Abstract:
Aim: To investigate the hemodynamic indexes during the postisometric relaxation in patients with cervicocranial pain and vestibular
dysfunction in patients with the cervical spine pathology.
The clinical examination included 85 patients of the young age with cervical spine instability. We use
randomization into 41 patient with cervicogenic cranialgia and 44 patients with vestibular dysfunctions. Postizometric relaxation
(PIR) sessions were included into patients treatment.
Results: Our results revealed increased time-averaged indexes of maximal blood flow velocity through vertebral and basilar arteries
in patients with cervicogenic cranialgia. The same indexes were registered to be decreased in patients on the 2nd group. We found
that hperreactivity to flexion-extension was determined in patients of both groups, and in patients of the 1st group to left-right
rotation. After post-izometric relaxation sessions we registered a decrease in the headache intensity, frequency and duration in
patients with cervicogenic cranialgia, and a decrease in dizziness intensity and ringing and tinnitus regression in patients with
vestibular dysfunctions.
Conclusions: We found that hemodynamic changes in patients with cervicogenic cranialgia were manifested in the form of
hyperperfusion through vertebral artery and basilar artery and a half-increase in reactivity indexes on rotatory tests. The hemodynamic
effect of PIR was determined in the form of vertebral blood flow indexes through vertebral artery and basilar artery stabilization,
as well as indexes of reactivity to rotatory tests normalization.
