Your Patient Describes Frequent Headaches, Especially When Working at Her

Multiple Choice

Your patient describes frequent headaches, especially when working at her computer, which get progressively worse during the day.The following limitations in motion are noted: capital flexion, lower cervical extension, cervical side bending, and lateral rotation of the shoulders.Use of a pressure cuff to test control of capital flexion shows the ability to maintain an increase in pressure of 8 mm Hg for 3 seconds.She is not able to lie prone and perform axial extension by lifting her forehead off the table.All of the following would be appropriate methods for initiating your interventions except:

A) Gentle manual traction to the suboccipital region followed by passive capital flexion to increase flexibility.
B) Training of deep cervical flexors to maintain capital flexion for 10-second holds, using a pressure cuff for feedback.
C) Prone-lying axial extension with the head over the end of the table, holding for 10 seconds at a time.
D) Supine lying with a foam roller placed longitudinally under the spine and head, allowing the shoulders to roll outward into external rotation.