The effectiveness of chiropractic manipulation in the treatment of headache: an exploration in the literature.
@article{Vernon1995TheEO, title={The effectiveness of chiropractic manipulation in the treatment of headache: an exploration in the literature.}, author={Howard T Vernon}, journal={Journal of manipulative and physiological therapeutics}, year={1995}, volume={18 9}, pages={ 611-17 } }
OBJECTIVE
To review the literature on outcome studies of chiropractic/manipulation for tension-type and migraine headaches.
DESIGN
Qualitative literature review.
RESULTS
Of nine studies of manipulation for tension-type headaches that reported quantitative outcomes, four were randomized clinical trials and five were case series designs. These studies reported on 729 subjects, 613 of whom received manipulation. Outcomes ranged from good to excellent. Manipulation seems to be better than no…
41 Citations
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Despite claims that spinal manipulation is an effective treatment for headache, the data available to date do not support such definitive conclusions and it is unclear to what extent the observed treatment effects can be explained by manipulation or by nonspecific factors.
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It now appears clear that chiropractic care may be used to assist patients with migraine, following a study of the response of a patient with chronic migraines to a short program of chiropractor care.
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The efficacy of chiropractic spinal manipulative therapy (CSMT) for migraineurs in a single-blinded placebo-controlled randomised clinical trial (RCT) is assessed.
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It is shown that cervical spine manipulation is more effective than Ibuprofen® for the treatment of ETTH in terms of several subjective outcomes namely: pain intensity (NRS-101), and the frequency and the duration of headache per day.
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Physical therapy is more effective than massage therapy or acupuncture for the treatment of tension-type headache and appears to be most beneficial for patients with a high frequency of headache attacks, and Chiropractic manipulation demonstrated a trend towards benefit in the treatment, but evidence is weak.
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It is recommended that RTB remain the nonmedical treatment of choice for migraine, and that PT may be a useful adjunct for patients who fail to improve with relaxation training/thermal biofeedback after such treatment.
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There was a notable difference in average analgesic pill consumption between the two treatment groups throughout the study, and it was hypothesised that a combination of upper cervical and upper thoracic chiropractic manipulative therapy would be more effective than upper cervical chiropractor manipulative therapy alone.