Are non-invasive interventions effective for the management of headaches associated with neck pain? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

  title={Are non-invasive interventions effective for the management of headaches associated with neck pain? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration},
  author={Sharanya Varatharajan and Brad Ferguson and Karen Chrobak and Yaadwinder Shergill and Pierre C{\^o}t{\'e} and Jessica J. Wong and Hainan Yu and Heather M Shearer and Danielle Southerst and Deborah Sutton and Kristi Randhawa and Craig L Jacobs and Sean Abdulla and Erin Woitzik and Andr{\'e}e-Anne Marchand and Gabrielle van der Velde and Linda Carroll and Margareta C Nordin and Carlo Ammendolia and Silvano Mior and Arthur Ameis and Maja Stupar and Anne L Taylor-Vaisey},
  journal={European Spine Journal},
PurposeTo update findings of the 2000–2010 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders and evaluate the effectiveness of non-invasive and non-pharmacological interventions for the management of patients with headaches associated with neck pain (i.e., tension-type, cervicogenic, or whiplash-related headaches).MethodsWe searched five databases from 1990 to 2015 for randomized controlled trials (RCTs), cohort studies, and case–control studies comparing non-invasive… 

Dose–response of spinal manipulation for cervicogenic headache: study protocol for a randomized controlled trial

This is the first full-scale randomized controlled trial assessing the dose–response of spinal manipulation therapy on outcomes for cervicogenic headache and the results will provide important evidence for the management of cervicalogenic headache in adults.

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The results indicate that the trial methodology and intervention are feasible for implementing a full-powered randomized controlled trial to determine the effectiveness of physiotherapy intervention in the management of cervicogenic headache.

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Both manual and electromechanical manipulations are well tolerated, and show that they can be both successful treatments for neck pain in combination with exercises.

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Since the treatment is easily applicable, of low cost and minor side effects, chiropractic spinal manipulation might be considered as a valuable treatment option for children with recurrent headaches.



Treatment of Neck Pain: Noninvasive Interventions: Results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders

The best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with neck pain; this was also true of therapies which include educational interventions addressing self-efficacy.

Methods for the Best Evidence Synthesis on Neck Pain and Its Associated Disorders: The Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders

A systematic search and critical review of the literature published between 1980 and 2006 found that 46% of the research literature was of acceptable scientific quality to inform clinical practice, policy-making, and future research.

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Low quality evidence was found that neither supported nor refuted the benefits of any specific WI for pain relief and moderate quality evidence that a multiple-component intervention reduced sickness absence in the intermediate-term, which was not sustained over time.

A Randomized Controlled Trial of Exercise and Manipulative Therapy for Cervicogenic Headache

The combined therapies was not significantly superior to either therapy alone, but 10% more patients gained relief with the combination, and the neck pain and effects were maintained.

Spinal manipulations for tension-type headaches: a systematic review of randomized controlled trials.

Mechanical traction for mechanical neck disorders: a systematic review.

The authors' review revealed low-quality trials for mechanical neck disorders, showing evidence of benefit favouring intermittent traction for pain reduction and of benefit not supporting the use of continuous traction.

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

Research priorities and methodological implications: the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.

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There was varying quality of evidence suggesting no difference in effect for SMT when compared with other interventions, with the exception of low quality evidence from one trial demonstrating a significant and moderately clinically relevant short-term effect of SMT on pain relief when compared to inert interventions.

Spinal manipulation in the treatment of episodic tension-type headache: a randomized controlled trial.

As an isolated intervention, spinal manipulation does not seem to have a positive effect on episodic tension-type headache.