Cervical Flexion and Rotation Test for Cervicogenic Headache

Cervical Flexion and Rotation Test for Cervicogenic Headache


This is Brent of the Brookbush
Institute, and in this video we’re going to go over the cervical flexion and rotation
test for cervicogenic headache. I’m going to have my friend Sonya come out,
she’s going to help me demonstrate. Now what we’re trying to figure out, is Sonja’s
headache related to cervical dysfunction. This is pretty cool stuff, you
should look up some of the research on cervicogenic headache, there’s a good
chance that physical therapy, athletic training, chiropractic could be a good
resource for individuals who get certain types of headaches. Now the way we’re
going to test to see if Sonja’s headache is cervicogenic in nature, is we’re going to
see if we can bring on her concordant signs, the signs that she came in
complaining about, with a particular motion of her cervical spine, and that
would be maximal flexion with maximal rotation; and what we’re probably doing
here is ligamentous lock of the cervical spine at the bottom. So
we’re tightening up all of these passive tissue structures so they can’t move as
much, and then rotating the upper- cervical spine, mostly C1 on C2 to see if
that increased afferentation from our upper-cervical spine will bring on
these cervicogenic headache symptoms; which if you get into the research
on cervicogenic headaches, you’ll start seeing that there’s a lot about the
upper-cervical spine and this nucleus called the cervical trigeminal
nucleus that’s up there that’ll get a afferentation from all of this. Alright
but the test itself, very simple, assess for symptoms in this position. If
maximal flexion and rotation makes those symptoms worse or brings on symptoms
then you know that cervicogenic headache is a possibility. The last thing
to consider is more of a correlation and is worth investigating, which would be,
okay she came in complaining about headache symptoms, when I did this test
it didn’t bring on her symptoms, but her range of motion was severely limited.
In this case we’re considering it a positive test, but only because we know
she has headache and cervical dysfunction,
which I think the being that physical-therapy, athletic training, chiropractice is such conservative treatment, I think it is worth exploring that we do
some treatments and intervention on her neck, and see if we can reduce her
headache symptoms anyway, even though the test itself didn’t bring on concordant
signs. So there you have it, maximal flexion, maximal rotation in both
directions. Make sure you’re assessing symptoms throughout. If you have any
questions leave them in the box below

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