In this blog post we review many studies showing that loss of the spinal cervical curve or the curve in the neck can cause neck degeneration, headaches and neck pain.
Journal of Manipulative and Physiological Therapeutics
J Manipulative Physiol Ther. 1994 Sep;17(7):454-64.
The efficacy of cervical extension-compression
traction combined with diversified manipulation and drop table
adjustments in the rehabilitation of cervical lordosis: a pilot study.
Harrison DD, Jackson BL, Troyanovich S, Robertson G, de George D, Barker WF.
Chiropractic BioPhysics, Non-Profit, Inc., Harvest, AL 35749.
OBJECTIVE: To experimentally
investigate the effect of cervical extension-compression traction
combined with diversified chiropractic manipulation and drop table
adjusting in establishing or increasing cervical lordosis. DESIGN:
Blinded, before and after trial with pre- and postlateral cervical
radiographic measurement. SETTING: Primary care private chiropractic
clinic in Saugus, MA. SUBJECTS: A) Control group--convenience sample who
had no health care for 10-14 wk, 30 persons. B) Treatment group 1,
nonrandomized control trial, 35 persons, whose pre- and postlateral
cervical radiographs were taken 10-14 wk apart and whose radiographs
clearly depicted C1 through C7. C) Treatment group 2, nonrandomized
control trial, 30 persons, whose pre- and postlateral cervical
radiographs were taken 10-14 wk apart and whose radiographs clearly
depicted C1 through C7.
INTERVENTIONS: Treatment group 1:
diversified spinal manipulation, drop table adjustments and cervical
extension-compression traction five times per week for 10-14 wk (12 wk
+/- 2). Treatment group 2: diversified spinal manipulation and drop
table adjustments five times per week for 10-14 wk (12 wk +/- 2). MAIN
OUTCOME MEASURES: Anterior head
translation millimeters, C2 to C7 absolute rotation angle, angle of C1
to horizontal (atlas plane angle), five relative rotation angles (C2-3,
C3-4, C4-5, C5-6, C6-7) and qualitative classification of lordotic
configuration. RESULTS: No statistically significant changes existed
between the pre- and posttests for the control group except in the C6-7
relative rotation angle. In the treatment group 1, statistically
significant differences were found in all X-ray markings. Twenty-nine of
35 members have a lordosis after treatment compared to 11 of 35 before
treatment. The C2 to C7 angle changed an average 13.2 degrees, C1 to
horizontal changed an average 9.8 degrees, the anterior head translation
reduced an average of 6.8 mm, the average relative rotation angle
changed: C2-3: 3.1, C3-4: 5.5, C4-5: 4.80, C5-6: 2.7 and C6-7: 1.1. In
the treatment group 2, no statistically significant changes existed
between the pre- and posttests except atlas angulation to horizontal
which increased an average of 3.0 degrees.
CONCLUSIONS: A transformation to a
lordotic configuration or increase in lordotic configuration occurred
and was measured in the majority of treatment group 1 subjects, while no
change in the control group and essentially no change in treatment
group 2 was measured. Extension-compression traction combined with
diversified chiropractic manipulation and drop table adjusting
procedures may improve or partially reestablish the cervical lordosis in
10-14 wk of daily care.
Publication Types:
· Clinical Trial
· Randomized Controlled Trial
PMID: 7989879 [PubMed - indexed for MEDLINE]
CBP Structural Rehabilitaion of the Cervical Spine,
Deed E. Harrision, DC, Donald D. Harrison, PhD, DC, MSE, Jason W. Haas,
DC, 2002 Harrison CBP Seminars, Inc. pg. 56, “Cervical Lordosis and
Headaches”
We believe it relevant that several studies
have investigated and linked the relationship of altered cervical curve
configuration to the presence of chronic headache pain. In a survey of
over 6,000 cases of chronic headache sufferes, Braaf and Rosner found
that “complete or segmental loss or reversal of the normal lordotic
curve of the cervical spine is the most consistent tension and migraine
headaches, Vernon et al. found a high incidence of hypolordosis,
straightened and reversed cervical curve configurations. Also, Nagasawa
et al. compared 372 patients with tension headaches to 225 controls
matched for age and sex. They found patients with tension headaches to
225 controls matched for age and sex. They found statistically
significant differences between the two groups, with patients having
straightened curve was straight more frequently. This information
contrasts nicely with the findings of Gore et al., where in asymptomatic
subjects, the cervical curve increased with age. Gore et al. found
that the average C2-C7 lordosis was 27 degrees in their older
asymptomatic patients compared to an average 23 degree for all
asymptomatic patients.
CBP Structural Rehabilitaion of the Cervical Spine,
Deed E. Harrision, DC, Donald D. Harrison, PhD, DC, MSE, Jason W. Haas,
DC, 2002 Harrison CBP Seminars, Inc. Studies Referenced in “Cervical
Lordosis and Headaches”
1. Headache. 1993 Feb;33(2):90-5.
Roentgenographic findings of the cervical spine in tension-type headache.
Nagasawa A, Sakakibara T, Takahashi A.
Department of Neurology, Nagoya University School of Medicine, Japan.
Roentgenographic studies were carried out on 372
patients with tension-type headache and 225 normal control subjects to
determine relationships between straightened cervical spines, low-set
shoulders, and cervical spine instability. A great majority of the
patients with tension-type headache were found also to have straightened
cervical spine. Patients with tension-type headache may have a
restricted progression of the cervical spinal lordosis, which results in
a straightened cervical spine. The flexor muscles of the head and neck
prevent physiological lordosis of the cervical spine, and their
sustained chronic contraction may be a principal cause of a straightened
neck. The low-set shoulder was frequently seen in patients with
tension-type headache, and it may result in traction of the brachial
plexus, which gives rise to pain in the neck and shoulders. Cervical
spine instability, on the other hand, was rather infrequent in patients
with tension-type headache. Its relationship to tension-type headache is
unclear and warrants further study. Our results suggest that both a
straightened cervical spine and low-set shoulders may play an important
role in the pathogenesis of tension-type headache and its accessory
symptoms.
PMID: 8458729 [PubMed - indexed for MEDLINE]
2. J Manipulative Physiol Ther. 1992 Sep;15(7):418-29.
Cervicogenic dysfunction in muscle contraction headache and migraine: a descriptive study.
Vernon H, Steiman I, Hagino C.
Center for the Study of Spinal Health, Canadian Memorial Chiropractic College, Toronto, Ontario.
OBJECTIVE: The prevalence and
nature of findings of cervicogenic dysfunction is explored in subjects
with muscle contraction/tension-type (MCH) headache and common migraine
without aura (CM). DESIGN: Descriptive survey. SETTING: Chiropractic
outpatient research clinic. PATIENTS: Forty-seven (47) subjects, aged
18-55 with two categories of benign headache, were studied: MCH
(tension-type) n = 19 (6 males, 13 females) and CM (without aura), n =
28 (3 males, 25 females). Subjects were recruited as part of an
intervention trial and, thus, form a consecutive sample of patients. The
present findings were elicited as part of the initial assessment.
INTERVENTION: No therapeutic intervention is reported. MAIN OUTCOME
MEASURES: Standardized headache history; plain film and dynamic spinal X
rays; motion palpation; and pressure algometry. RESULTS: For CM, the
most prevalent headache locations were frontal (81%) and occipital
(78%). Neck pain and upper back pain accompanied headache in 90% and 41%
of subjects, respectively. For MCH, the most prevalent headache
locations were occipital (87%) and frontal (81%). Neck and upper back
pain accompanied headache in 100% and 27%, respectively, of all
subjects. For the total group, 77% of all subjects and 89% of females
exhibited a marked reduction, absence or reversal of the normal cervical
lordosis. Ninety-seven percent of all subjects exhibited, on dynamic
X-ray studies, at least one significant abnormality of segmental
mobility from C1 to C7, while 43% exhibited abnormalities at four or
more segments. Segmental motion at C0-C1 was reduced in 90% of subjects
in flexion and 70% of subjects in extension. On motion palpation, 84% of
CM and MCH subjects were found to have at least two major fixations
from C0 to C2. On pressure algometry, 92% of CM and 85% of MCH had at
least one verifiable tender point (TP) in the upper cervical region. The
most common locations for TPs were mid-cervical (C2-C3), lateral
occipital and suboccipital. CONCLUSIONS: Both MCH and CM subjects
demonstrate high occurrences of: a) occipital and neck pain during
headaches; b) tender points in the upper cervical region; c) greatly
reduced or absent cervical curve; and d) X-ray evidence of joint
dysfunction in the upper and lower cervical spine. These findings
support the premise that the neck plays an important, but largely
ignored role in the manifestation of adult benign headaches. A
case-control study should be conducted to confirm the greater prevalence
of cervicogenic dysfunction in headache as compared to nonheadache
subjects.
PMID: 1342581 [PubMed - indexed for MEDLINE]
3. Spine. 2001 Nov 15;26(22):2463-6.
Roentgenographic findings in the cervical spine in asymptomatic persons: a ten-year follow-up.
Gore DR.
Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
STUDY DESIGN: The lateral
roentgenographic findings in 159 initially asymptomatic persons were
reviewed at a 10-year interval. A questionnaire was used at the time of
the last roentgenogram to determine the incidence of pain. OBJECTIVES:
To identify the number of persons who experienced pain during that
10-year period, describe the roentgenographic changes, and determine the
association between the development of symptoms and roentgenographic
findings. SUMMARY OF BACKGROUND DATA: It is well established that
degenerative changes of the cervical spine increase with age and may
occur in asymptomatic persons. However, it is unknown whether pain is
more likely to develop in persons with degenerative changes than in
those with normal roentgenograms. METHODS: Lateral cervical
roentgenograms were obtained in 200 asymptomatic persons, 100 women and
100 men, to obtain normal values of cervical lordosis and degenerative
changes in persons aged 20-65 years. Ten years later, 159 participants
had repeat roentgenograms and were administered a questionnaire
regarding the presence or absence of pain. RESULTS: There was an
increase in the number of subluxations and an increase in degenerative
changes. Pain developed in 15% of participants in the 10-year interval.
The presence of degenerative changes at C6-C7 on the initial
roentgenogram was a statistically significant predictor of pain.
CONCLUSION: With age, there is an increase in the number of subluxations
and the incidence and severity of degenerative changes. Pain is more
likely to develop in persons with degenerative changes at C6-C7.
PMID: 11707711 [PubMed - indexed for MEDLINE]
Other Studies:
There are
several studies indicating cervical kyphosis as a factor predicting por
results after whiplash injury. In a 5-year long-term follow-up of 146
patients’ with whiplash injury. Hohl identified cervical kyphosis as a
factor predicting a poor outcome. Norris and Watt followed 61 patients
involved in motor vehicle accidents for a minimum of six months. They
found that abnormal neck curves “…are more common in patients with a
poor outcome.” In a prospective study, Ettlin et al. found that loss of
lordosis was very common (68%) in patients with cerebral symptoms due
to whiplash injury.
- Recently in a prospective study of 110 patients,
Kai et al. studied the relationship of neurogenic thoracic outlet
syndrome (NTOS) to whiplash injury. They found an incidence of cervical
kyphosis of 44%-46% in the patients with NTOS compared to 11-24% in the
subjects without NTOS. Kai et al. concluded that reversal of the
cervical lordosis was abnormal and cervical lordosis is a significant
finding after whiplash injury. Lastly, several studies have
demonstrated that whiplash injuries do indeed cause reversals and other
changes in the configuration of the cervical lordosis.
CBP Structural Rehabilitaion of the Cervical Spine,
Deed E. Harrision, DC, Donald D. Harrison, PhD, DC, MSE, Jason W. Haas,
DC, 2002 Harrison CBP Seminars, Inc. “Studies indicating Cervical
Lordosis is related to pain after Whiplash”
1. J Bone Joint Surg Br. 1983 Nov;65(5):608-11.
The prognosis of neck injuries resulting from rear-end vehicle collisions.
Norris SH, Watt I.
Injury of the neck may result when a motor vehicle
is run into from behind; such injury is frequently the cause of
prolonged disability and litigation. We report a series of 61 patients
with these injuries. A classification, based upon the presenting
symptoms and physical signs has been evolved. This classification is
shown to be a reliable basis for formulating a prognosis. Factors which
adversely affect prognosis include the presence of objective
neurological signs, stiffness of the neck, muscle spasm, and
pre-existing degenerative spondylosis.
PMID: 6643566 [PubMed - indexed for MEDLINE]
2. J Neurol Neurosurg Psychiatry. 1992 Oct;55(10):943-8.
Cerebral symptoms after whiplash injury of the neck: a prospective clinical and neuropsychological study of whiplash injury.
Ettlin TM, Kischka U, Reichmann S, Radii EW, Heim S, Wengen D, Benson DF.
University Clinics, Basel, Switzerland.
Twenty one unselected patients with an acute
whiplash injury of the neck had neurological and neuropsychological
assessment, cervical x rays, EEG, BAEP, MRI, and an otoneurological
examination within two weeks of the injury. Subjectively, 13 patients
reported concentration deficits, 18 reported sleep disturbances, 9 had
symptoms of depression, and 7 female patients told of menstrual
irregularities. Neuropsychological examination revealed significantly
lower performance in tests related to attention and concentration
compared to sex, age and educational matched control subjects.
Otoneurological examination showed abnormalities in 9 of 17 whiplash
subjects. EEG showed questionable changes in 8 of 18 recordings. MRI and
BAEP were normal in all patients. Repeat neuropsychological testing in
15 patients at three months showed that attention deficits had improved
but were still shown in 12 of 14 and the concentration deficits in 8 of
13 patients. At one year all patients had returned to work, 16 to full
and 5 to part time employment. In 4, cognitive dysfunction remained the
only significant problem. These findings are discussed as being
compatible with possible damage to basal frontal and upper brain stem
structures after whiplash injury of the neck.
PMID: 1431958 [PubMed - indexed for MEDLINE]
3. J Spinal Disord. 2001 Dec;14(6):487-93.
Neurogenic thoracic outlet syndrome in whiplash injury.
Kai Y, Oyama M, Kurose S, Inadome T, Oketani Y, Masuda Y.
Orthopaedic Surgery, Fukuoka City Hospital, Fukuoka, Japan.
A prospective study of 110 patients was carried out
to determine the pathogenic significance of trauma to the upper body in
the development of neural compressive irritation at the thoracic outlet.
Twenty-nine patients were reviewed as cervical strain injuries (N
group), 25 patients as probable neurogenic thoracic outlet syndrome
(NTOS) (PT group), 39 patients as definite NTOS (T group), and 17
patients as NTOS associated with cervical disc disease (CD-T group). The
time lapse between accident and diagnosis and the duration of treatment
were significantly longer in T patients or CD-T patients than those in
the N group. Radiography of NTOS patients also showed a higher
percentage of cervical spine-length/height ratio. Traumatic NTOS would
suggest two types related to direct damage of scalene muscles that
included some physical aspects of cervical disc disease. Pathogenesis
provided a key to the resolution of more complex posttraumatic problems
of whiplash injury.
PMID: 11723397 [PubMed - indexed for MEDLINE]
4. Am J Med. 2001 Jun 1;110(8):651-6.
Whiplash: a review of a commonly misunderstood injury.
Eck JC, Hodges SD, Humphreys SC.
University of Health Sciences, College of Osteopathic Medicine, Kansas City, Missouri, USA.
Whiplash injury is a relatively common occurrence,
but its mechanism and optimal treatment remain poorly understood. It is
estimated that the incidence of whiplash injury is approximately 4 per
1,000 persons. The most common radiographic findings include either
preexisting degenerative changes or a slight flattening of the normal
lordotic curvature of the cervical spine. Computed tomography and
magnetic resonance imaging are generally reserved for cases of
neurologic deficit, suspected disc or spinal cord damage, fracture, or
ligamentous damage. Biomechanics studies have determined that after rear
impact C6 is rotated back into extension before movement of the upper
cervical vertebrae. Thus, the lower cervical vertebrae were in extension
while the upper vertebrae were in a position of relative flexion,
producing an S shape in the cervical spine. It is believed that this
abnormal motion pattern might play a role in the development of whiplash
injuries. Historically, a soft cervical collar has been used early
after the injury in an attempt to restrict cervical range of motion and
limit the chances of further injury. More recent studies report rest and
restriction of motion to be detrimental and to slow the healing
process.
PMID: 11382374 [PubMed - indexed for MEDLINE]
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If you want lastly to be able to get rid of the pounds that is keeping you back again , this could be the choice for youAs an economic advisor for a assume tank which occurs to function internet , I've generally been an advocate for 100 % free - marketplace capitalism This is simply because I know it will fix all the difficulties of human in our society and civilization I cringe when I listen to left -wing socialist principles in our cities and cities as the way ahead , or the progressive and clever way to do issues It just isn't so Just take lower money housing and rent command districts for instanceWhen you place affordable money housing in a specified community , and permit consumers to shift in devoid of having to pay particularly very much in hire , next element you know the put is 100 % trashed as no one requires possession variety accountability Then they complain of slum landlords, and federal government businesses that really don't treatment about them portfele damskie . Obviously , the government cared more than enough to set in policies , restrictions , and laws as properly as placing up housing for weak people It can be wonderful so many individuals that dwell there are the to start with to complain when anything goes erroneous The New York times experienced an intriguing piece on November three , 2012 titled "In New York's Community Housing, Fearfulness Creeps in With the Dark" by Cara Buckley and Michael Wilson, which mentioned " Conceivably much more so than in any other place in the town , the reduction of electrical power for men and women dwelling in community housing initiatives has pressured a return to a elementary existence" An additional content the similar working day in the NYTs was "Anger Grows at Response by Red Cross" by David M Halbfinger which mentioned "The American Red Cross struggled on Friday to reassure beleaguered New York Metropolis citizens that its disaster - relief efforts have been at past obtaining up to velocity "You see, all of these folks voted for authorities officers that promised them they could get cost-free housing, small income housing, or that the governing administration would phase in with rent manage But continue to , when the authorities did all that it wasn't plenty of Alongside comes a big hurricane, and absolutely everyone is complaining portfele damskie . They're upset as they are in the dim and the energy isn't on nonetheless , and since it can be cold , and fairly frankly they are ill and fatigued of to be soggy Just after all, what good is a roof over your head if you are unable to recharge your zero cost mobile mobile , iPad, or check out your huge screen Tv ? No wonder people men and women are so upset, the electrical power isn't on, and it really is the government's fault Mayor Bloomberg and President Obama promised that they would do almost everything in the electricity of the government to confirm that anyone was all right in the aftermath of hurricane Sandy Properly , this is your enormous authorities at perform , how do you like it now? Are not you happy you voted for these massive federal government , still left -leaning, socialist policy politicians? Remember to give consideration to all this and presume on itPenis sensitivity is integral in getting sexually aroused, to fully love satisfying sexual intercourse and to attain an orgasm Most fellas acquire that the underside of the glans (or head) of the penis is the most sensitive and is the root of sexual pleasure In order to keep clear of diminished penis sensitivity and safeguard the enjoyment of sexual intercourse , it is a great notion to have an understanding of sensitivity and how to keep it as a result of a good skin care routine , fantastic cleanliness and treatment method with penis vitamins and minerals Study on penis sensitivityAccording to a research revealed in the British Journal of Urology in 2009, the majority of guys surveyed noted that the most sensitive areas of the penis involved the underside of the glans and the shaft adopted by the upper side of the glans and then the sides of the glans and shaft portfele meskie . Adult men with an intact foreskin also reported a terrific deal of sensitivity in this location This core of intensely pleasurable sensation is designed by a fine network of nerve cells just beneath the pores and skin of the penis These nerves are liable for transmitting erotic sensation to the mind so when the penis gets desensitized, it might very well need higher exertion to make thoughts of satisfaction and attaining orgasm might possibly develop into more hard Creates of lowered penis sensationA variety of things are affiliated to diminished penis sensation With age, adult men usually report a reduction in sensitivity though even men in their early twenties can working experience some degree of sensitivity loss , specially following prolonged and vigorous sexual intercourse Just one of the most vital will cause of lessened sensation is related to a thickening of the penis skin due to friction Friction can of study course be caused by masturbation, sexual intercourse or rubbing and chafing towards outfits and other material By time, circulatory concerns will also impair penis sensitivity, notably in males who are overweight or who have some variety of cardiovascular condition szkatulki . Smoking cigarettes is also explained by the Mayo Clinic as a significant issue in the reduction of penile sensitivity Tips for supporting pleasurable sensationEven guys who have difficulties with sensitivity may possibly be equipped like the expertise of sexual stimulation by implementing the suggestions offered right here : 1 Holding the penis very well -hydrated may perhaps increase clean , nutritious and supple skin that is responsive to touch two Experimenting with feathers, silky fabrics and a partner's mild touch can make new varieties of sensation as well as letting pressured pores and skin cells to heal from deterioration linked to ongoing friction three Toys such as vibrators ( indeed , the ones built for adult females ) have been revealed to be equally powerful for guys who use them to stimulate the glans and shaft four szkatulki na bizuterie . Mixing it up in the bedroom with distinctive positions , or asking a wife or husband to stimulate other components of the body , such as the nipples, scrotum, neck, and so on, may well lead to higher arousal and emotions of stressless sensual enjoyment five Ongoing nutritional assistance by using the use of pores and skin - welcoming nutritional vitamins , purely natural antibacterials, moisturizers and sickness - combating antioxidants can guidance to retain the pores and skin and nerve tissue of the penis wholesome and responsiveHow to nourish teczki skorzane skin and encourage the best possible penile sensationWhile the creams and lotions discovered in pharmacies and retail merchants commonly include a number of combos of nutritional vitamins and other vitamins and minerals , these are often constructed with women's skin in brain For adult men who want a nutrient cream that is particularly intended to aid nutritious penis skin , a specialized penis health and fitness system (most well being industry experts endorse Man1 Person Oil) may well be the very best solution A penis well being cream that contains nutritional vitamins for skin and nerve assistance and circulatory health , as effectively as all- all natural moisturizers that are protected for sensitive skin , might support to promote smooth and supple pores and skin that is responsive to tactile stimulationGod's Term - The Bread of LifeToday I experienced a life altering experience My environment was shaken to the center and I'm even now hoping to recuperate portfele skorzane . I was driving down historic Route 66 savoring a delightful sunny November morning (sorry east coasters) on my way to our monthly Men's Breakfast I glanced to my appropriate and noticed a Sara Lee bread delivery truck A childhood jingle was printed on the aspect of the truck which go through " No person does it Like Sara Lee"I did a double take And if the traffic gentle was red I would have gone roughly the block just to make totally sure I was looking at the facet of the truck efficiently For as longer as I cantorebki skorzane I have sung the Sara Lee jingle as " No one Doesn't Like Sara Lee" I've gone about 50 decades imagining and singing the incorrect detail ! I would have defended the phrases to the Sara Lee jingle to the demise When I got to the restaurant , I shared my revelation with the adult males through breakfast szkatulki na bizuterie . The the greater part of them were being just as shocked as I was It appears to be I wasn't the only a person who experienced it mistaken On my way property soon after breakfast I started out wondering about persons all over the entire world who are worshipping different gods, exercising different spiritual beliefs, and defending a multitude of non secular viewpointsNo doubt these folks would wager their lives on the inescapable fact that their beliefs are proper No a person purposely sets out in lifetime to be erroneous We all feel that the God we worship is the only correct GodI purposely imagined what it would sense like to are living out my total lifestyle believing that I was dwelling in a way that was pleasing to God, only to get to the stop of my days and get out that I was inappropriate What a misfortune teczki meskie . What a waste products of daily life In the Gods Word , Jesus still left no question about whom the correct God is In God's Word , Jesus also advised us in no unsure phrases that He was the only way to get to the Father No other prophet or self professing man of god has ever created it as simple as Jesus did when He said I Am the Way, the Truth of the matter and the Lifespan no an individual will come to the Father but by me There is no room for misinterpretation there Incorporate to that the reality that there has in no way been
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With just one minute remaining before half-time, Sunderland hauled themselves back into the game. Adam Johnson skipped down the left flank and pulled the ball across to Gardner who arrowed a low effort past Bunn, although the former Blackburn goalkeeper may feel he could have kept it out.
Sunderland were denied a much-needed win by Norwich on Sunday as Sebastien Bassong and Anthony Pilkington fired the Canaries to a 2-1 victory at Carrow Road.
Chris Hughton's men were in control during the opening half and saw their efforts rewarded, first when Sebastien Bassong bundled in Robert Snodgrass' free-kick on eight minutes, then again as Anthony Pilkington picked up Bradley Johnson's pinpoint long pass before shrugging off Carlos Cuellar to fire home.
Sunderland finally tested Mark Bunn in the 28th minute as Sebastian Larsson pulled a corner back to the edge of the box to Danny Rose, who fired in a low effort that the Norwich goalkeeper did well to keep hold of. The game became a little scrappy as the half progressed but the Canaries would double their lead eight minutes before the break.
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Borussia Dortmund chief executive Hans-Joachim Watzke has hit out at the number of foreign owners in the Premier League as his side prepare to take on Manchester City.
Bundesliga clubs have to adhere to the '50% plus one' rule, which means they are owned by their members, whereas several top-flight English clubs have been bought by individuals, or companies, from overseas.
He added: "Germans want to have that sense of belonging. When you give supporters] the feeling that they are your customers, you have lost. In Germany, we want everybody to feel it is their club, and that is really important.
Added to cheap ticket prices which produce regular 80,000 crowds at their imposing stadium, they are the envy of many clubs across the continent.
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