J Orthop Sports Phys Ther. 2003 Jan; 33(1): 21-30; discussion 30-2.

Articular and muscular impairments in cervicogenic headache: a case report.

Petersen SM.

Division of Physical Therapy, Des Moines University/Osteopathic Medical Center, Des Moines, IA 50312, USA. [email protected]

STUDY DESIGN: Case report. OBJECTIVES: To describe the use of manual therapy and muscle re-education for an individual with suspected cervicogenic headache. Background: This patient was a 27-year-old woman with complaint of headache. She was functionally limited with prolonged postures and lifting. She also demonstrated impairments in cervical mobility and muscular performance. METHODS AND MEASURES: This patient was treated 8 times over an 8-week period. Intervention included manual upper cervical spine mobilization techniques, muscle re-education for the deep neck flexor muscles, and scapular stabilization exercises. RESULTS: Following treatment, the patient demonstrated an increase in cervical mobility, improved muscular performance, a decrease in headaches, and complete resolution of functional limitations. CONCLUSION: The combination of manual therapy and muscle re-education was successful in relieving headaches and improving function in this patient.