Motion Stability's Blog

Cervicogenic Headache Treatment by Motion Stability
March 8, 2008, 3:21 pm
Filed under: Spine

Jull GA, Trott P, Potter, H, et al. A Randomized Controlled Trial of Exercise and Manipulative Therapy for Cervicogenic Headache. Spine 2002;27(17):1835-1843.

This randomized controlled trial is a great resource for the treatment of cervicogenic headaches. This study demonstrated that patients with cervicogenic headaches had signicificantly reduced headaches after 12 month follow-ups with the use of manual therapy and specific exercises when compared to a control group that resumed normal activity. Specific exercise consisted mainly of activating the longus colli or deep neck flexors. 10% more patients gained relief with combined manual therapies and exercise regimens than compared to isolated treatment techniques. In further blog entries, we will explore the role of the longus colli and other cervico-scapular muscles for proper stabilization of the neck and upper quarter, as well as understanding the differential diagnosis between major headache types such as Cervicogenic, migraines, and tension headaches.

Core Stability: Role of the Transversus Abdominis by Motion Stability
March 3, 2008, 3:20 pm
Filed under: Movement Dysfunction, Spine

Welcome to the Motion Stability Recurrent Injury Blog! !

Hamstring Injuries by Motion Stability
March 1, 2008, 3:06 pm
Filed under: Lower Extremity, Tissue Pathology

In, Hoskins W, Pollard H. Hamstring injury management – Part 1: Issues in diagnosis. Manual Therapy 2005;10:96-107, the authors provide a research review of the possible factors in hamstring injury.

Muscle strength and balance: Various studies have found different ratios in quadriceps and hamstring strength ratios, which could be dependent on the specific sport.

Warm up: There is a lack of literature existing to identify best warm-up procedures Fatigue: The authors showed that fatigue is a factor as the incidence of hamstring injuries occurred greatest at the end of a games or matches (Woods 2004).

Flexibility: There is conflicting evidence on the relationship of hamstring flexibility and injury.

Body Mechanics: The authors found that poor lumbo-pelvic mechanics can indirectly cause hamstring injury, showing that increased anterior pelvic tilt can be a causative factor by means of the loss of power of the gluteal muscles in this position

Psychosocial Factors: Even without conclusive evidence, the authors believe that psychosocial assessment of the patient should be considered.

Running Technique: Forward leaning may be a causative factor in hamstring injuries as it increases its relative length and inhibits gluteus maximus contraction. In my clinical experience, I have found altered lumbo-pelvic and lower extremity mechanics are common reasons why patients sustain a hamstring injury. We will continue to explore how abnormal lumbo-pelvic and lower extremity mechanics can lead to hamstring injuries as well as other leg injuries in this blog site… stay tuned!