ABSTRACT
OBJECTIVE: To investigate whether a combination of dry-needling treatments and upper extremity neuromuscular reeducation exercises can significantly improve neck pain and/or headache-related disability, joint position error, cervical range of motion, and pain pressure threshold in individuals suffering from cervicogenic headache (CGH). METHODS: This study is a quasi-experimental design. Seven participants met the inclusion criteria and received dry needling to three muscles that reproduced the participant's headache symptoms and completed the Neck Disability Index (NDI), Headache Disability Inventory (HDI), Visual Analog Scale (VAS), and Numeric Pain Rating Scale (NPRS). Participants performed an exercise regimen designed to address strength and mobility of cervical and scapulothoracic musculature. RESULTS: There were significant improvements seen in cervical range of motion and neck pain-related disability (NDI) during the 4-week treatment period. CONCLUSION: Dry needling and neuromuscular re-education (NMR) exercises could be effective components of treatment for individuals suffering from CGH to reduce disability and pain.
ABSTRACT
Infiltration-based green infrastructure has become a popular means of reducing stormwater hazards in urban areas. However, the long-term effects of green infrastructure on the geochemistry of roadside environments are poorly defined, particularly given the considerable roadside legacy metal contamination from historic industrial activity and vehicle emissions (e.g., Pb). Most current research on green infrastructure geochemistry is restricted to time periods of less than a year or limited sets of chemical species. This further limits our understanding of systems that evolve over time and are subject to seasonal variability. Between 2016 and 2018, two infiltration trenches in Pittsburgh, PA, were monitored to determine infiltration rates and dissolved nutrient and metal content. The trench water was analyzed to characterize seasonal patterns in both trench function and chemistry. Shifting patterns in infiltration rate and geochemical activity show trends corresponding with seasonal changes. Trench function is dependent on the local water table, with the highest infiltration rates occurring when evapotranspiration is active and groundwater elevation is low. Two seasonal chemical patterns were identified. The first is driven by road salt application in the winter and interaction of the salt pulse increase Pb and Cu concentrations. The second is driven by the formation of summer reducing environments that increase dissolved Fe and Mn. These findings suggest that chemical and hydrological activity in infiltration-based green infrastructure varies seasonally and may remobilize legacy contamination.
