Abstract:
:Patients suffering from cervicogenic headache (CeH) are commonly treated with spinal manipulative therapy. We have analyzed the quality and the outcomes of published, randomized, controlled trials assessing the effectiveness of spinal manipulation in CeH. Among 121 relevant articles, only two met all the inclusion criteria. Methodological quality scores were 8/10 and 7/10 points. Only one of the trials made use of a headache diary. Both the trials reported positive (+) results on headache intensity, headache duration, and medication intake, so that spinal manipulative therapy obtained strong evidence of effectiveness (level 1) with regard to these outcomes. Conversely, spinal manipulation obtained no more than limited evidence (level 3) in reducing headache frequency, as it was analyzed only in one study with positive (+) results. A greater number of well-designed, randomized, controlled trials are required to confirm or refute the effectiveness of spinal manipulation in the management of CeH.
journal_name
Headachejournal_title
Headacheauthors
Fernández-de-Las-Peñas C,Alonso-Blanco C,Cuadrado ML,Pareja JAdoi
10.1111/j.1526-4610.2005.00253_1.xkeywords:
subject
Has Abstractpub_date
2005-10-01 00:00:00pages
1260-3issue
9eissn
0017-8748issn
1526-4610pii
HED253_1journal_volume
45pub_type
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