Upper Cervical and Upper Thoracic Manipulation Versus Mobilization and Exercise
Written by Editor   
Wednesday, March 30, 2016 12:00 AM

Although commonly utilized interventions, no studies have directly compared the effectiveness of cervical and thoracic manipulation to mobilization and exercise in individuals with cervicogenic headache (CH). The purpose of this study was to compare the effects of manipulation to mobilization and exercise in individuals with CH.  The study concluded that six to eight sessions of upper cervical and upper thoracic manipulation were shown to be more effective than mobilization and exercise in patients with CH, and the effects were maintained at 3 months.

In this study one hundred and ten participants with CH were randomized to receive both cervical and thoracic manipulation or mobilization and exercise. The primary outcome was headache intensity as measured by the Numeric Pain Rating Scale (NPRS). Secondary outcomes included headache frequency, headache duration, disability as measured by the Neck Disability Index (NDI), medication intake, and the Global Rating of Change (GRC). The treatment period was 4 weeks with follow-up assessment at 1 week, 4 weeks, and 3 months after initial treatment session.

Individuals with cervicogenic headache (CH) who received both cervical and thoracic manipulation experienced significantly greater reductions in headache intensity and disability than those who received mobilization and exercise at a 3-month follow-up. Individuals in the upper cervical and upper thoracic manipulation group also experienced less frequent headaches and shorter duration of headaches at each follow-up period. Additionally, patient perceived improvement was significantly greater at 1 and 4-week follow-up periods in favor of the manipulation group.


Source:  http://chiro.org/wordpress/2016/02/upper-cervical-and-upper-thoracic-manipulation-versus-mobilization-and-exercise-in-patients-with-cervicogenic-headache/