Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/19994 |
Resumo: | Cervicogenic headache has a complex and poorly understood pathophysiology. Symptoms are typical and involve the C2 and C3 nerve roots. There are no specific recommendations for physical therapy, although occipital nerve block is a known pharmacological treatment. Some evidence suggests that hip rotation correction could aid in reducing cervical pain symptoms. The objective of this work is to evaluated the role of postural physiotherapy for hip rotation correction using the Maitland technique in patients with cervicogenic headache who underwent an occipital nerve block. In this retrospective, observational and uncontrolled study, patients were evaluated from January 2017 to February 2018. After diagnosis of cervicogenic headache they underwent anesthetic block, hip radiography with lower limb scanometry and cervical tomography, after which they were referred to physical therapy. The analog pain scale was used for evaluation at the time of diagnosis and after the proposed physiotherapy. Patients submitted to an occipital nerve block were divided into three groups: Group I (n = 15, physical therapy with Maitland technique) had an analog pain score of 1.6 after the physical therapy, Group II (n = 11, conventional physiotherapy) had an analog pain score of 3.7 after the physical therapy and Group III (n = 13, occipital nerve block only) had an analog pain score of 5.2 after the occipital nerve block. The results suggest that an occipital nerve block in combination with the Maitland technique is superior in patients with cervicogenic headache compared to nerve block only or blockade combined with non-specific physical therapy (p=0,013). |
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Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective studyFisioterapia postural para la cefalea cervicogênica después del bloqueo del nervio occipital: un Estudio RetrospectivoFisioterapia postural para a cefaleia cervicogênica após bloqueio do nervo occipital: um estudo retrospectivoSecondary headachePhysiotherapyNerve block.Cefaleas secundariasFisioterapiaBloqueo nervioso.Cefaleias secundáriasFisioterapiaBloqueio nervoso.Cervicogenic headache has a complex and poorly understood pathophysiology. Symptoms are typical and involve the C2 and C3 nerve roots. There are no specific recommendations for physical therapy, although occipital nerve block is a known pharmacological treatment. Some evidence suggests that hip rotation correction could aid in reducing cervical pain symptoms. The objective of this work is to evaluated the role of postural physiotherapy for hip rotation correction using the Maitland technique in patients with cervicogenic headache who underwent an occipital nerve block. In this retrospective, observational and uncontrolled study, patients were evaluated from January 2017 to February 2018. After diagnosis of cervicogenic headache they underwent anesthetic block, hip radiography with lower limb scanometry and cervical tomography, after which they were referred to physical therapy. The analog pain scale was used for evaluation at the time of diagnosis and after the proposed physiotherapy. Patients submitted to an occipital nerve block were divided into three groups: Group I (n = 15, physical therapy with Maitland technique) had an analog pain score of 1.6 after the physical therapy, Group II (n = 11, conventional physiotherapy) had an analog pain score of 3.7 after the physical therapy and Group III (n = 13, occipital nerve block only) had an analog pain score of 5.2 after the occipital nerve block. The results suggest that an occipital nerve block in combination with the Maitland technique is superior in patients with cervicogenic headache compared to nerve block only or blockade combined with non-specific physical therapy (p=0,013).La cefalea cervicogênica tiene una fisiopatología compleja y poco conocida. Los síntomas son típicos e involucran las raíces nerviosas C2 y C3. Aunque el bloqueo del nervio occipital es un tratamiento farmacológico conocido, no existen recomendaciones específicas para la fisioterapia. Alguna evidencia sugiere que corregir la rotación de la cadera ayuda a reducir los síntomas del dolor de cuello. El objetivo de este estudio es evaluar el papel de la fisioterapia postural en la corrección de la rotación de cadera mediante la técnica de Maitland en pacientes con cefalea cervicogênica sometidos a bloqueo del nervio occipital. En este estudio retrospectivo, observacional y no controlado, los pacientes fueron evaluados desde enero de 2017 hasta febrero de 2018. Luego del diagnóstico de cefalea cervicogênica, fueron sometidos a bloqueo anestésico y después de una radiografía de cadera con escanometria de miembros inferiores y tomografía cervical fueron referidos para fisioterapia. La escala de dolor analógica se utilizó para la evaluación al diagnóstico y después de la fisioterapia propuesta. Los pacientes sometidos a bloqueo del nervio occipital se dividieron en tres grupos: el grupo I (n = 15, fisioterapia con la técnica de Maitland) tenía una media de 1,6 puntos en la escala analógica de dolor. El grupo II (n = 11, fisioterapia convencional) tenía una media de 3,7 puntos en la escala analógica del dolor y el Grupo III (n = 13, bloqueo del nervio occipital solamente) tuvo una media de 5,2 puntos en la escala analógica del dolor. Los resultados sugieren que el bloqueo del nervio occipital combinado con la técnica de Maitland es superior en pacientes con cefalea cervicogênica en comparación con el bloqueo solo o cuando se combina con fisioterapia convencional (p = 0,013).raízes nervosas C2 e C3. Embora o bloqueio do nervo occipital seja um tratamento farmacológico conhecido, não há recomendações específicas para fisioterapia. Algumas evidências sugerem que a correção da rotação do quadril ajuda a reduzir os sintomas de dor cervical. O objetivo deste trabalho é avaliar papel da fisioterapia postural na correção da rotação do quadril com a técnica de Maitland em pacientes com cefaleia cervicogênica submetidos ao bloqueio do nervo occipital. Neste estudo retrospectivo, observacional e não controlado, os pacientes foram avaliados de Janeiro de 2017 a Fevereiro de 2018. Após diagnóstico de cefaleia cervicogênica, foram submetidos a bloqueio anestésico e após radiografia do quadril com escanometria dos membros inferiores e tomografia cervical foram encaminhados para fisioterapia. A escala analógica de dor foi utilizada para avaliação no momento do diagnóstico e após a fisioterapia proposta. Pacientes submetidos a bloqueio do nervo occipital foram divididos em três grupos: Grupo I (n = 15, fisioterapia com técnica de Maitland) apresentou média de 1,6 pontos na escala analógica de dor, Grupo II (n = 11, fisioterapia convencional) apresentou média de 3,7 pontos na escala analógica de dor e o Grupo III (n = 13, apenas bloqueio do nervo occipital) apresentou média de 5,2 pontos na escala analógica de dor. Os resultados sugerem que bloqueio do nervo occipital combinado com a técnica de Maitland é superior em pacientes com cefaleia cervicogênica comparado ao bloqueio apenas ou quando combinado com fisioterapia convencional (p=0,013).Research, Society and Development2021-09-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1999410.33448/rsd-v10i12.19994Research, Society and Development; Vol. 10 No. 12; e165101219994Research, Society and Development; Vol. 10 Núm. 12; e165101219994Research, Society and Development; v. 10 n. 12; e1651012199942525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/19994/18094Copyright (c) 2021 Alcântara Ramos de Assis César; Igor Dal Pozzo da Costa; Wesley Gabriel Novaes Botelho; Nicole Sperafico; Anderson Dillmann Groto; André Carvalho Felíciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCésar, Alcântara Ramos de Assis Costa, Igor Dal Pozzo da Botelho, Wesley Gabriel NovaesSperafico, NicoleGroto, Anderson DillmannFelício, André Carvalho 2021-11-14T20:26:51Zoai:ojs.pkp.sfu.ca:article/19994Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:45.801177Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study Fisioterapia postural para la cefalea cervicogênica después del bloqueo del nervio occipital: un Estudio Retrospectivo Fisioterapia postural para a cefaleia cervicogênica após bloqueio do nervo occipital: um estudo retrospectivo |
title |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study |
spellingShingle |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study César, Alcântara Ramos de Assis Secondary headache Physiotherapy Nerve block. Cefaleas secundarias Fisioterapia Bloqueo nervioso. Cefaleias secundárias Fisioterapia Bloqueio nervoso. |
title_short |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study |
title_full |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study |
title_fullStr |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study |
title_full_unstemmed |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study |
title_sort |
Postural physiotherapy for cervicogenic headache after occipital nerve block: a retrospective study |
author |
César, Alcântara Ramos de Assis |
author_facet |
César, Alcântara Ramos de Assis Costa, Igor Dal Pozzo da Botelho, Wesley Gabriel Novaes Sperafico, Nicole Groto, Anderson Dillmann Felício, André Carvalho |
author_role |
author |
author2 |
Costa, Igor Dal Pozzo da Botelho, Wesley Gabriel Novaes Sperafico, Nicole Groto, Anderson Dillmann Felício, André Carvalho |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
César, Alcântara Ramos de Assis Costa, Igor Dal Pozzo da Botelho, Wesley Gabriel Novaes Sperafico, Nicole Groto, Anderson Dillmann Felício, André Carvalho |
dc.subject.por.fl_str_mv |
Secondary headache Physiotherapy Nerve block. Cefaleas secundarias Fisioterapia Bloqueo nervioso. Cefaleias secundárias Fisioterapia Bloqueio nervoso. |
topic |
Secondary headache Physiotherapy Nerve block. Cefaleas secundarias Fisioterapia Bloqueo nervioso. Cefaleias secundárias Fisioterapia Bloqueio nervoso. |
description |
Cervicogenic headache has a complex and poorly understood pathophysiology. Symptoms are typical and involve the C2 and C3 nerve roots. There are no specific recommendations for physical therapy, although occipital nerve block is a known pharmacological treatment. Some evidence suggests that hip rotation correction could aid in reducing cervical pain symptoms. The objective of this work is to evaluated the role of postural physiotherapy for hip rotation correction using the Maitland technique in patients with cervicogenic headache who underwent an occipital nerve block. In this retrospective, observational and uncontrolled study, patients were evaluated from January 2017 to February 2018. After diagnosis of cervicogenic headache they underwent anesthetic block, hip radiography with lower limb scanometry and cervical tomography, after which they were referred to physical therapy. The analog pain scale was used for evaluation at the time of diagnosis and after the proposed physiotherapy. Patients submitted to an occipital nerve block were divided into three groups: Group I (n = 15, physical therapy with Maitland technique) had an analog pain score of 1.6 after the physical therapy, Group II (n = 11, conventional physiotherapy) had an analog pain score of 3.7 after the physical therapy and Group III (n = 13, occipital nerve block only) had an analog pain score of 5.2 after the occipital nerve block. The results suggest that an occipital nerve block in combination with the Maitland technique is superior in patients with cervicogenic headache compared to nerve block only or blockade combined with non-specific physical therapy (p=0,013). |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19994 10.33448/rsd-v10i12.19994 |
url |
https://rsdjournal.org/index.php/rsd/article/view/19994 |
identifier_str_mv |
10.33448/rsd-v10i12.19994 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19994/18094 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 12; e165101219994 Research, Society and Development; Vol. 10 Núm. 12; e165101219994 Research, Society and Development; v. 10 n. 12; e165101219994 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052808325758976 |