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Year : 2018, Volume : 5, Issue : 1
First page : ( 1) Last page : ( 6)
Print ISSN : 2322-0414. Online ISSN : 2322-0422. Published online : 2018  1.
Article DOI : 10.5958/2322-0422.2018.00001.2

EMG in Cervicogenic Headache

Aboshady Nawal A1, Elgohary Amira M2, Marzouk Salma M3, AMarzouk Mohamed4,,5,,*

1Professor, Department of Physical Therapy for Neuromuscular Disorders, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

2Professor, Clinical Neurophysiology Unit, Faculty of Medicine, Cairo University, Cairo, Egypt

3Consultant and Lecturer, Clinical Neurophysiology Unit, Kasr AlAini Hospital, Cairo University, Cairo, Egypt

4Professor of Physiology, Faculty of Medicine, Cairo University, Egypt

*Corresponding author email id: doctor_marzouk@yahoo.com


Background and Objectives: Reflex muscle tension and limitation of movements increase during pain. In cervicogenic pain, estimation of muscle tension may be used as an objective indicative parameter of the pain intensity, upon which the indicated treatment intensity depends. This study was made to investigate the evaluation of EMG compared to other methods of pain evaluation during the treatment of cervicogenic headache (CH) patients. Methods: Thirty patients were assigned into two equal groups: a study group, in which patients received selected physical therapy program in addition to kinesiotape, and a control group, in which patients received the same physical therapy program alone. According to the degree of pain, the patients were assessed with an upper trapezius quantitative EMG together with temporalis surface EMG, visual analogue scale (VAS) and OB goniometer (Myrin). Records were made before and after treatment. Results showed a significant decrease in the scores of EMG, consistent with changes in VAS improvement, and in the score of Myrin, post-treatment in the study group compared to those in the control group as compared with the baseline levels before treatment. Conclusion: Trapezius Quantitative EMG, together with temporalis surface EMG, is a measure for pain intensity evaluation equally dependable as VAS and OB goniometer (Myrin) in patients with CH.



Cervicogenic headache, EMG, Kinesiotape, Myrin score, Visual analogue scale, Muscle tension, Myopathy .


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