Spinal manipulations for the treatment of migraine: A systematic review of randomized clinical trials

@article{Posadzki2011SpinalMF,
  title={Spinal manipulations for the treatment of migraine: A systematic review of randomized clinical trials},
  author={Paul Posadzki and Edzard Ernst},
  journal={Cephalalgia},
  year={2011},
  volume={31},
  pages={964 - 970}
}
Aims: The objective of this systematic review was to assess the effectiveness of spinal manipulations as a treatment for migraine headaches. Method: Seven databases were searched from inception to November 2010. All randomized clinical trials (RCTs) investigating spinal manipulations performed by any type of healthcare professional for treating migraine headaches in human subjects were considered. The selection of studies, data extraction and validation were performed independently by two… 

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References

SHOWING 1-10 OF 37 REFERENCES
Spinal manipulation in the treatment of episodic tension-type headache: a randomized controlled trial.
TLDR
As an isolated intervention, spinal manipulation does not seem to have a positive effect on episodic tension-type headache.
The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache.
TLDR
Clinically important improvement was observed in both primary and secondary outcomes in all three study groups over time and spinal manipulation seemed to be as effective as a well-established and efficacious treatment (amitriptyline), and on the basis of a benign side effects profile it should be considered a treatment option for patients with frequent migraine headaches.
Methodological quality of randomized controlled trials of spinal manipulation and mobilization in tension-type headache, migraine, and cervicogenic headache.
TLDR
There is a need for high-quality randomized controlled trials assessing the effectiveness of spinal manipulation and/or mobilization for TTH, CeH, and M in the last decade, and the methodological quality of these papers is typically low.
A randomized controlled trial of chiropractic spinal manipulative therapy for migraine.
A controlled trial of cervical manipulation of migraine.
TLDR
Chiropractic treatment was no more effective than the other two treatments in reducing frequency, duration or induced disability of migraine attacks, but chiropractic patients did report a greater reduction in pain associated with their attacks.
A Randomized Controlled Trial of Exercise and Manipulative Therapy for Cervicogenic Headache
TLDR
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 manipulation vs. amitriptyline for the treatment of chronic tension-type headaches: a randomized clinical trial.
TLDR
The results of this study show that spinal manipulative therapy is an effective treatment for tension headaches and that Amitriptyline therapy was slightly more effective in reducing pain at the end of the treatment period but was associated with more side effects.
A randomized controlled trial of the effect of spinal manipulation in the treatment of cervicogenic headache.
  • N. Nilsson
  • Medicine, Psychology
    Journal of manipulative and physiological therapeutics
  • 1995
TLDR
The results suggest a possible effect of manipulation on cervicogenic headache, but because of methodological problems, such an effect could not be unequivocally demonstrated.
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