Immediate Effects of Upper Cervical Translatoric Mobilization on Cervical Mobility and Pressure Pain Threshold in Patients With Cervicogenic Headache: A Randomized Controlled Trial

Malo-Urriés, M. (Universidad de Zaragoza) ; Tricás-Moreno, J.M. (Universidad de Zaragoza) ; Estébanez-de-Miguel, E. (Universidad de Zaragoza) ; Hidalgo-García, C. (Universidad de Zaragoza) ; Carrasco-Uribarren, A. ; Cabanillas-Barea, S. (Universidad de Zaragoza)

Resumen: Objective The purpose of this study was to evaluate the immediate effects of upper cervical translatoric spinal mobilization (UC-TSM) on cervical mobility and pressure pain threshold in subjects with cervicogenic headache (CEH). Methods Eighty-two volunteers (41.54 ± 15.29 years, 20 male and 62 female) with CEH participated in the study and were randomly divided into the control and treatment groups. The treatment group received UC-TSM and the control group remained in the same position for the same time as the UC-TSM group, but received no treatment. Cervical mobility (active cervical mobility and flexion-rotation test), pressure pain thresholds over upper trapezius muscles, C2-3 zygapophyseal joints and suboccipital muscles, and current headache intensity (visual analog scale) were measured before and immediately after the intervention by 2 blinded investigators. Results After the intervention, UC-TSM group exhibited significant increases in total cervical mobility (P =.002, d = 0.16) and the flexion–rotation test (P <.001, d = 0.81-0.85). No significant difference in cervical pressure pain thresholds were observed between groups (P >.05). Nevertheless, there was a significantly lower intensity of headache in the UC-TSM group (P =.039, d = 0.57). Conclusions Upper cervical translatoric spinal mobilization intervention increased upper, and exhibited a tendency to improve general, cervical range of motion and induce immediate headache relief in subjects with CEH.

Idioma: Inglés

DOI: 10.1016/j.jmpt.2017.07.007

Año: 2017

Publicado en: JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS 40, 9 (2017), 649-658
ISSN: 0161-4754

Factor impacto JCR: 1.426 (2017)

Categ. JCR: INTEGRATIVE & COMPLEMENTARY MEDICINE rank: 17 / 26 = 0.654 (2017) - Q3 - T2
Categ. JCR: REHABILITATION rank: 41 / 63 = 0.651 (2017) - Q3 - T2
Categ. JCR: HEALTH CARE SCIENCES & SERVICES rank: 69 / 94 = 0.734 (2017) - Q3 - T3

Factor impacto SCIMAGO: 0.742 - Chiropractics (Q1)

Tipo y forma: Artículo (PostPrint)

Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)