Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effectiveness of Physiotherapy Management in Cervicogenic Headache: A Systematic Review


Affiliations
1 Sheffield Hallam University, UK, United Kingdom
     

   Subscribe/Renew Journal


Objectives

To review the recent research on effectiveness of Physiotherapy Management for Cervicogenic headache patients.

Design

The computerised search of CINAHL (1982 to may 2006), EMBASE (1988 to may 2006), MEDLINE (1988 to may 2006), Cochrane Central Register of Controlled Trails (issue 3, 2006), AMED (1988 to may 2006) and Physiotherapy Evidence Database (1980 to may 2006) was conducted.

Participants

Studies which include patients with Cervicogenic Headache of all age group, both gender, of all duration are considered.

Interventions

Any one of intervention or combinations of Physiotherapy was included. These are manipulation, exercise, manual therapy, posture modifications, soft tissue techniques etc.

Main outcome measures

Atleast one or more of the following outcome measures had to be considered for inclusion in this review i.e., Headache frequency, Intensity and Duration, Northwick Park Neck Pain Questionnaire, Medication usage, Neck Pain Disability Index, Visual Analogue Scale.

Results

Quality scores of 11 studies which met inclusion are 5 RCT's and 6 case studies (qualitative studies) which ranged from 2 to 9 with average of 6.6 and 5 to 9 with average of 5.6 respectively.

Conclusions

The review and best evidence synthesis of all the 11 studies from 1990 to 2005 revealed that physiotherapy which includes manipulation and exercise as combination for treatment of cervicogenic headache might be effective. However, further large, well-controlled, randomised trials are required in order attain definitive results.


Keywords

Physiotherapy, Cervicogenic Headache, Manipulation, Exercise
Subscription Login to verify subscription
User
Notifications
Font Size


  • Jull G.Characterization of cervicogenic headache. Phys. Ther.Rev 1998; 3:95-105.

  • Sjaasted O, Saunte C, Hovdahl et al. Cervicogenic headache. A hypothesis. Cephalalgia 1983; 3:249-56.

  • World Cervicogenic Headache Society. Cervicogenic headache definition. Available at: http:// www.cervicogenic.com/ definit2.html. 1998.

  • International Headache Society. International classification of headache disorder 2nd edition. Cephalalgia 2004; 24:115-116.

  • Silverman B Steven. Cervicogenic Headache: Interventional, Anesthetic, and Ablative treatment. Current Pain and Headache Reports 2002; 6:308-314.

  • Sjaasted O, Fredriksen TA.Cervicogenic Headache: Criteria, Classification and Epidemiology. Clinical Exp Rheumatology 2000; 18(19):S3-6.

  • Pollman W, Keidel M, Pfaffenrath V.Headache and Cervical Spine: a critical review.Cephalalgia 1997; 17:501-516.

  • Bronfort G, Assendelft WJ, Evans R, Haas M, Bouter LM. Efficacy of spinal manipulation for chronic headache: a systematic review. Journal of Manipulative & Physiological Therapeutics 2001; 24(7):457-66.

  • Melchart D, Linde K, Fischer P, Berman B, White A, Vickers A, et al. Acupuncture for idiopathic headache (Cochrane Review). In: The Cochrane Library, 2, 2004. Chichester, UK: John Wiley &Sons, Ltd.

  • Bronfort G, Nilsson N, Haas M, Evans R, Goldsmith CH, Assendelft WJJ, Bouter LM. Non-invasive physical treatments for chronic/recurrent headache. Cochrane Database of Systematic Reviews 2004; 3: CD001878.

  • Ammer K, Rathkolb O. Physical therapy in occipital headaches. [Physikalische Therapie bei Hinterhauptkopfschmerzen]. Manuelle Medizin 1990; 28:65-68.

  • Nilsson N, Christensen HW, Hartvigsen J.The Effect of Spinal Manipulation in Treatment of Cervicogenic Headache. Jour Manipulative Physiol Ther 1997; 20:326-330.

  • Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-43.

  • Whittingham W. The efficacy of cervical adjustments (toggle recoil) for chronic cervicogenic headaches [PhD dissertation]. Melbourne (Australia): Royal Melbourne Institute of Technology, 1997.

  • Schoensee SK, Jensen G, Nicholson G, Gossman M, Katholi C. The effect of mobilization on cervical headaches. J Orthop Sports Phys Ther. 1995; 21(4):184–196

  • McDonnell K Mary, Sahrmann A Shirley, Dillen V Linda. A Specific Exercise program and Modification of Postural Alignment for Treatment of Cervicogenic Headache: A Case Report. J Orthop Sports Phys Ther 2005; 35:3-15.

  • Eldridge Luke and Russell Jarrod. Effectiveness of cervical spine manipulation and prescribed exercise in reduction of cervicogenic headache pain and frequency: A single case study experimental design. International Journal of Osteopathic Medicine 2005; 8:106-113.

  • Hanten P William, Olson L Sharon, Lindsa A Weston, Lounsberry A Kristina, Stetuart K Jeanine. The Effect of Manual Therapy and a Home Exercise Program on Cervicogenic Headaches: A Case Report. The Journal of Manual & Manipulative Therapy 2005; 13(1):35-43.

  • Petersen SM. Articular and muscular impairments in cervicogenic headache: A case report. J Orthop Sports Phys Ther 2003; 33:21-30.

  • Whorton R, Kegerreis S. The use of manual therapy and exercise in the treatment of chronic cervicogenic headaches: a series of case studies. J Man Manipulative Ther 2000; 8:193–203.

  • Sizer S Philip, Phelps Valerie, Brisme Michael Jean. Diagnosis and Management of Cervicogenic headache and Local cervical syndrome with Multiple Pain generators. The Journal of Man and Manipulative ther 2002; 10(3):136-152.

  • Cleland J and Durall J C. Physical Therapy for Adhesive Capsulitis: A Systematic Review, Physio-therapy 2002; 88(8):450-457.

  • CBO (2005). Evidence-based guideline development: Manual for guideline development groups (Evidencebased richtlijnontwikkeling: handleiding voor werkgroepleden). Dutch Institute for Health Care Improvement CBO, Utrecht.

  • Physiotherapy Evidence Database. The PEDro Rating scale. [Online] Available at: http://www.pedro.fhs.usyd. edu.au. Last updated at 4 September 2006.

  • Critical appraisal tools. Learning and Development National Health Service. [Online] Available at: http:// www.phru.nhs.uk/casp/critical_appraisal_tools.htm. Last updated at 22 April 2006.

  • Colville-Stewart S. How to do a literature search. In: Tarling M, Croft L, editors. The essential researcher’s handbook. For nurses and healthcare professionals. 2nd ed. London: Bailliere Tindall 2002:35–53.


Abstract Views: 764

PDF Views: 0




  • Effectiveness of Physiotherapy Management in Cervicogenic Headache: A Systematic Review

Abstract Views: 764  |  PDF Views: 0

Authors

Wincent Anthony
Sheffield Hallam University, UK, United Kingdom
Kate Grafton
Sheffield Hallam University, UK, United Kingdom
Chandrasekhar Dekka
Sheffield Hallam University, UK, United Kingdom

Abstract


Objectives

To review the recent research on effectiveness of Physiotherapy Management for Cervicogenic headache patients.

Design

The computerised search of CINAHL (1982 to may 2006), EMBASE (1988 to may 2006), MEDLINE (1988 to may 2006), Cochrane Central Register of Controlled Trails (issue 3, 2006), AMED (1988 to may 2006) and Physiotherapy Evidence Database (1980 to may 2006) was conducted.

Participants

Studies which include patients with Cervicogenic Headache of all age group, both gender, of all duration are considered.

Interventions

Any one of intervention or combinations of Physiotherapy was included. These are manipulation, exercise, manual therapy, posture modifications, soft tissue techniques etc.

Main outcome measures

Atleast one or more of the following outcome measures had to be considered for inclusion in this review i.e., Headache frequency, Intensity and Duration, Northwick Park Neck Pain Questionnaire, Medication usage, Neck Pain Disability Index, Visual Analogue Scale.

Results

Quality scores of 11 studies which met inclusion are 5 RCT's and 6 case studies (qualitative studies) which ranged from 2 to 9 with average of 6.6 and 5 to 9 with average of 5.6 respectively.

Conclusions

The review and best evidence synthesis of all the 11 studies from 1990 to 2005 revealed that physiotherapy which includes manipulation and exercise as combination for treatment of cervicogenic headache might be effective. However, further large, well-controlled, randomised trials are required in order attain definitive results.


Keywords


Physiotherapy, Cervicogenic Headache, Manipulation, Exercise

References