PDF herunterladen
manuelletherapie 2007; 11(3): 111-120
DOI: 10.1055/s-2007-963314
Literaturstudie

© Georg Thieme Verlag KG Stuttgart · New York

Zervikogene Kopfschmerzen und ihre physiotherapeutischen Behandlungsmöglichkeiten[1]

Cervicogenic Headache and Its Physiotherapeutic Treatment ModalitiesM. Greiner
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
17. Juli 2007 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Zusammenfassung

Zervikogene Kopfschmerzen entstehen durch HWS-Dysfunktionen, die sowohl das artikuläre, muskuläre oder neurale System betreffen können. Die Schmerzen entstehen dabei durch Konvergenzen im trigeminozervikalen Nukleus. Obwohl es Beschreibungen von Diagnosekriterien gibt, ist es häufig schwer, diese Schmerzen von Migräne und Spannungskopfschmerz zu unterscheiden. Die Literaturstudie beschreibt Klassifikation/Diagnostik, anatomische Hintergründe, klinisches Bild und die physiotherapeutischen Behandlungsmöglichkeiten.

Abstract

Cervogenic headache is caused by cervical spine dysfunction which can affect the articular, muscle and neural systems. Head pain originates due to afferent convergence in the trigeminocervical nucleus. Despite the existing descriptions of diagnostic criteria it is often difficult to differentiate the pain from migraine and tension headache. This literature review describes classification/diagnosis, anatomic background, clinical manifestation and physiotherapeutic treatment modalities.

Schlüsselwörter

zervikogene Kopfschmerzen - Therapie - Halswirbelsäule

Key words

cervicogenic headache - therapy - cervical spine

1 1Der Beitrag wurde im Rahmen der SVOMP-OMT-Ausbildung verfasst.

Literatur

  • 1 Amiri M, Jull G, Bullock-Saxton J. Measuring range of active cervical rotation in a position of full head flexion using the 3D Fastrak measurement system: an intra-tester reliability study.  Man Ther. 2003;  8 176-179
    CrossrefPubMedSuche in Google Scholar
  • 2 Antonaci F, Fredriksen T A, Sjaastad O. Cervicogenic headache: clinical presentation, diagnostic criteria, and differential diagnosis.  Curr Pain Headache Rep. 2001;  5 387-392
    CrossrefPubMedSuche in Google Scholar
  • 3 Bansevicius D, Sjaastad O. Cervicogenic headache: the influence of mental load on pain level and EMG of shoulder-neck and facial muscles.  Headache. 1996;  36 372-378
    CrossrefPubMedSuche in Google Scholar
  • 4 Beeton K, Jull G. Effectiveness of Manipulative Physiotherapy in the Management of Cervicogenic Headache: A Single Case Study.  Physiotherapy. 1997;  80 417-423
    PubMedSuche in Google Scholar
  • 5 Bogduk N. The anatomical basis for cervicogenic headache.  J Manipulative Physiol Ther. 1992;  15 67-70
    PubMedSuche in Google Scholar
  • 6 Bovim G, Sand T. Cervicogenic headache, migraine without aura and tension-type headache. Diagnostic blockade of greater occipital and supra-orbital nerves.  Pain. 1992;  51 43-48
    CrossrefPubMedSuche in Google Scholar
  • 7 Butler D S. The Sensitive Nervous System. Atlanta; Elsevier 2000
    Suche in Google Scholar
  • 8 Coskun O, Ucler S, Karakurum B. et al . Magnetic resonance imaging of patients with cervicogenic headache.  Cephalalgia. 2003;  23 842-845
    CrossrefPubMedSuche in Google Scholar
  • 9 Goadsby P J, Knight Y E, Hoskin K L. Stimulation of the greater occipital nerve increases metabolic activity in the trigeminal nucleus caudalis and cervical dorsal horn of the cat.  Pain. 1997;  73 23-28
    CrossrefPubMedSuche in Google Scholar
  • 10 Goldhammer L. Second cervical root neurofibroma and ipsilateral migraine headache.  Cephalalgia. 1993;  13 132-134
    CrossrefPubMedSuche in Google Scholar
  • 11 Grant T, Niere K. Techniques used by manipulative physiotherapists in the management of headaches.  Aust J Physiother. 2000;  46 215-222
    PubMedSuche in Google Scholar
  • 12 Hall T, Robinson K. The flexion-rotation test and active cervical mobility - a comparative measurement study in cervicogenic headache.  Man Ther. 2004;  9 197-202
    CrossrefPubMedSuche in Google Scholar
  • 13 Inan N, Ceyhan A, Inan L. et al . C2/C3 nerve blocks and greater occipital nerve block in cervicogenic headache treatment.  Funct Neurol. 2001;  16 239-243
    PubMedSuche in Google Scholar
  • 14 International Headache Society Headache Classification Subcommittee . The International Classification of Headache Disorders, 2nd edition.  Cephalalgia. 2004;  24 (Suppl 1)
    PubMedSuche in Google Scholar
  • 15 Jull G, Bogduk N, Marsland A. The accuracy of manual diagnosis for cervical zygapophysial joint pain syndromes.  Med J Aust. 1988;  148 233-236
    PubMedSuche in Google Scholar
  • 16 Jull G. Management of cervical headache.  Man Ther. 1997;  2 182-190
    CrossrefPubMedSuche in Google Scholar
  • 17 Jull G, Zito G, Trott P. et al . Inter-examiner reliability to detect painful upper cervical joint dysfunction.  Aust J Physiother. 1997;  43 125-129
    CrossrefPubMedSuche in Google Scholar
  • 18 Jull G, Barrett C, Magee R. et al . Further clinical clarification of the muscle dysfunction in cervical headache.  Cephalalgia. 1999;  19 179-185
    CrossrefPubMedSuche in Google Scholar
  • 19 Jull G, Trott P, Potter H. et al . A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache.  Spine. 2002;  27 1835-1843
    CrossrefPubMedSuche in Google Scholar
  • 20 Jull G A, Stanton W R. Predictors of responsiveness to physiotherapy management of cervicogenic headache.  Cephalalgia. 2005;  25 101-108
    CrossrefPubMedSuche in Google Scholar
  • 21 Jull G. The cervical spine and headache. Grieve’s Modern Manual Therapy Oxford; Elsevier Churchill Livingstone 2005 3rd. rev. ed
    Suche in Google Scholar
  • 22 Kapandji I A. Funktionelle Anatomie der Gelenke: Rumpf und Wirbelsäule. Stuttgart; Thieme 1992 2. Aufl
    Suche in Google Scholar
  • 23 Leone M, D’Amico D, Grazzi L. et al . Cervicogenic headache: a critical review of the current diagnostic criteria.  Pain. 1998;  78 1-5
    CrossrefPubMedSuche in Google Scholar
  • 24 McDonnell M K, Sahrmann S A, Van Dillen L. A specific exercise program and modification of postural alignment for treatment of cervicogenic headache: a case report.  J Orthop Sports Phys Ther. 2005;  35 3-15
    PubMedSuche in Google Scholar
  • 25 Merskey H, Bogduk N. Classification of chronic pain. Seattle; IASP Press 1994 2nd ed
    Suche in Google Scholar
  • 26 Michler R P, Bovim G, Sjaastad O. Disorders in the lower cervical spine. A cause of unilateral headache? A case report.  Headache. 1991;  31 550-551
    CrossrefPubMedSuche in Google Scholar
  • 27 Nilsson N. A randomized controlled trial of the effect of spinal manipulation in the treatment of cervicogenic headache.  J Manipulative Physiol Ther. 1995;  18 435-440
    PubMedSuche in Google Scholar
  • 28 Nilsson N. The prevalence of cervicogenic headache in a random population sample of 20 - 59 year olds.  Spine. 1995;  20 1884-1888
    CrossrefPubMedSuche in Google Scholar
  • 29 Nilsson N, Christensen H W, Hartvigsen J. The effect of spinal manipulation in the treatment of cervicogenic headache.  J Manipulative Physiol Ther. 1997;  20 326-330
    PubMedSuche in Google Scholar
  • 30 O’Leary S, Falla D, Jull G. et al . Muscle specificity in tests of cervical flexor muscle performance.  J Electromyogr Kinesiol. 2007;  17 35-40
    CrossrefPubMedSuche in Google Scholar
  • 31 Petersen S M. Articular and muscular impairments in cervicogenic headache: a case report.  J Orthop Sports Phys Ther. 2003;  33 21-32
    PubMedSuche in Google Scholar
  • 32 Pfaffenrath V, Kaube H. Diagnostics of cervicogenic headache.  Funct Neurol. 1990;  5 159-164
    PubMedSuche in Google Scholar
  • 33 Pöllmann W, Keidel M, Pfaffenrath V. Headache and the cervical spine. A critical review.  Nervenarzt. 1996;  67 821-836
    PubMedSuche in Google Scholar
  • 34 Rasmussen B K, Jensen R, Schroll M. et al . Epidemiology of headache in a general population - a prevalence study.  J Clin Epidemiol. 1991;  44 1147-1157
    CrossrefPubMedSuche in Google Scholar
  • 35 Sandmark H, Nisell R. Validity of five common manual neck pain provoking tests.  Scand J Rehabil Med. 1995;  27 131-136
    PubMedSuche in Google Scholar
  • 36 Schoensee S K, Jensen G, Nicholson G. et al . The effect of mobilization on cervical headaches.  J Orthop Sports Phys Ther. 1995;  21 184-196
    PubMedSuche in Google Scholar
  • 37 Sjaastad O, Bovim G. Cervicogenic headache. The differentiation from common migraine. An overview.  Funct Neurol. 1991;  6 93-100
    PubMedSuche in Google Scholar
  • 38 Sjaastad O, Fredriksen T A, Sand T. The localization of the initial pain of attack. A comparison between classic migraine and cervicogenic headache.  Funct Neurol. 1989;  4 73-78
    PubMedSuche in Google Scholar
  • 39 Sjaastad O, Fredriksen T A, Pfaffenrath V. Cervicogenic headache: diagnostic criteria. The Cervicogenic Headache International Study Group.  Headache. 1998;  38 442-445
    CrossrefPubMedSuche in Google Scholar
  • 40 Van Suijlekom H A, Kleef van M, Barendse G A. et al . Radiofrequency cervical zygapophyseal joint neurotomy for cervicogenic headache: a prospective study of 15 patients.  Funct Neurol. 1998;  13 297-303
    PubMedSuche in Google Scholar
  • 41 Van Suijlekom H A, De Vet H C, Van Den Berg S G. et al . Interobserver reliability in physical examination of the cervical spine in patients with headache.  Headache. 2000;  40 581-586
    CrossrefPubMedSuche in Google Scholar
  • 42 Treleaven J, Jull G, Atkinson L. Cervical musculoskeletal dysfunction in post-concussional headache.  Cephalalgia. 1994;  14 273-279
    CrossrefPubMedSuche in Google Scholar
  • 43 Vernon H, Steiman I, Hagino C. Cervicogenic dysfunction in muscle contraction headache and migraine: a descriptive study.  J Manipulative Physiol Ther. 1992;  15 418-429
    PubMedSuche in Google Scholar
  • 44 Vital J M, Grenier F, Dautheribes M. et al . An anatomic and dynamic study of the greater occipital nerve.  Surg Radiol Anat. 1989;  11 205-210
    CrossrefPubMedSuche in Google Scholar
  • 45 Watson D H, Trott P H. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance.  Cephalalgia. 1993;  13 272-284
    Suche in Google Scholar
  • 46 Westerhuis P. Zervikogener Kopfschmerz: Körperliche Untersuchung und Behandlung. von Piekartz H Kraniofaziale Dysfunktionen und Schmerzen Stuttgart; Thieme 2000
    Suche in Google Scholar
  • 47 Westerhuis P. Zevikogener Kopfschmerz.  Manuelle Therapie. 2000;  4 181-190
    PubMedSuche in Google Scholar
  • 48 Zwart J A. Neck mobility in different headache disorders.  Headache. 1997;  37 6-11
    CrossrefPubMedSuche in Google Scholar

1 1Der Beitrag wurde im Rahmen der SVOMP-OMT-Ausbildung verfasst.

Michael Greiner

eMail: bencker-greiner@t-online.de