Assessment and Management for Neck Injury of a Fighter Pilot: A Case Report

戰鬥機飛行員頸部損傷的評估與治療－病例報告

杜育才(Yu-Tsai Tu) ； 羅鳳嬌(Feng-Chiao Lo) ； 張嘉瑀(Chia-Yu Chang) ； 周適偉(Shih-Wei Chou) ； 賴政秀(Cheng-Hsiu Lai) ； 裴育晟(Yu-Cheng Pei)

《北市醫學雜誌》 12卷4期 (2015/12) Pp. 333-342

https://doi.org/10.6200/TCMJ.2015.12.4.05

摘要

目的：頸部疼痛與不適為戰鬥機飛行員常見的問題。因此，此篇病例報告針對F-16戰鬥機飛行員常見的頸因性頭痛及其引起之功能損傷，提出評估與治療的建議。病例報告：個案為39歲男性，五年以來深受頭痛所苦，頭痛的範圍從頭頂延伸至肩膀，其肇因可能是高G力環境經常性的暴露。於個案的頸部壓痛點給予缺血性壓痛點治療後，疼痛、頸部柔軟度以及等長肌力立即有顯著改變。此外，病人的平衡及動作表現竟隨著頸部症狀的改善，也有顯著的進步。結論：針對頸部壓痛點實施缺血性壓痛點治療，可減緩高G力導致的頸因性疼痛。且本病例報告使用的頸部整體性評估可有效反應出頸部的病理狀況及治療效果。

關鍵字

戰鬥機 ； 頸部損傷 ； 頸頭症候群 ； 缺血性加壓治療 ； 壓痛點

並列摘要

Objective: Cervical pain and discomfort are common complaints among pilots of high performance fighters (HPF). This case report describes the assessment and management of cervicogenic headache and functional impairment of a F-16 pilot. Case Report: We present a 39-year-old male who suffered from headache over vertex area and right shoulder pain for five years. The problems were probably caused by episodes of neck injuries induced in high G-force environment. We introduced tender-point ischemic compression therapy to his tenderness areas and then observed dramatic improvement in pain, neck flexibility and isometric strength. Surprisingly, the patient’s balance performance also improved, which was parallel to his improvement of neck pathology. Conclusion: Ischemic compression therapy to neck tender points relieves cervicogenic headache caused by high G-forces neck injuries. The comprehensive neck assessment effectively reveals the neck pathology and efficacy of treatment.

並列關鍵字

Fighter pilot ； neck injury ； cervicogenic cephalic syndrome ； balance ； ischemiccompression therapy ； trigger point