Abstract: The objective of my study was to determine the effectiveness of the combination between Mckenzie techniques and therapeutic exercises, targeting the cervical regions, for treatment of cervicogenic headache. The Mckenzie techniques were series of retraction exercises done every two hours and progressed as needed. The combination between Mckenzie techniques and the therapeutic exercises has initiated from the first treatment session starting by activation of deep cervical flexors and extensors, increasing their endurance capacity, passing through stretching exercises for several muscles and mobility exercises for the upper cervical segments especially the atlanto-occipital joint, and ending by higher level strength and endurance. A 27-year-old male with a primary complaint of left-side sub occipital and occipital, severe intermittent pain. The patient met the criteria for cervicogenic headache as by Sjaastad and Fredriksen. He was functionally limited in driving, watching TV, and moving-around for prolonged period, and participating in gymnasium exercises. Two more scales were used; “Numeric Pain Scale” to measure the episodes prior to each session, and “neck disability index”. The first and third scales were completed in the first and last sessions to show the difference in the functional activities. The patient reported a significant decrease in his headache episodes and intensity, and demonstrated an increase in the functional activities. A solid treatment program deals with the mechanical deformities and muscle impairments in the cervical region, may results in long-term relief of CGH.
Keywords: Cervicogenic headache, Exercises, Mckenzie.
Title: Mckenzie method complemented with exercises program for long-term cervicogenic headache management: A Case Report
Author: Adel Ali Al-khamis
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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