A comparison of cervicogenic headache diagnostic techniques within a university population.

Barton, Alex (2017) A comparison of cervicogenic headache diagnostic techniques within a university population. Undergraduate thesis, University of Chichester.

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Abstract

The current study aimed to identify the patterns and values of C1/2range of motion (ROM) and posture C within a university population. Twenty-four participants (age=21.04±0.95, height=173.90±7.91, weight=80.00±15.7) were assessed in a comparative measures study design. The C1/2 rotational range of motion (ROM), assessed using the cervical flexion rotation test (CFRT), and the craniocervical angle (CCA) in standing and sitting were measured. A questionnaire was used to identify the participants’ history with headaches and it was found that 22 participants reported no previous experience with headaches. It was found that CCA became smaller when going from standing (51.35°±2.84) to sitting (48.70°±3.65) suggesting a significant transition into increased forward head posture (FHP) when sitting (t(21)=-3.44, p=0.002). CFRT was found to be similar to that reported in previous literature (right=46.1°±4.20, left=45.19°±4.54) and all were within the range considered negative. A Pearson’s correlation found that CCA in sitting was moderately correlated to right (r=0.585, n=22, p=0.004) and left CFRT (r=0.462, n=22, p=0.03) but there was no correlation between ROM and standing CCA. Both participants that reported a history of frequent headaches reported symptoms commonly associated with CGH however one of the participant reported previously being diagnosed with a migraine condition. Neither participant met the cut-off of 33° required for a positive CFRT result, however both had a deficit >10° on the symptomatic side. In summary, this study demonstrated that a postural observation is useful in the diagnostic process and emphasises the need to ensure the positioning is relevant to that participants symptoms. The CFRT identified cervical pathology in the 2 symptomatic participants however the cut-off values may not be sufficient for clinical diagnosis.

Item Type: Thesis (Undergraduate)
Additional Information: BSc (Hons) Sport Therapy
Subjects: R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Departments > Sport and Exercise Sciences
Undergraduate Dissertations
Depositing User: Ann Jones
Date Deposited: 21 Sep 2017 14:36
Last Modified: 21 Sep 2017 14:36
URI: http://eprints.chi.ac.uk/id/eprint/3024

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