Cervical Headache: An Investigation of Natural Head Posture and Upper Cervical Flexor Muscle Performance

@article{Watson1993CervicalHA,
  title={Cervical Headache: An Investigation of Natural Head Posture and Upper Cervical Flexor Muscle Performance},
  author={Dean H. Watson and Patricia H. Trott},
  journal={Cephalalgia},
  year={1993},
  volume={13},
  pages={272 - 284}
}
In this study, 60 female subjects, aged between 25 and 40 years, were divided into two equal groups on the basis of absence or presence of headache. A passive accessory intervertebral mobility (PAIVM) examination was performed to confirm an upper cervical articular cause of the subjects' headache and a questionnaire was used to establish a profile of the headache population. Measurements of cranio-cervical posture and isometric strength and endurance of the upper cervical flexor muscles were… 

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References

SHOWING 1-10 OF 74 REFERENCES

Quantitative assessment of head and shoulder posture.

To determine the reliability of a new objective technique of posture measurement and to establish normal standards for the technique, a computer-assisted slide digitizing system called Postural Analysis Digitizing System (PADS) was used to determine characteristic values for head and shoulder girdle posture and characteristic range of motion in a sample of able-bodied young men.

Tension headaches: psychophysiological investigation and treatment.

Headache; a common symptom of cervical disk lesions; report of cases.

Friedman and others wisely warned against diagnosing a headache as psychogenic purely on the patient's description of the pain, and they pointed out that emotional stress and inner conflicts readily exacerbate or precipitate not only psychogenic but migrainous and post-traumatic headaches as well.

The true cervical headache.

  • J. Edeling
  • Medicine, Psychology
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
  • 1982
There are two separate and distinct syndrome patterns in chronic headache which one responds to mobilization of the neck and the other does not, and the author describes and contrasts these patterns, and believes this might be helpful in the differential diagnosis of cervical headaches and migraine.

Natural head position in standing subjects.

The natural head position in standing subjects was studied on cephalometric profile radiographs of 120 Danish male students and it was found that in the mirror position the head was kept higher than in the self balance position.

On the concept of third occipital headache.

Three out of ten consecutive patients presenting with suspected cervical headache were found to suffer pain mediated by the third occipital nerve and stemming from a C2-3 zygapophysial joint.

Functional Radiographs of the Craniocervical Region and the Cervical Spine. A New Computer-Aided Technique

A method for semi-automatic measuring of pairs of radiographs from two radiographs, one in flexion and one in extension, where not only the total mobility of the head be measured, but also the Mobility angle and the location of the mobility axis relative to the adjacent vertebra, can be computed.
...