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Keywords:

  • migraine;
  • tension headache;
  • cervicogenic headache;
  • cervical dysfunction;
  • trigger points

SYNOPSIS

In this prospective controlled study, thirty-seven migraine and/or tension headache patients andthirty-seven age and sex matched controls were examined for evidence of muscuIoskeletal dysfunction inthe neck. The examination consisted of clinical range of motion testing of neck rotation, sidebending,flexion and extension while in the sitting position. The headache group had more abnormal physicalfindings than the control group. Although the difference for each particular motion test, taken by itself, wasnot statistically significant, two or more abnormalities in combination was found to reach a .05 confidencelevel of significance. It is proposed therefore that musculoskeletal dysfunction of the neck is a contributingfactor to the etiology of migraine and tension headache.