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Pressure algometry and tissue compliance measures in the treatment of chronic headache by spinal manipulation: a single case/single treatment report

By Howard Vernon and Ronald Gitelman


A single-case study of chronic bilateral headache is presented with data provided on pressure algometry, visual analogue scale (VAS), and tissue compliance assessment, the former two measured pre-and-post-manipulation. Pre-treatment recordings demonstrated correlation of findings of joint and muscle dysfunction in the upper cervical spine in this headache sufferer. Post-treatment recordings demonstrated improvements not only in the local spinal tissues but in the distal referred pain pattern (i.e. headache). This case is discussed in regard to both the methods of assessment of soft tissue dysfunction and the theories correlating spinal joint dysfunction with myofascial pain and their relief with manipulation

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