Servikojenik baş ağrısında postür, kas sertliği ve kan akışı arasındaki ilişki

Öz

Bu çalışmanın amacı servikojenik baş ağrısında (KH) baş-boyun kas sertliği, baş-omuz postürü ve kan akışı arasındaki ilişkiyi araştırmaktır. Bu çalışmaya dahil edilme kriterlerini karşılayan toplam 37 hasta katılmıştır. Suboksipital, üst trapezius (UT) ve sternekleidomastoid (SCM) kas sertliği Myoton Pro cihazı ile, baş-omuz postürü PostureScreen uygulaması ile, internal karotis (ICA), vertebral arter (VA) kan akımı Doppler US ile değerlendirildi. Değişkenler arasındaki ilişki Spearman testi ile analiz edildi. Baş-omuz postür sapmaları sağ ve sol suboksipital kas sertliğinin artmasıyla arttı ve baş postürü sapmaları sol SCM kas sertliğinin artmasıyla arttı. UT kas sertliği arttıkça VA kan akışı, sol SCM kas sertliği arttıkça ICA-VA kan akışı azaldı. Baş postürü deviasyonu arttıkça ICA-VA kan akımı azaldı. Sonuç olarak KH'de kas sertliği ve baş-omuz postüründeki sapmalar kan akışını olumsuz etkilemektedir.

Anahtar Kelimeler

• servikojenik baş ağrısı
• boyun
• sertlik
• postür
• kan akışı

The relationship between posture, muscle stiffness and blood flow in cervicogenic headache

Öz

The aim of this study was to investigate the relationship between head-neck muscle stiffness, head-shoulder posture and blood flow in cervicogenic headache (CH). A total of 37 patients who met the inclusion criteria participated in this study. Suboccipital, upper trapezius(UT) and sternecleidomastoid (SCM) muscle stiffness were assessed with Myoton Pro device, head-shoulder posture with PostureScreen application, internal carotid (ICA), vertebral artery (VA) blood flow with Doppler US. The relationship between the variables was analysed by Spearman test. Head-shoulder posture deviations increased with increasing right and left suboccipital muscle stiffness and head posture deviations increased with increasing left SCM muscle stiffness. As the UT muscle stiffness increased, VA blood flow and as the left SCM muscle stiffness increased, ICA-VA blood flow decreased. As head posture deviation increased, ICA-VA blood flow decreased. In conclusion, muscle stiffness and head-shoulder posture deviations negatively affect blood flow in CH.

Anahtar Kelimeler

• cervicogenic headache
• neck
• stiffness
• posture
• blood flow

Kaynakça

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