Author: Doctor Stefano Bigagli
Anamnesis:
29-year-old woman. She works as a secretary in a notary’s office, she spends about 8 hours a day in a sitting position in front of the PC which is in a position that forces her to a kyphotic position of the dorsal tract of the rachis. For over a year he has suffered from neck pain and almost continuous occipito-parietal headache, with varying degrees of intensity; sporadically also nausea and dizziness. Symptoms generally worsen in the afternoon/evening. The oral NSAIDs, advised by the doctor, bring only momentary relief.
The physiotherapeutic evaluation shows a decrease at the pressure pain threshold with painfulness in the middle and upper cervical paravertebral area, upper trapezius, and bilateral sternocleidomastoid; it also presents a slightly painful functional limitation in flexion and right inclination.
Test with Baiobit:
Cervical ROM test before and after bilateral HVLA manipulation of the upper cervical spine (15-day follow-up).
Rehabilitation program:
The patient performed, as prescribed, frequent movements of the neck in rotation and extension of the dorsal spine, from sitting, during the day while she was at work.
Results:
At the second session, carried out 15 days after the first, after a session of vertebral manipulations and daily sessions of mobilization exercises of the cervico-dorsal spine lasting about 30 “every half hour, performed during one’s work, the patient no longer complains of headache and dizziness or neck pain. There remains a sensation of muscular “tension” at the base of the neck. The patient, recognizing the benefits of exercise, enrolled in a Pilates course.
The movement test with Baiobit objective a clear improvement (quantifiable in about 25%) of the ROM in the limited directions.
HVLA Manipulation
Cervical ROM – First Session
Cervical ROM – Second Session
ROM comparison DX and SX rotation
ROM Flexion-Extension Comparison
Lateral ROM Bending Comparison
