Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache
Abstract Background Cervicogenic headache (CGH), is a secondary headache arising from cervical disorders. Training core muscles have a corrective effect on the whole spine. Moreover, increased deep neck flexors (DNFs) activation is closely linked with balanced core stabilization of the global cervic...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-01-01
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| Series: | Bulletin of Faculty of Physical Therapy |
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| Online Access: | https://doi.org/10.1186/s43161-023-00169-0 |
| _version_ | 1797340263256948736 |
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| author | Hagar A. Marzok Ahmed H. Ashry Magda G. Sedhom Neveen A. Abd El-Raoof |
| author_facet | Hagar A. Marzok Ahmed H. Ashry Magda G. Sedhom Neveen A. Abd El-Raoof |
| author_sort | Hagar A. Marzok |
| collection | DOAJ |
| description | Abstract Background Cervicogenic headache (CGH), is a secondary headache arising from cervical disorders. Training core muscles have a corrective effect on the whole spine. Moreover, increased deep neck flexors (DNFs) activation is closely linked with balanced core stabilization of the global cervical-thoracic-lumbopelvic chains. This study aimed to investigate the effect of lumbar motor control training combined with cervical stabilization exercises compared to cervical stabilization exercises alone in CGH patients. Methods Fifty-two subjects of both genders with CGH and chronic mechanical neck pain (CMNP) participated in this study. They were recruited from the outpatient Physical Therapy Clinic at Mubarak Central Hospital, Giza, Egypt; their mean age was 28.1 ± 5.8 years and their BMI was 22.8 ± 1.6 kg/m2. They received treatment for three sessions per week for 4 weeks. Subjects were assigned randomly into two equal groups; the control group: received cervical stabilization exercises (axial elongation, cranio-cervical flexion, cervical extension, rowing, and Y-exercise). Study group: received cervical stabilization exercise in addition to lumbar motor control training (abdominal draw-in maneuver, side plank, and quadruped position), each exercise had a 4-week progression. Headache frequency, duration, intensity by visual analog scale (VAS), and neck functional disability by Neck Disability Index (NDI) were measured before the first session and after the last session of the 4 weeks of treatment. Results There was a high statistically significant difference in post-treatment mean values of headache frequency, headache duration, headache intensity, and neck functional disability between the two groups in favor of the study group. Conclusion Adding lumbar motor control training to cervical stabilization exercise is more effective than cervical stabilization alone in decreasing headache frequency, duration, intensity, and neck functional disability in CGH patients with CMNP. Trial registration NCT05952115. Registered 11 July 2023-retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/LoginUser?ts=1&cx=-jg9qo4 . |
| first_indexed | 2024-03-08T10:00:28Z |
| format | Article |
| id | doaj.art-0d6ec4e098804c71b0c94a09e945c6bf |
| institution | Directory Open Access Journal |
| issn | 2536-9660 |
| language | English |
| last_indexed | 2024-03-08T10:00:28Z |
| publishDate | 2024-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Bulletin of Faculty of Physical Therapy |
| spelling | doaj.art-0d6ec4e098804c71b0c94a09e945c6bf2024-01-29T10:59:24ZengSpringerOpenBulletin of Faculty of Physical Therapy2536-96602024-01-012911710.1186/s43161-023-00169-0Efficacy of lumbar motor control training in treatment of patients with cervicogenic headacheHagar A. Marzok0Ahmed H. Ashry1Magda G. Sedhom2Neveen A. Abd El-Raoof3Cairo University (2015)Faculty of Medicine, Cairo UniversityDepartment of Basic Science, Faculty of Physical Therapy, Cairo UniversityBasic Science Department, Vice Dean for Education and Student Affairs, Faculty of Physical Therapy, Cairo UniversityAbstract Background Cervicogenic headache (CGH), is a secondary headache arising from cervical disorders. Training core muscles have a corrective effect on the whole spine. Moreover, increased deep neck flexors (DNFs) activation is closely linked with balanced core stabilization of the global cervical-thoracic-lumbopelvic chains. This study aimed to investigate the effect of lumbar motor control training combined with cervical stabilization exercises compared to cervical stabilization exercises alone in CGH patients. Methods Fifty-two subjects of both genders with CGH and chronic mechanical neck pain (CMNP) participated in this study. They were recruited from the outpatient Physical Therapy Clinic at Mubarak Central Hospital, Giza, Egypt; their mean age was 28.1 ± 5.8 years and their BMI was 22.8 ± 1.6 kg/m2. They received treatment for three sessions per week for 4 weeks. Subjects were assigned randomly into two equal groups; the control group: received cervical stabilization exercises (axial elongation, cranio-cervical flexion, cervical extension, rowing, and Y-exercise). Study group: received cervical stabilization exercise in addition to lumbar motor control training (abdominal draw-in maneuver, side plank, and quadruped position), each exercise had a 4-week progression. Headache frequency, duration, intensity by visual analog scale (VAS), and neck functional disability by Neck Disability Index (NDI) were measured before the first session and after the last session of the 4 weeks of treatment. Results There was a high statistically significant difference in post-treatment mean values of headache frequency, headache duration, headache intensity, and neck functional disability between the two groups in favor of the study group. Conclusion Adding lumbar motor control training to cervical stabilization exercise is more effective than cervical stabilization alone in decreasing headache frequency, duration, intensity, and neck functional disability in CGH patients with CMNP. Trial registration NCT05952115. Registered 11 July 2023-retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/LoginUser?ts=1&cx=-jg9qo4 .https://doi.org/10.1186/s43161-023-00169-0Cervicogenic headacheLumbar motor control trainingCervical stabilization exercise |
| spellingShingle | Hagar A. Marzok Ahmed H. Ashry Magda G. Sedhom Neveen A. Abd El-Raoof Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache Bulletin of Faculty of Physical Therapy Cervicogenic headache Lumbar motor control training Cervical stabilization exercise |
| title | Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache |
| title_full | Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache |
| title_fullStr | Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache |
| title_full_unstemmed | Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache |
| title_short | Efficacy of lumbar motor control training in treatment of patients with cervicogenic headache |
| title_sort | efficacy of lumbar motor control training in treatment of patients with cervicogenic headache |
| topic | Cervicogenic headache Lumbar motor control training Cervical stabilization exercise |
| url | https://doi.org/10.1186/s43161-023-00169-0 |
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