Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache

Bryans, Roland; Decina, Philip; Descarreaux, Martin; Duranleau, Mireille; Marcoux, Henri; Potter, Brock; Rüegg, R. P.; Shaw, Lynn; Watkin, Robert; White, Eleanor

doi:10.1016/j.jmpt.2011.04.008

Cited by 132 publications

(85 citation statements)

References 48 publications

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“…In a review conducted in 2011 by Bryans et al 24 on the effectiveness of manipulative treatment, cranialcervical manipulation was shown to be effective in the long term. Other authors 25 observed that the treatment with spinal manipulation at other levels (cervical or thoracic, depending on the dysfunction) was effective in pain perception.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Manual and Manipulative Therapy in the Perception of Pain and Cervical Motion in Patients With Tension-Type Headache: A Randomized, Controlled Clinical Trial

Espí-López

Gómez–Conesa

2014

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to evaluate the efficacy of manipulative and manual therapy treatments with regard to pain perception and neck mobility in patients with tensiontype headache. Methods: A randomized clinical trial was conducted on 84 adults diagnosed with tension-type headache. Eighty-four subjects were enrolled in this study: 68 women and 16 men. Mean age was 39.76 years, ranging from 18 to 65 years. A total of 57.1% were diagnosed with chronic tension-type headache and 42.9% with tension-type headache. Participants were divided into 3 treatment groups (manual therapy, manipulative therapy, a combination of manual and manipulative therapy) and a control group. Four treatment sessions were administered during 4 weeks, with posttreatment assessment and follow-up at 1 month. Cervical ranges of motion pain perception, and frequency and intensity of headaches were assessed. Results: All 3 treatment groups showed significant improvements in the different dimensions of pain perception. Manual therapy and manipulative treatment improved some cervical ranges of motion. Headache frequency was reduced with manipulative treatment (P b .008). Combined treatment reported improvement after the treatment (P b .000) and at follow-up (P b .002). Pain intensity improved after the treatment and at follow-up with manipulative therapy (P b .01) and combined treatment (P b .01). Conclusions: Both treatments, administered both separately and combined together, showed efficacy for patients with tension-type headache with regard to pain perception. As for cervical ranges of motion, treatments produced greater effect when separately administered.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Manual and Manipulative Therapy in the Perception of Pain and Cervical Motion in Patients With Tension-Type Headache: A Randomized, Controlled Clinical Trial

Espí-López

Gómez–Conesa

2014

Journal of Chiropractic Medicine

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“…13 Nevertheless, evidence-based guidelines recommend the application of spinal manipulations for migraine and cervicogenic headache, but not for tension type headache. 14 The use of spinal manipulations, particularly of the neck, remains controversial because of the reported adverse reactions and subsequent concerns about safety. These reported adverse reactions range from minor conditions, e.g.…”

Section: Scientific Evidence For Manual Therapy In Tension Type and Cmentioning

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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“…9 Spinal manipulative therapy has been reported to be an effective prophylactic therapy for migraines 14 and treatment of CTTHs. 10,15 Observational and population-based studies describe progressive migraine headaches that become CDHs, a condition that affects 3% to 5% of the population with episodic headaches. [16][17][18][19][20][21] Chronic daily headaches are defined as primary headaches that occur at least 15 days per month, 22-26 although they are not described in the International Classification of Headache Disorders (ICHD)-2 criteria.…”

Section: Discussionmentioning

confidence: 99%

“…9 Chiropractic care has also demonstrated evidence to manage adults with headaches. 10 However, at present, there have been no reported cases of management of migraine headaches with a combination of these 2 management strategies. The purpose of this case report is to describe treatment of chronic TTHs (CTTHs) with superimposed migraine using acupuncture and chiropractic spinal manipulative therapy.…”

Section: Introductionmentioning

confidence: 99%

Combination of acupuncture and spinal manipulative therapy: management of a 32-year-old patient with chronic tension-type headache and migraine

Ohlsen

2012

Journal of Chiropractic Medicine

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Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache

Cited by 132 publications

References 48 publications

Efficacy of Manual and Manipulative Therapy in the Perception of Pain and Cervical Motion in Patients With Tension-Type Headache: A Randomized, Controlled Clinical Trial

Efficacy of Manual and Manipulative Therapy in the Perception of Pain and Cervical Motion in Patients With Tension-Type Headache: A Randomized, Controlled Clinical Trial

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

Combination of acupuncture and spinal manipulative therapy: management of a 32-year-old patient with chronic tension-type headache and migraine

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