Tête

URL:

http://www.swiss-paediatrics.org/paediatrica/vol13/n4/plagio-fr.html

Keywords:

plagiocéphalie

Abstract:

 Au terme de cette revue d'une situation qui devient de plus en plus fréquente, il convient de dire que l'augmentation exponentielle des cas de PPOP est en rapport direct avec l'adoption de la position de décubitus dorsal strict pour prévenir le syndrome de la mort subite. Un retour en arrière est hors de question, la déformation crânienne postérieure étant le tribut à payer pour éviter une mort subite. L'adoption lorsque l'enfant est éveillé de positions variées sur le dos et les côtés, voire en décubitus ventral pour développer la musculature cervicale postérieure, ceci dès la naissance devrait prévenir la survenue de ces déformations dont le traitement par orthèse représente tout de même un prix non négligeable, ceci dans une période où les coûts de la médecine sont quotidiennement remis en cause.

 

URL:

http://www.ncbi.nlm.nih.gov/pubmed/19183705

Keywords:

somatic tinnitus; gaze-evoked tinnitus; tregeminal nerve

Abstract:

Recent functional brain imaging studies in humans suggest that the neural generator(s) for tinnitus may reside in the central nervous system and involve both auditory as well as nonauditory centers. The contribution of nonauditory centers in the pathogenesis and regulation of tinnitus is reinforced by studies showing that many patients have somatic tinnitus whereby movements and manipulations of the eyes, head, neck, jaw, and shoulder can modulate the loudness and pitch of their tinnitus. In most cases, the maneuvers lead to increases in tinnitus loudness or pitch rather than decreases. Our results indicate that most tinnitus patients experience only a modest change in loudness or pitch when performing these maneuvers. However, some patients report that these maneuvers significantly modulate the loudness or pitch, sometimes by a factor of 2 to 3. The high prevalence of somatic tinnitus serves to illustrate the complex multimodal interactions that exist between the auditory pathway and other sensory-motor systems innervating the head, neck, shoulders, and eyes.

Notes:

Très intéressant!

URL:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2565113

Keywords:

diagnosis; headache disorders; physical examination; post-traumatic headache

Abstract:

Headache is a common complaint that affects the majority of the population at some point in their lives. The underlying pathological bases for headache symptoms are many, diverse, and often difficult to distinguish. Classification of headache is principally based on the evaluation of headache symptoms as well as clinical testing. Although manual therapy has been advocated to treat a variety of different forms of headache, the current evidence only supports treatment for cervicogenic headache {(CGH).} This form of headache can be identified from migraine and other headache forms by a comprehensive musculoskeletal examination. Examination and subsequent diagnosis is essential not only to identify patients with headache where manual therapy is appropriate but also to form a basis for selection of the most appropriate treatment for the identified condition. The purpose of this paper is to outline, in clinical terms, the classification of headache, so that the clinician can readily identify those patients with headache suited to manual therapy.

URL:

http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=11237083&log$=activity

Keywords:

headaches; evaluation

Abstract:

Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders. "Red flags" for secondary disorders include sudden onset of headache, onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness, focal neurologic signs or symptoms, papilledema and headache subsequent to head trauma. A thorough neurologic examination should be performed, with abnormal findings warranting neuroimaging to rule out intracranial pathology. The preferred imaging modality to rule out hemorrhage is noncontrast computed tomographic (CT) scanning followed by lumbar puncture if the CT scan is normal. Magnetic resonance imaging (MRI) is more expensive than CT scanning and less widely available; however, MRI reveals more detail and is necessary for imaging the posterior fossa. Cerebrospinal fluid (CSF) analysis can help to confirm or rule out hemorrhage, infection, tumor and disorders related to CSF hypertension or hypotension. Referral is appropriate for patients with headaches that are difficult to diagnose, or that worsen or fail to respond to management.

URL:

http://www.jaoa.org/cgi/content/abstract/108/5/260

Keywords:

muncie technique; osteopathic manipulation; eustachian tube; otitis; vertigo; dizziness

Abstract:

In eustachian tube dysfunction, the eustachian tube fails to open sufficiently, resulting in a difference between the air pressure inside and outside the middle ear. This condition can cause pain and hearing loss and may lead to barotitis media, otitis media, tinnitus, and vertigo. Although several treatment options are available, from antibiotics to surgery, little documentation of osteopathic manipulative techniques exists. The current report discusses various treatment options, including the modified Muncie technique—a type of myofascial release administered inside the patient's mouth—for patients with eustachian tube dysfunction and its symptoms. An illustrative case of a 37-year-old woman who complained of intermittent vertigo and who was treated with this technique is included.

Notes:

La technique semble plutôt simple. Presque trop en fait pour croire que cela pourrait fonctionner.