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The Effects of Cervical Manipulation on Blood Flow Velocity of Cranial Artery and Pain Level in Cervicogenic Headache Patients

Kang Do-Haeng, 박승규, 강정일, An Chang-Sik, 김용남, 윤희종, 구자풍, Chang Duncan, 이준희,
소속 상세정보
 ( Kang Do-Haeng ) - Daebul University
박승규 ( Park Seung-Kyu ) - Daebul University
강정일 ( Kang Jeong-Il ) - Daebul University
 ( An Chang-Sik ) - Eulji University
김용남 ( Kim Yong-Nam ) - Nambu University
윤희종 ( Yoon Hee-Jong ) - Mokpo Science College
구자풍 ( Koo Ja-Pung ) - Sarang Hospital
 ( Chang Duncan ) - Alpha Rehab Center
이준희 ( Lee Joon-Hee ) - Daebul University

Abstract


The purpose of this study was to identify the effects of manipulation on the velocity of cerebral blood flow and level of pain in cervicogeinc headache patients. The velocity of cerebral blood flow of 30 cervicogeinc headache patients(male=15, female=15, age=24.00±3.60) and 33 normal subjects(male=15, female=18, age=23.27±3.00) was compared. The 30 cervicogeinc headache patients were divided into suboccipitalis relaxation group, cervical manipulation group, and placebo group, and each were given different interventions. The velocity of cerebral blood flow and pain level was measured before intervention, and 1, 2, 3 weeks after intervention. The velocity of cerebral blood flow was measured with the Transcranial Doppler(TCD), and pain level was measured with visual analog scale(VAS). Blood flow velocity of middle cerebral artery in cervicogeinc headache patients was slower than those in healthy subjects. Physical therapy intervention did not have significant effect on velocity of cerebral blood flow, but slowly decreased at intervention for pain level increased. The suboccipitalis relaxation group and cervical manipulation group showed significant effect in decreasing pain level compared to the placebo group(p<.05). Directly applied manipulation therapy in the neck area not only has effect on joint of cervical and soft tissue but also on blood vessels and nerves which pass the neck area, and because of those results of manual therapy seems to help recovery.

키워드

Manipulation; Cervicogenic Headache; Suboccipital Relaxation; Cerebral Blood Flow; Transcranial Doppler

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