Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effectiveness of Physiotherapy Management in Cervicogenic Headache: A Systematic Review


Affiliations
1 Sheffield Hallam University, UK, United Kingdom
     

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

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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