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Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain: a randomized pilot study

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Clinical trial

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Structural and chiropractic

J Manipulative Physiol Ther.2004 Nov-Dec;27(9):547-53.

Authors:

M Haas, E Groupp, M Aickin, A Fairweather, B Ganger, M Attwood, C Cummins, L Baffes

Abstract.

Objective: To acquire information for designing a large clinical trial and determining its feasibility and to make preliminary estimates of the relationship between headache outcomes and the number of visits to a chiropractor. Design: Randomized, controlled trial. Setting: Private practice in a college outpatient clinic and in the community. Subjects: Twenty-four adults with chronic cervicogenic headache. Methods: Patients were randomly allocated to 1, 3, or 4 visits per week for 3 weeks. All patients received high-velocity low-amplitude spinal manipulation. Doctor of Chiropractics could apply up to 2 physical modalities at each visit from among heat and soft tissue therapy. They could also recommend modification of daily activities and rehabilitative exercises. Outcomes included 100-point Modified Von Korff pain and disability scales, and headaches in last 4 weeks. Results: Only 1 participant was insufficiently compliant with treatment (3 of 12 visits), and 1 patient was lost to follow-up. There was substantial benefit in pain relief for 9 and 12 treatments compared with 3 visits. At 4 weeks, the advantage was 13.8 ( P = .135) for 3 visits per week and 18.7 (P = .041) for 4 visits per week. At the 12-week follow-up, the advantage was 19.4 (P = .035) for 3 visits per week and 18.1 (P = .048) for 4 visits per week. Conclusion: A large clinical trial on the relationship between pain relief and the number of chiropractic treatments is feasible. Findings give preliminary support for the benefit of larger doses, 9 to 12 treatments, of chiropractic care for the treatment of cervicogenic headache.

Publication Date: 

2004 Nov-Dec

OEID: 

4764

Haas, M., Groupp, E., Aickin, M., Fairweather, A., Ganger, B., Attwood, M., Cummins, C., Baffes, L. (2004) 'Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain: a randomized pilot study', J Manipulative Physiol Ther.2004 Nov-Dec;27(9):547-53.

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