Postisometrical relaxation hemodynamic effects in patients with cervicocranialgia and vestibular dysfunction

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.