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