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An Investigation of Cervical Spinal Posture in Cervicogenic Headache

Peter K. Farmer, Suzanne J. Snodgrass, Anthony J. Buxton, Darren A. Rivett
DOI: 10.2522/ptj.20140073 Published 1 February 2015
Peter K. Farmer
P.K. Farmer, BAppSc(Physio), MPhil(Physio), Thrive Physio Health Clinic, Erina, New South Wales, Australia.
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Suzanne J. Snodgrass
S.J. Snodgrass, PT, PhD, MMedSc(Physio), Discipline of Physiotherapy, School of Health Sciences, Faculty of Health and Medicine, Hunter Building, The University of Newcastle, University Drive, Callaghan, New South Wales, Australia 2308.
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Anthony J. Buxton
A.J. Buxton, DipAppSc(Med Rad), MHEd, Discipline of Medical Radiation Science (Diagnostic Radiography), School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle.
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Darren A. Rivett
D.A. Rivett, PhD, MAppSc(ManipPhty), BAppSc(Phty), Discipline of Physiotherapy, School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle.
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Figures

Figure 1.
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Figure 1.

(A) Example of a general cervical lordosis measurement (Cobb C2–C7 measurement). Single asterisk represents the angle (in degrees) used in analysis, with a higher value indicating increased lordosis between C2 and C7. (B) Example of an upper cervical lordosis measurement on a radiograph. Double asterisk represents the angle (in degrees) used in analysis, with a higher value indicating increased lordosis between C2 and C4.

Figure 2.
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Figure 2.

Example of a C2 spinous process horizontal deviation measurement on a radiograph. The perpendicular distance (in millimeters) between the 2 lines represents the value used in analysis, with a higher value indicating increased C2 spinous process horizontal deviation.

Figure 3.
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Figure 3.

Flow diagram of study participants. CGH=cervicogenic headache, CHISG=Cervicogenic Headache International Study Group.

Appendix.
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Appendix.

Major criteria for cervicogenic headache diagnosis recommended by the Cervicogenic Headache International Study Groupa

a Major criteria as described by Sjaastad et al.24 Criterion II was not used in the current study.

Tables

Table 1.
Table 1.

Comparisons of Radiographic Postural Variables Between Participants With Cervicogenic Headache (CGH) and Age- and Sex-Matched Asymptomatic Individuals

  • a Data for general cervical lordosis required nonparametric tests: median and interquartile range reported and Wilcoxon rank sum used for comparison between groups.

Table 2.
Table 2.

Associations Between the Radiological Measurements of the Cervical Spinal Postural Variables and the Likelihood of Experiencing Cervicogenic Headache

  • a Statistical significance, P≤.05.

  • b Exact methods (SAS proc logistic) were used to obtain the 95% confidence interval (95% CI) for odds ratio, as the Wald statistic provided an interval (0.994, 1.18) for general cervical lordosis that was inconsistent with the significance indicated by the likelihood ratio test.

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Vol 95 Issue 2 Table of Contents
Physical Therapy: 95 (2)

Issue highlights

  • Effectiveness of Preoperative Physical Therapy for Elective Cardiac Surgery
  • Does Cardiac Rehabilitation After an Acute Cardiac Syndrome Lead to Changes in Physical Activity Habits? Systematic Review
  • Back Pain Beliefs Are Related to the Impact of Low Back Pain in Baby Boomers in the Busselton Healthy Aging Study
  • Patient-Reported Outcomes Associated With Use of Physical Therapist Services by Older Adults With a New Visit for Back Pain
  • Habitual Physical Activity of Independently Ambulant Children and Adolescents With Cerebral Palsy: Are They Doing Enough?
  • An Investigation of Cervical Spinal Posture in Cervicogenic Headache
  • Safety of Aerobic Exercise in People With Diabetic Peripheral Neuropathy: Single-Group Clinical Trial
  • Student Perceptions and Understanding of Client-Therapist Interactions Within the Inpatient Acute Care Environment: Qualitative Study
  • Physical Therapist Practice in the Emergency Department Observation Unit: Descriptive Study
  • Short-term Cortical Plasticity Associated With Feedback-Error Learning After Locomotor Training in a Patient With Incomplete Spinal Cord Injury
  • Efficacy of the McKenzie Method in Patients With Chronic Nonspecific Low Back Pain: A Protocol of Randomized Placebo-Controlled Trial
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An Investigation of Cervical Spinal Posture in Cervicogenic Headache
Peter K. Farmer, Suzanne J. Snodgrass, Anthony J. Buxton, Darren A. Rivett
Physical Therapy Feb 2015, 95 (2) 212-222; DOI: 10.2522/ptj.20140073

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An Investigation of Cervical Spinal Posture in Cervicogenic Headache
Peter K. Farmer, Suzanne J. Snodgrass, Anthony J. Buxton, Darren A. Rivett
Physical Therapy Feb 2015, 95 (2) 212-222; DOI: 10.2522/ptj.20140073
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