Comparative effectiveness of cervical vs thoracic spinal-thrust manipulation for care of cervicogenic headache: A randomized controlled trial

by Gopal Nambi, Mshari Alghadier, Mudathir Mohamedahmed Eltayeb, Osama R. Aldhafian, Ayman K. Saleh, Nesreen Alsanousi, Alaa Jameel A. Albarakati, Mohamed A. Omar, Mohamed Nagah Ahmed Ibrahim, Abdehamid A. Attallah, Mohammed Abdelgwad Ismail, Mohamed Elfeshawy BackgroundThere is ample evidence supporting the use of different manipulative therapy techniques for Cervicogenic Headache (CgH). However, no technique can be singled as the best available treatment for patients with CgH. Therefore, the objective of the study is to find and compare the clinical effects of cervical spine over thoracic spine manipulation and conventional physiotherapy in patients with CgH. Design, setting, and participantsIt is a prospective, randomized controlled study conducted between July 2020 and January 2023 at the University hospital. N = 96 eligible patients with CgH were selected based on selection criteria and they were divided into cervical spine manipulation (CSM; n = 32), thoracic spine manipulation (TSM; n = 32) and conventional physiotherapy (CPT; n = 32) groups, and received the respective treatment for four weeks. Primary (CgH frequency) and secondary CgH pain intensity, CgH disability, neck pain frequency, neck pain intensity, neck pain threshold, cervical flexion rotation test (CFRT), neck disability index (NDI) and quality of life (QoL) scores were measured. The effects of treatment at various intervals were analyzed using a 3 × 4 linear mixed model analysis (LMM), with treatment gro...
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research