CPA 3 - Tension Headache Flashcards
What are 3 components to the Biomechanical model for Tension HA?
Cervical spine ME Cervical spine HVLA Trapezius m. inhibitory technique
What are 3 components to the Respiratory/Circulatory model for Tension HA?
MFR to Thoracic inlet - enhance lymph flow OM suture compression (V-spread) - enhance CSF flow Rib raise - enhance lymph flow
What are 4 components of the Neurologic model for Tension HA?
AA ME/HVLA - normalize PNS tone Paraspinal inhibition - normalize SNS tone Suboccipital release - normalize PNS tone Triptan Rx
What are 3 components of the Metabolic/Energy model for Tension HA?
NSAIDs - decrease inflammation/pain Headache diary - find correlation with other events Decrease Na intake to decrease fluid retention
What are 3 components of the Behavioral model for Tension HA?
Meditation - reduce stress Exercise - reduce stress Neck support while sleeping
What is the primary area of complaint for a Tension HA and what are 3 TART findings to assess?
Cranial Tenderness Cranial ROM - Vault hold Erythema, swelling, ecchymosis
What is the first related area of complaint for a Tension HA and what are 3 TART findings to assess?
C-spine Tenderness Cervical ROM Erythema, swelling, ecchymosis
What is the second related area of complaint for a Tension HA and what are 3 TART findings to assess?
T-spine Tenderness Thoracic ROM Tight paraspinal muscles
What is the 1st body area to assess for an SD for a Tension HA and what findings might be seen?
Cranial (inferior strain) Occiput moves into F while sphenoid moves into E Basisphenoid moves inferior in relation to basiocciput
What is the 2nd body area to assess for an SD for a Tension HA and what findings might be seen?
Cervical (C2-4 NRrSl) *evaluate PTP’s for R/S in N, F, E
What Tx would be done for the Cranial inferior strain and is it an indirect or direct Tx?
CV4 - stimulate inherent capacity to deal with dysfunction Indirect
What Tx would be done for the Cervical C2-4 NRrSl SD and is it an indirect or direct Tx?
ME (put pt oppo of diagnosis) Direct
What is an OMM ANS Tx for Tension HA?
Suboccipital release - normalize PNS tone
What is an OMM Lymphatic Tx for Tension HA?
Cervical stroking/milking *Open thoracic inlet first