Cluster Headache Case Study: Difference between revisions
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== Intervention == | == Intervention == | ||
Multidisciplinary approach | Multidisciplinary approach | ||
*Neurologist | *Neurologist | ||
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Other | Other | ||
*General stretching to postural muscles (i.e. Upper Trap) <ref name="Whitney" /> | *General stretching to postural muscles (i.e. Upper Trap) <ref name="Whitney" /> | ||
*Heat <ref name="Vernon">Vernon H, McDermaid C S, Hagino C. Systematic review of randomized clinical trials of complementary/alternative therapies in the treatment of tension-type and cervicogenic headache. PubMed [10581824]. 2002 Feb [cited 2015 Mar]. Available from: http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?AccessionNumber=12000003174#.VQyOvEtgNuY.</ref> | *Heat <ref name="Vernon">Vernon H, McDermaid C S, Hagino C. Systematic review of randomized clinical trials of complementary/alternative therapies in the treatment of tension-type and cervicogenic headache. PubMed [10581824]. 2002 Feb [cited 2015 Mar]. Available from: http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?AccessionNumber=12000003174#.VQyOvEtgNuY.</ref> | ||
*US <ref name="Vernon" /> | *US <ref name="Vernon" /> | ||
*TENS <ref name="Vernon" /> | *TENS <ref name="Vernon" /> | ||
*Soft tissue/trigger point massage <ref name="Biondi2" />,<ref name="Vernon" /> | *Soft tissue/trigger point massage <ref name="Biondi2" />,<ref name="Vernon" /> | ||
*Balance and gait training with use of varying sensory inputs <ref name="Whitney" /> | *Balance and gait training with use of varying sensory inputs <ref name="Whitney" /> | ||
*Posture education <ref name="Biondi2" />,<ref name="Whitney" /> | *Posture education <ref name="Biondi2" />,<ref name="Whitney" /> | ||
*Education on ergonomics at home and in the workpalce <ref name="Biondi2" /> | *Education on ergonomics at home and in the workpalce <ref name="Biondi2" /> | ||
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*Relaxation therapy <ref name="Biondi2" />,<ref name="Whitney" />,<ref name="Chaibi" /> | *Relaxation therapy <ref name="Biondi2" />,<ref name="Whitney" />,<ref name="Chaibi" /> | ||
*Biofeedback <ref name="Biondi2" /> | *Biofeedback <ref name="Biondi2" /> | ||
*Cognitive-behavioral therapy (stress-management) <ref name="Vernon" /> | *Cognitive-behavioral therapy (stress-management) <ref name="Vernon" /> | ||
*Acupuncture <ref name="Vernon" /> | *Acupuncture <ref name="Vernon" /> | ||
*Medications <ref name="Biondi2" />,<ref name="Chaibi" /> | *Medications <ref name="Biondi2" />,<ref name="Chaibi">Chaibi A, Tuchin PJ, Russell MB. Manual Therapies for Migraine: A Systematic Review. J Headache Pain. 2011 Apr;12(2):127-33.</ref> | ||
== Outcomes == | == Outcomes == | ||
Revision as of 17:55, 25 March 2015
Title[edit | edit source]
Author/s[edit | edit source]
Emily Meyer, Colleen Niehoff, Mary Wray, Alex Norris, Lauren Snider
Abstract[edit | edit source]
100 word limit, non-structured description
Patient Characteristics[edit | edit source]
Tell us about your patient:
- 49 year old male
- Working as a constuction manager for the past 20 years
- Has had intermittent low back pain for as long as he can remember
- Other co-morbiditis include hypertension and diabetes type II, both of which are controlled with medication
- Patient has received previous outpatient care for his low back pain and describes that he had a decrease in pain for a period of time before the pain returned in his low back.
Examination[edit | edit source]
SUBJECTIVE
- Patient History:
- Medical History:
- Prior or current services related to current episode
- Patient/family goals:
OBJECTIVE
- Physical Examination Tests and Measures
OUTCOME MEASURES
- Self Reported Outcomes: Pain Rating Scale, Headache Disability Scale
- Physical Performance Measures:
The examination should also include ICF Findings:
- Body Functions and Structures
- Impairments
- Activity Limitations
- Participation Restrictions
- Environmental Factors
Clinical Hypothesis[edit | edit source]
What was your clinical impression of the patients problem.
Intervention[edit | edit source]
Multidisciplinary approach
- Neurologist
- ENT
- PT: May need to rule out more serious complications before initiating PT
- Y's and T's
- Deep neck flexors
Manual Therapy
- Mobilizations to cervical spine [3]
Other
- General stretching to postural muscles (i.e. Upper Trap) [2]
- Heat [4]
- US [4]
- TENS [4]
- Soft tissue/trigger point massage [1],[4]
- Balance and gait training with use of varying sensory inputs [2]
- Posture education [1],[2]
- Education on ergonomics at home and in the workpalce [1]
Out of our scope
- Relaxation therapy [1],[2],[3]
- Biofeedback [1]
- Cognitive-behavioral therapy (stress-management) [4]
- Acupuncture [4]
- Medications [1],[3]
Outcomes[edit | edit source]
What was the outcome of the intervention.
Discussion[edit | edit source]
This summary statement should include related findings in the literature, potential impact on clinical practices etc.
Related Pages[edit | edit source]
add links to related pages here
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Biondi D. Physical Treatments for Headache: A Structured Review. Headache.2005 Jun;45(6):738-46.
- ↑ 2.0 2.1 2.2 2.3 2.4 Whitney S, Wrisley D, Brown K, Furman J. Physical Therapy for Migraine-Related Vestibulopathy and Vestibular Dysfunction with History of Migraine. Laryngoscope. 2000 Sept; 110(9): 1528-34.
- ↑ 3.0 3.1 3.2 Chaibi A, Tuchin PJ, Russell MB. Manual Therapies for Migraine: A Systematic Review. J Headache Pain. 2011 Apr;12(2):127-33.
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 Vernon H, McDermaid C S, Hagino C. Systematic review of randomized clinical trials of complementary/alternative therapies in the treatment of tension-type and cervicogenic headache. PubMed [10581824]. 2002 Feb [cited 2015 Mar]. Available from: http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?AccessionNumber=12000003174#.VQyOvEtgNuY.
