Asymmetric Thickness of Oblique Capitis Inferior and Cervical Kinesthesia in Patients With Unilateral Cervicogenic Headache

Yi-Ying Chen; Huei-Ming Chai; Chung-Li Wang; Yio-Wha Shau; Shwu-Fen Wang

doi:10.1016/j.jmpt.2018.02.006

Asymmetric Thickness of Oblique Capitis Inferior and Cervical Kinesthesia in Patients With Unilateral Cervicogenic Headache

J Manipulative Physiol Ther. 2018 Oct;41(8):680-690. doi: 10.1016/j.jmpt.2018.02.006. Epub 2018 Dec 27.

Authors

Yi-Ying Chen¹, Huei-Ming Chai², Chung-Li Wang³, Yio-Wha Shau⁴, Shwu-Fen Wang⁵

Affiliations

¹ School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Center of Physical Therapy, National Taiwan University Hospital, Taipei, Taiwan.
² School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Rehabilitation, DaChien Hospital, Miaoli, Taiwan.
³ Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei, Taiwan.
⁴ Institute of Applied Mechanics, College of Engineering, National Taiwan University, Taipei, Taiwan.
⁵ School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address: sfwang@ntu.edu.tw.

PMID: 30594332
DOI: 10.1016/j.jmpt.2018.02.006

Abstract

Objective: The purpose of this study was to compare the thickness of the oblique cervical inferior (OCI) and the error of the head reposition test between the painful and nonpainful sides of patients with cervicogenic headache (CeH) and between the patients and the asymptomatic group.

Methods: Thirteen patients (24.5 ± 4.8 years) and 14 asymptomatic participants (23.9 ± 2.7 years) were included. The head reposition test was recorded by a 3-dimensional motion analysis system. The thickness of the OCI was recorded by ultrasonography. The measured outcomes were compared between the painful and nonpainful sides and with the asymptomatic participants.

Results: The thickness of the OCI in the rest condition on the painful side (9.92 ± 2.31 mm) was smaller than that of the nonpainful side (10.56 ± 2.24 mm). The constant error of the head-to-target test toward the nonpainful side was smaller in the patients with CeH (-1.6 ± 4.3°) than in the asymptomatic group (3.3 ± 3.7°, P = 0.005).

Conclusion: Asymmetric OCI and cervical proprioception were demonstrated in patients with CeH.

Keywords: Kinesthesis; Neck Muscles; Neck Pain; Ultrasonography.

Publication types

Comparative Study
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Female
Head Movements / physiology*
Humans
Kinesthesis / physiology*
Male
Middle Aged
Neck Muscles / diagnostic imaging
Neck Muscles / physiopathology*
Post-Traumatic Headache / diagnostic imaging
Post-Traumatic Headache / physiopathology*
Psychomotor Performance
Ultrasonography