The Effects of Remote Locomotor Rehabilitation in a Chronic Cervicogenic Syndrome: A Case Report

Stevans JJAOA1996 Aug; 8(3):121-4

At times, all practitioners treat cervicogenic syndromes that do not respond favorably to chiropractic manipulation. This paper is a single-subject case study that examines the efficacy of rehabilitation for uncoordinated hip extension as treatment for a chronic cervicogenic syndrome.A subject with chronic cervicocranial neck pain and headache as well as altered hip extension was given a 3-wk rehabilitation program. The program focused on returning tightened muscles to functional length, facilitating inhibited muscles, strengthening weak muscles of the lower extremities, and providing sensory-motor patterns. The subject was required to keep a pain diary for a 6-wk period (a 3-wk lead-in and 3 wk of treatment) to measure the outcome of the interventions. The course of treatment revealed a significant decrease in the frequency of the subject’s more severe pain; however, the constant low-grade suboccipital pain was unaffected. Although the hip extension dysfunction may be a significant etiology, local muscular dysfunction may remain that must be addressed to fully resolve this cervicocranial condition.

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