Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial

Haas, Mitchell; Spegman, Adele; Peterson, David H.; Aickin, Mikel; Vavrek, Darcy

doi:10.1016/j.spinee.2009.09.002

Cited by 103 publications

(155 citation statements)

References 41 publications

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“…Table 3 summarizes the quality scores of the included studies. 4,[63][64][65][66][67] Methodological weaknesses were found in all studies. Specifically, two of the studies received a PEDro score of 6/10, 4,66 two received a score of 7/ 10, 64,67 and two received a score of 8/10.…”

Section: Study Description and Methodological Qualitymentioning

confidence: 99%

“…63,65 All studies were qualified as 'good' regarding the level of internal validity based on the PEDro score grading according to Maher et al 68 The most common methodological weakness in all six studies was failure to blind therapists administering the therapy; however, due to the type of intervention being delivered manually from the practitioner, this was not feasible considering five of the RCTs performed manipulation as a treatment and one focused on self-sustained natural apophyseal glides (SNAGs). Three RCTs 4,64,66 failed to blind the subjects and three 4,66,67 failed to provide point measures as well as measures of variability for one key outcome. Three 4,66,67 failed to analyze key outcomes by 'intention to treat' when subjects allocated to a treatment did not receive the treatment.…”

Section: Study Description and Methodological Qualitymentioning

confidence: 99%

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Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review

Racicki

Gerwin

DiClaudio

et al. 2013

Journal of Manual & Manipulative Therapy

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Purpose: The purpose of this systematic review was to assess the effectiveness of conservative physical therapy management of cervicogenic headache (CGH). Introduction: CGH affects 2.2-2.5% of the adult population with females being four times more affected than men. CGHs are thought to arise from musculoskeletal impairments in the neck with symptoms most commonly consisting of suboccipital neck pain, dizziness, and lightheadedness. Currently, both invasive and non-invasive techniques are available to address these symptoms; however, the efficacy of noninvasive treatment techniques has yet to be established. Methods: Computerized searches of CINAHL, ProQuest, PubMed, MEDLINE, and SportDiscus, were performed to obtain a qualitative analysis of the literature. Inclusion criteria were: randomized controlled trial design, population diagnosed with CGH using the International Headache Society classification, at least one baseline measurement and one outcomes measure, and assessment of a conservative technique. Physiotherapy evidence-based database scale was utilized for quality assessment. Results: One computerized database search and two hand searches yielded six articles. Of the six included randomized controlled trials, all were considered to be of 'good quality' utilizing the physiotherapy evidencebased database scale. The interventions utilized were: therapist-driven cervical manipulation and mobilization, self-applied cervical mobilization, cervico-scapular strengthening, and therapist-driven cervical and thoracic manipulation. With the exception of one study, all reported reduction in pain and disability, as well as improvement in function. Conclusion: Calculated effect sizes allowed comparison of intervention groups between studies. A combination of therapist-driven cervical manipulation and mobilization with cervico-scapular strengthening was most effective for decreasing pain outcomes in those with CGH.

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Section: Study Description and Methodological Qualitymentioning

confidence: 99%

Section: Study Description and Methodological Qualitymentioning

confidence: 99%

Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review

Racicki

Gerwin

DiClaudio

et al. 2013

Journal of Manual & Manipulative Therapy

View full text Add to dashboard Cite

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“…4), and exercises targeted to the neck flexor or extensor synergy 53 may be appropriate. A patient with cervicogenic headache, where the peripheral input is mainly dominant, can benefit from a multimodal manual therapy management including upper cervical spine joint mobilization and/or manipulation 54 ( Fig. 5), thoracic spine manipulation 55 (Fig.…”

Section: Manual Therapy Strategies For Headachesmentioning

confidence: 99%

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Fernández‐de‐las‐Peñas

Courtney

2013

Journal of Manual & Manipulative Therapy

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In recent years, there has been an increasing knowledge in the pathogenesis and better management of chronic headaches. Current scientific evidence supports the role of manual therapies in the management of tension type and cervicogenic headache, but the results are still conflicting. These inconsistent results can be related to the fact that maybe not all manual therapies are appropriate for all types of headaches; or maybe not all patients with headache will benefit from manual therapies. There are preliminary data suggesting that patients with a lower degree of sensitization will benefit to a greater extent from manual therapies, although more studies are needed. In fact, there is evidence demonstrating the presence of peripheral and central sensitization in chronic headaches, particularly in tension type. Clinical management of patients with headache needs to extend beyond local tissue-based pathology, to incorporate strategies directed at normalizing central nervous system sensitivity. In such a scenario, this paper exposes some examples of manual therapies for tension type and cervicogenic headache, based on a nociceptive pain rationale, for modulating central nervous system hypersensitivity: trigger point therapy, joint mobilization, joint manipulation, exercise, and cognitive pain approaches.

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“…[7][8][9][10][11][12][13] One recent clinical trial reported that 12 weeks of chiropractic care for an older adult population positively influenced the RAND 36-Item Short Form Health Survey (SF-36) Physical Component Summary scores compared with the control group. 7 In addition, a retrospective study of 2818 chiropractic patients using Network Spinal Analysis reported improvements in QoL in 4 domains.…”

Section: Introductionmentioning

confidence: 99%

Changes in Quality of Life in 7 Older Adult Patients Receiving Activator Methods Chiropractic Technique

Russell¹,

Kimura

Cowie

et al. 2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case series is to report on symptomatic and quality of life (QoL) changes in 7 older adult chiropractic patients who were receiving care using Activator Methods Chiropractic Technique (AMCT). Clinical Features: Seven patients were selected from 2 chiropractic offices in Auckland, New Zealand. Patients were included if they were older adults receiving AMCT care and for whom at least 2 QoL assessments had been performed. The patients, aged 69-80 years, primarily received care for a variety of musculoskeletal complaints. Intervention and Outcomes: The patients reported improvements in their presenting complaints as well as a number of nonmusculoskeletal symptoms. Each patient demonstrated clinical improvements in their RAND 36-Item Short Form Health Survey (SF-36) results. The average improvement in QoL measured using a SF-36 questionnaire was 8.0 points in the physical component and 4.1 points in the mental component. Four cases had a second progress evaluation using the SF-36 and showed an overall improvement of 5.2 in the physical and 9.8 in the mental components from baseline. Conclusion: This case series describes an improvement in QoL, as measured by the SF-36 instrument, as well as subjectively reported improvements in both musculoskeletal and nonmusculoskeletal symptoms in 7 older adults receiving chiropractic care.

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Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial

Cited by 103 publications

References 41 publications

Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review

Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Changes in Quality of Life in 7 Older Adult Patients Receiving Activator Methods Chiropractic Technique

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