A Pilot Study to Investigate the Short-term Effects of Specific Soft Tissue Massage on Upper Cervical Movement Impairment in Patients with Cervicogenic Headache

Overview

Journal J Man Manip Ther

Specialty Rehabilitation Medicine

Date 2014 Jan 15

PMID 24421609

Citations 4

Authors

Diana Hopper

Yogita Bajaj

Chor Kei Choi

Osama Jan

Toby Hall

Kim Robinson

Kathy Briffa

Affiliations

Soon will be listed here.

Abstract

Objectives: Upper cervical movement impairment and muscle dysfunction have been identified as core components of cervicogenic headache (CGH) pathogenesis. The purpose of this single-group pre-post test pilot study was to investigate the short-term effects of a specific soft tissue massage (SSTM) intervention to the cervical spine on range of upper cervical motion.

Methods: Eight subjects (mean age 28.1 years) with published criteria of CGH (mean history of headache for 7.1 years) were investigated. Range of rotation of the upper cervical spine to the left and right was determined by the flexion-rotation test. Movement was assessed in three phases: pre-intervention, intervention, and post-intervention. The SSTM intervention consisted of an 8-minute soft tissue massage to the cervical muscles bilaterally.

Results: Pre-intervention measures of flexion-rotation test range of motion prior to the intervention over two assessment points were consistent. In contrast, a repeated measures analysis of variance revealed a significant improvement in range of rotation to the left and right after the first (P<0.01), second (P<0.01), but not third intervention (P = 0.19), from an average range of 27.5° at baseline to 45.9° at the third treatment session. After the 2-week post-intervention phase, range of motion remained stable without decline, and was considered full range.

Discussion: This pilot study provides preliminary evidence of the potential for SSTM to improve, at least in the short-term, upper cervical range of motion in people with CGH.

Citing Articles

Comparative effectiveness of cervical vs thoracic spinal-thrust manipulation for care of cervicogenic headache: A randomized controlled trial.

Nambi G, Alghadier M, Eltayeb M, Aldhafian O, Saleh A, Alsanousi N PLoS One. 2024; 19(3):e0300737.

PMID: 38551917 PMC: 10980233. DOI: 10.1371/journal.pone.0300737.

Comparative Effects of Mulligan's Mobilization, Spinal Manipulation, and Conventional Massage Therapy in Cervicogenic Headache-A Prospective, Randomized, Controlled Trial.

Nambi G, Alghadier M, Ebrahim E, Vellaiyan A, Tedla J, Reddy R Healthcare (Basel). 2023; 11(1).

PMID: 36611567 PMC: 9819355. DOI: 10.3390/healthcare11010107.

Does Upper Cervical Manual Therapy Provide Additional Benefit in Disability and Mobility over a Physiotherapy Primary Care Program for Chronic Cervicalgia? A Randomized Controlled Trial.

Gonzalez-Rueda V, Hidalgo-Garcia C, Rodriguez-Sanz J, Bueno-Gracia E, Perez-Bellmunt A, Rodriguez-Rubio P Int J Environ Res Public Health. 2020; 17(22).

PMID: 33187167 PMC: 7697824. DOI: 10.3390/ijerph17228334.

Is there a difference in head posture and cervical spine movement in children with and without pediatric headache?.

Budelmann K, von Piekartz H, Hall T Eur J Pediatr. 2013; 172(10):1349-56.

PMID: 23708260 DOI: 10.1007/s00431-013-2046-z.

References

Hall T, Briffa K, Hopper D, Robinson K . Long-term stability and minimal detectable change of the cervical flexion-rotation test. J Orthop Sports Phys Ther. 2010; 40(4):225-9. DOI: 10.2519/jospt.2010.3100. View

Takasaki H, Hall T, Oshiro S, Kaneko S, Ikemoto Y, Jull G . Normal kinematics of the upper cervical spine during the Flexion-Rotation Test - In vivo measurements using magnetic resonance imaging. Man Ther. 2010; 16(2):167-71. DOI: 10.1016/j.math.2010.10.002. View

Panneton W, Gan Q, Livergood R . A trigeminoreticular pathway: implications in pain. PLoS One. 2011; 6(9):e24499. PMC: 3177822. DOI: 10.1371/journal.pone.0024499. View

Jull G, Barrett C, Magee R, Ho P . Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia. 1999; 19(3):179-85. DOI: 10.1046/j.1468-2982.1999.1903179.x. View

Ogince M, Hall T, Robinson K, Blackmore A . The diagnostic validity of the cervical flexion-rotation test in C1/2-related cervicogenic headache. Man Ther. 2006; 12(3):256-62. DOI: 10.1016/j.math.2006.06.016. View

Zwart J . Neck mobility in different headache disorders. Headache. 1997; 37(1):6-11. DOI: 10.1046/j.1526-4610.1997.3701006.x. View

Gross A, Miller J, DSylva J, Burnie S, Goldsmith C, Graham N . Manipulation or mobilisation for neck pain: a Cochrane Review. Man Ther. 2010; 15(4):315-33. DOI: 10.1016/j.math.2010.04.002. View

Hall T, Briffa K, Hopper D, Robinson K . Reliability of manual examination and frequency of symptomatic cervical motion segment dysfunction in cervicogenic headache. Man Ther. 2010; 15(6):542-6. DOI: 10.1016/j.math.2010.06.002. View

Bronfort G, Haas M, Evans R, Leininger B, Triano J . Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat. 2010; 18:3. PMC: 2841070. DOI: 10.1186/1746-1340-18-3. View

10.

Antonaci F, Ghirmai S, Bono G, Sandrini G, Nappi G . Cervicogenic headache: evaluation of the original diagnostic criteria. Cephalalgia. 2001; 21(5):573-83. DOI: 10.1046/j.0333-1024.2001.00207.x. View

11.

Smith K, Hall T, Robinson K . The influence of age, gender, lifestyle factors and sub-clinical neck pain on the cervical flexion-rotation test and cervical range of motion. Man Ther. 2007; 13(6):552-9. DOI: 10.1016/j.math.2007.07.005. View

12.

Lund I, Ge Y, Yu L, Uvnas-Moberg K, Wang J, Yu C . Repeated massage-like stimulation induces long-term effects on nociception: contribution of oxytocinergic mechanisms. Eur J Neurosci. 2002; 16(2):330-8. DOI: 10.1046/j.1460-9568.2002.02087.x. View

13.

Sjaastad O, Fredriksen T, Pfaffenrath V . Cervicogenic headache: diagnostic criteria. The Cervicogenic Headache International Study Group. Headache. 1998; 38(6):442-5. DOI: 10.1046/j.1526-4610.1998.3806442.x. View

14.

Sjaastad O, Bakketeig L . Prevalence of cervicogenic headache: Vågå study of headache epidemiology. Acta Neurol Scand. 2007; 117(3):173-80. DOI: 10.1111/j.1600-0404.2007.00962.x. View

15.

Furlan A, Yazdi F, Tsertsvadze A, Gross A, van Tulder M, Santaguida L . A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain. Evid Based Complement Alternat Med. 2011; 2012:953139. PMC: 3236015. DOI: 10.1155/2012/953139. View

16.

Calandre E, Hidalgo J, Garcia-Leiva J, Rico-Villademoros F . Trigger point evaluation in migraine patients: an indication of peripheral sensitization linked to migraine predisposition?. Eur J Neurol. 2006; 13(3):244-9. DOI: 10.1111/j.1468-1331.2006.01181.x. View

17.

Hall T, Robinson K, Fujinawa O, Akasaka K, Pyne E . Intertester reliability and diagnostic validity of the cervical flexion-rotation test. J Manipulative Physiol Ther. 2008; 31(4):293-300. DOI: 10.1016/j.jmpt.2008.03.012. View

18.

Haldeman S, Dagenais S . Cervicogenic headaches: a critical review. Spine J. 2003; 1(1):31-46. DOI: 10.1016/s1529-9430(01)00024-9. View

19.

Hall T, Briffa K, Hopper D . The influence of lower cervical joint pain on range of motion and interpretation of the flexion-rotation test. J Man Manip Ther. 2011; 18(3):126-31. PMC: 3109686. DOI: 10.1179/106698110X12640740712293. View

20.

Hall T, Briffa K, Hopper D, Robinson K . The relationship between cervicogenic headache and impairment determined by the flexion-rotation test. J Manipulative Physiol Ther. 2010; 33(9):666-71. DOI: 10.1016/j.jmpt.2010.09.002. View