：干针疗法和神经肌肉再教育（NMR）运动是治疗颈椎病患者的有效方法，可减轻残疾和疼痛。

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

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.