Cervicogenic Headache

Nassery, Adam; Schuster, Nathaniel M.

doi:10.1007/978-3-030-27447-4_15

Cited by 1 publication

(1 citation statement)

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“…Although manual therapy appears to be an effective intervention, none of the included trials compared manual therapy to usual medical care. This lack of comparison with usual care limits the generalizability and clinical applicability of these results as patients would normally receive some form of education and reassurance as well as pharmacological treatments such as acetaminophen or nonsteroidal anti‐inflammatory drugs, although the efficacy of these pharmacological treatments has not been rigorously studied in RCTs 36,37 . The cost effectiveness of manual therapy compared to pharmacological treatment also remains unclear, especially as the trials in our review included up to 12 manual therapy sessions, which could be costly.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta‐analyses

Demont

Lafrance

Gaska

et al. 2022

PM&R

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To update and appraise the efficacy of physiotherapy for adults with cervicogenic headache. Literature Survey: Bibliographic searches were conducted up to October 2021 for randomized controlled trials (RCTs), assessing the efficacy of physiotherapy interventions for adults with cervicogenic headache, in five databases: CINAHL, Physiotherapy Evidence Database (PEDro), PubMed, Sage Journals, and Wiley Online Library. Methodology: Data extraction of included trials was conducted by two reviewers according to a standardized extraction form. The PEDro tool and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach were used for grading evidence. Results from trials with similar interventions and with similar outcome measures were pooled into separate meta-analyses. A qualitative synthesis was performed for studies that were not pooled into meta-analyses. Synthesis: Fourteen trials were included. Moderate-certainty evidence indicates that manual therapy significantly reduces headache frequency (mean difference [MD]: À0.93 episodes/week; 95% confidence interval [CI]: À1.40 to À0.46; 2 RCTs; n = 265) compared to sham manual therapy, and headache frequency (MD: À1.23 episodes/week; 95% CI: À1.55 to À0.91; 3 RCTs; n = 126) and intensity (MD: À1.63/10; 95% CI: À2.15 to À1.10; 4 RCTs; n = 208) compared to no treatment in the short term. At 12-month follow-up, moderate-certainty evidence indicates that manual therapy did not lead to greater reduction in headache intensity (MD Visual Analog Scale 0-10: -0.12; 95% CI: À0.49 to 0.26; 2 RCTs; n = 265) or frequency (MD: À0.32 episodes/ week; 95% CI: À0.91 to 0.28; 2 RCTs; n = 265) when compared to a sham manual therapy. In the long-term, in one high quality trial, neck exercise significantly reduced headache intensity compared to no treatment (MD: À1.51/10; 95% CI: À2.52 to À0.50; n = 100) or to aerobic exercises in another trial of moderate quality (MD: À1.15/10; 95% CI: À2.1 to À0.20; n = 180). Conclusions: Manual therapy in the short term and neck exercise in the long term may be efficacious to treat adults with cervicogenic headache. More highquality evidence is needed and future results may change the current conclusions. Trial Registration Prospero: #CRD42019135858.

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Section: Discussionmentioning

confidence: 99%