Dose-response of Spinal Manipulation for Cervicogenic Headache
Written by Editor   
Monday, February 06, 2017 12:06 AM

News Bite:  Cervicogenic headache is a prevalent and costly pain condition commonly treated by chiropractors. There is evidence to support the effectiveness for spinal manipulation. The purpose of this paper is to describe the methodology for a randomized controlled trial evaluating the dose-response of spinal manipulation for chronic cervicogenic headache in an adult population.


Headaches are a common, disabling condition with a substantial public health and financial impact on society. Approximately half to three quarters of the global population experiences a headache during their life, and the financial costs on society are huge. It is estimated that 157 million days of work are lost each year due to headaches, costing approximately $50 billion in work absenteeism and medical benefits.

Cervicogenic headache is a prevalent and costly pain condition commonly treated by chiropractors. There is evidence to support the effectiveness for spinal manipulation. The purpose of this paper is to describe the methodology for a randomized controlled trial evaluating the dose-response of spinal manipulation for chronic cervicogenic headache in an adult population.

With growing concerns regarding the costs and side effects of commonly used conventional treatments, greater numbers of headache sufferers are seeking other approaches to care. This is the first full-scale randomized controlled trial assessing the dose-response of spinal manipulation therapy on outcomes for cervicogenic headache. The results of this study will provide important evidence for the management of cervicogenic headache in adults.

Preliminary studies suggest a dose–response relationship for SMT in the management of cervicogenic headache examined differences between three doses: 3, 9, or 12 SMT visits and found preliminary benefits with larger doses. A second compared 8 and 16 SMT visits and found clinically important differences between SMT and the control and small differences between the two doses for a number of headache outcomes. This is the first full-scale randomized controlled trial to investigate this relationship.


Source: http://chiro.org/wordpress/2017/01/dose-response-of-spinal-manipulation-for-cervicogenic-headache-study-protocol-for-a-randomized-controlled-trial/