Manual Therapy
Volume 12, Issue 2 , Pages 153-160, May 2007

Neurodynamic responses in children with migraine or cervicogenic headache versus a control group. A comparative study

  • Harry J.M. von Piekartz

      Affiliations

    • Department of Rehabilitation Science and Physiotherapy for Craniofacial Dysfunction and Pain, Stobbenkamp 10, 7631 CP Ootmarsum, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31541294001; fax: +31541294002.
    • ,
  • Sara Schouten

      Affiliations

    • Private Practice for Physical Therapy, Van Diemenstraat 356, 1013 CR Amsterdam, The Netherlands
    • ,
  • Geert Aufdemkampe

      Affiliations

    • University of Professional Education, Department of Health, Faculty Chair of Health and Lifestyle and Department of Physical Therapy, Bolognalaan 101, 3584 CJ Utrecht, The Netherlands

Received 14 October 2004; received in revised form 9 February 2006; accepted 2 June 2006.

Abstract 

Headache in children with unknown aetiology is an increasing phenomenon in industrial countries, especially during growth spurts. During this growth phase, the Long Sitting Slump (LSS) can be a useful tool for measurement of neurodynamics and management. This study investigated the difference in cervical flexion and sensory responses (intensity and location) during the LSS tests in children (n=123) aged 6–12 years, between a migraine (primary headache group=PG), cervicogenic headache (secondary headache group=SG) and control group (CG). The results indicated that the intensities of the sensory response rate were highest in the PG and SG when compared to CG. The responses in the legs were predominantly found in the PG (81.9%) and responses in the spine in the SG (80%). The sacrum position varied significantly between both headache groups (PG and SG) and the CG (p<0.0001), but there was no significant difference between the CG and the PG (p>0.05). No significant difference in the neck flexion range was measured in LSS, nor in standardized knee flexion between the PG and CG (p>0.05). The cervical flexion ranges differed significantly (p<0.0001) between the SG on the one hand and the PG and CG on the other. The biggest difference in neck flexion during knee extension was between the SG and CG.

Keywords: Children, Headache, Migraine, Cervicogenic, Nervous system, Musculoskeletal manipulation

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PII: S1356-689X(06)00080-4

doi:10.1016/j.math.2006.06.004

Manual Therapy
Volume 12, Issue 2 , Pages 153-160, May 2007

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