Assessment of chiropractic intervention influence on pain and life quality in cervicogenic headache afflicted office workers: a review

Seyfettin Emrecan Ilter, Alper Gökçe
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Abstract

Cervicogenic headache, characterized by referred pain perceived in the head but originating from the cervical spine, is a prevalent non-migraine headache impacting a significant proportion of the global population, particularly office workers. Recent studies have identified a co-occurrence of cervicogenic headaches with neck pain, often exacerbated by long hours of stationary sitting and computer use common in desk jobs. Despite the growing evidence supporting the effectiveness of chiropractic treatment in mitigating head and neck pain, a distinct gap persists in the literature concerning chiropractic interventions specifically targeting office workers suffering from cervicogenic headaches. This review aims to scrutinize the current literature on the effectiveness of chiropractic interventions on pain management and life quality improvement for office workers afflicted with cervicogenic headaches. Specifically, the review will delve into high-velocity, low-amplitude (HVLA) thrust maneuvers, a widely employed strategy in spinal manipulative therapy, an extension of chiropractic treatment. In the context of cervicogenic headaches, the link between the Rectus Capitis Posterior Minor (RCPM) muscle and the Dura Mater, and how neck strains affecting this connection can instigate headaches, will be explored. Through the comprehensive evaluation of existing literature and studies, this review seeks not only to elucidate the potential of chiropractic treatment in improving the life quality of office workers suffering from cervicogenic headaches, but also to stimulate further research in this essential yet under-explored area of study.
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脊骨按摩干预对办公室职员颈源性头痛疼痛和生活质量影响的评价综述
颈源性头痛是一种普遍存在的非偏头痛,影响了全球很大一部分人群,尤其是上班族,其特征是头部可感知的疼痛,但起源于颈椎。最近的研究已经确定颈源性头痛与颈部疼痛同时发生,通常由于长时间坐着不动和在办公室工作中使用电脑而加剧。尽管越来越多的证据支持脊椎指压疗法在缓解头颈部疼痛方面的有效性,但关于脊椎指压疗法的干预措施,特别是针对患有颈源性头痛的上班族,在文献中仍然存在明显的差距。本综述旨在回顾目前关于脊椎指压治疗对颈椎源性头痛上班族疼痛管理和生活质量改善的有效性的文献。具体而言,本文将深入探讨高速低振幅(HVLA)推力操作,这是一种广泛应用于脊柱推拿治疗的策略,是捏脊疗法的延伸。在颈源性头痛的背景下,将探讨后小头直肌(RCPM)肌肉和硬脑膜之间的联系,以及影响这种联系的颈部张力如何引发头痛。通过对现有文献和研究的综合评价,本综述不仅旨在阐明捏脊治疗在改善颈源性头痛上班族生活质量方面的潜力,而且还旨在促进这一重要但尚未开发的研究领域的进一步研究。
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