title: Articular and muscular impairments in cervicogenic headache: a case report.
abstract: METHODS
  Case report.
  
  
  OBJECTIVE
  To describe the use of manual therapy and muscle re-education for an individual with suspected cervicogenic headache.
  
  
  BACKGROUND
  This patient was a 27-year-old woman with complaint of headache. She was functionally limited with prolonged postures and lifting. She also demonstrated impairments in cervical mobility and muscular performance.
  
  
  METHODS
  This patient was treated 8 times over an 8-week period. Intervention included manual upper cervical spine mobilization techniques, muscle re-education for the deep neck flexor muscles, and scapular stabilization exercises.
  
  
  RESULTS
  Following treatment, the patient demonstrated an increase in cervical mobility, improved muscular performance, a decrease in headaches, and complete resolution of functional limitations.
  
  
  CONCLUSIONS
  The combination of manual therapy and muscle re-education was successful in relieving headaches and improving function in this patient.
authors.affiliation: Division of Physical Therapy, Des Moines University/Osteopathic Medical Center, Des Moines, IA 50312, USA. Shannon.Petersen@dmu.edu
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Petersen
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D020773:Headache Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D009334:Neck Muscles / Q000503:physiopathology; D010353:Patient Education as Topic; D010808:Physical Examination; D026741:Physical Therapy Modalities / Q000379:methods*; D016896:Treatment Outcome