Can upper cervical manual therapy affect the blink reflex in subjects with migraine and neck pain?
Neck pain is a common complaint among migraineurs possibly due to the anatomic connections between cervical and trigeminal afferents in the trigeminocervical complex (TCC). Manual therapy (MT) is used in the management of headache disorders, with demonstrable neurophysiological effects. The blink re...
| Published in: | Journal of Manual & Manipulative Therapy (Taylor & Francis Ltd) Vol. 32; no. 2; pp. 190 - 198 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Taylor & Francis Ltd
Apr2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176179259&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176179259 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10669817 B83L jtl: Journal of Manual & Manipulative Therapy (Taylor & Francis Ltd) issn: 10669817 maglogo: N pubinfo: dt: Apr2024 vid: 32 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 176179259 171300584 176179259 176179259 10.1080/10669817.2023.2250172 176179259 ppf: 190 ppct: 8 formats: tig: atl: Can upper cervical manual therapy affect the blink reflex in subjects with migraine and neck pain? aug: au: Jafari, Mehdi Bahrpeyma, Farid Togha, Mansoureh Hall, Toby Vahabizad, Fahimeh Jafari, Elham affil: Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran sug: subj: Migraine Therapy Neck Pain Therapy Manual Therapy Methods Cervical Vertebrae Blinking Physiology Reflex Physiology Treatment Outcomes Funding Source Human Descriptive Statistics Data Analysis Software T-Tests Randomized Controlled Trials Male Female Adult Middle Age Electrophysiology Neurophysiology Trigeminal Nerve Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Neck pain is a common complaint among migraineurs possibly due to the anatomic connections between cervical and trigeminal afferents in the trigeminocervical complex (TCC). Manual therapy (MT) is used in the management of headache disorders, with demonstrable neurophysiological effects. The blink reflex (BR) is one method of analyzing neurophysiological effects in headache patients. The purpose of this study was to investigate the effect of upper cervical spine MT on BR in subjects with migraine and neck pain. Twenty subjects were assigned to a medication plus MT (MedMT) group (n = 10) and medication plus sham MT (sham MT) group (n = 10). After random assignment, all patients underwent testing for the BR (R1, R2, R2c responses). Then, subjects in group MedMT and group sham MT received either 4 sessions of MT or sham MT to the upper cervical spine. After completion of the intervention, BR testing was repeated. There were no significant differences in both side R1 latency between group MT and group sham MT (P > 0.050). For both sides, R2 latencies were significantly prolonged in MedMT group compared with sham MT group (P < 0.050). Subjects in MedMT group showed significant prolongation in right and left R2c latency compared with sham MT group (P < 0.050). The present study demonstrated that upper cervical MT affected trigeminal nociceptive neurotransmission in subjects with migraine and neck pain as reflected by changes in the BR. The increase in BR late response latencies of BR indicates an inhibitory effect of upper cervical spine MT on the TCC in these subjects. Trial Registration: The trial design was registered at the Iranian Registry of Clinical Trials (IRCT ID: IRCT20160621028567N2, url: ) before the first patient was enrolled. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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