Cervical Muscular Retraining
Reference:Jull et al 1999, Further clinical clarification of the muscle dysfunction in cervical headache. Cephalgia 19 (3):179-185
(This is a brief summary taken from the DNF protocol of The Whiplash Physical Diagnostic Clinic, Department of Physiotherapy, University of Queensland)
Details on muscular retraining are in the “Cevical Headache” Video/Book program. For a 30 day free trial option visit the “APTEI Videos” section of this web site.
- It is a highly skilled technique that requires the Physiotherapist to be extremely precise for it o be effective
- Test position in supine with the cervical spine (Cx) in neutral position
- Position the Pressure biofeedback in the sub-occipital region (not mid cervical) and inflate to 20mmHg
- Instruct the patient to nod ?yes? to target 22mmHg and hold the position steadily. If successful, progressively target 24, 26, 28 and to a maximum of 30mmHgCorrect performance:
1) Satisfactory performance is at least 26mmHg holding a steady contraction for 10 by 10 seconds 2) NO superficial muscle activity is present
1) Too quick (most common) 2) Overshooting target 3) Phasic contraction of the superficial muscles 4) Patient retracts neck instead of pure UCx flexion
Note: Evaluating and training with a PBU is deemed necessary. Although training without the PBU is possible, it has been clinically shown to not be as effective!
Clinical Relevance: The greater over-activity present in the SCM, UFT, Scaleni and Sub-occipital muscles, the more it indicates poor segmental stability control.
If you are interested in purchasing a pressure biofeedback unit ($175), please contact: 1-866-APTEI-44 or 905-707-0819
Posted on: May 16, 2002
Categories: Cervical Spine