Short- and medium-term effects of manual therapy on the upper cervical spine combined with exercise vs isolated exercise in patients with cervicogenic headache: a randomized controlled trial

dc.contributor.authorRodríguez-Sanz, Jacobo
dc.contributor.authorMalo-Urriés, Miguel
dc.contributor.authorCorral-de-Toro, Jaime
dc.contributor.authorLucha López, María Osoria
dc.contributor.authorLópez-de-Celis, Carlos
dc.contributor.authorPérez-Bellmunt, Albert
dc.contributor.authorHernández-Secorún, Mar
dc.contributor.authorRuiz de Escudero Zapico, Alazne
dc.contributor.authorKrauss, John
dc.contributor.authorHidalgo-García, César
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2025-01-31T10:02:29Z
dc.date.available2025-01-31T10:02:29Z
dc.date.issued2022
dc.date.updated2025-01-31T09:56:42Z
dc.descriptionAcceso cerrado a este documento. No se encuentra disponible para la consulta pública. Depositado en Academica-e para cumplir con los requisitos de evaluación y acreditación académica del autor/a (sexenios, acreditaciones, etc.).
dc.description.abstractBackground: Cervicogenic headache is defined as a unilateral headache associated with a lack of range of motion. The effect of manual therapy applied to the upper cervical spine combined with cervical exercises in this patient population is currently unknown. Objective: To determine if adding manual therapy to an exercise and home-exercise program is more effective by reducing symptoms and improving function in the short- and mid-term than just applying exercises in patients with cervicogenic headache. Methods: Randomized controlled trial. 40 participants with cervicogenic headache were recruited (20 = Manual Therapy + Exercise and 20 = Exercise). Each group received four 20-min sessions weekly and a home exercise regime. Upper cervical flexion and flexion-rotation test, HIT-6, headache intensity, craniocervical flexion test, pain pressure thresholds, GROC-scale, and adherence to self-treatment were measured at the beginning and end of the intervention, and again at 3-(short-term) and 6-month (mid-term) follow-ups. Results: The Manual Therapy + Exercise group showed a statistically significant improvement in all short- and mid-term variables (p <.05) compared to the exercise group except for the variable pain pressure thresholds first metacarpal joint right and left short-term and adherence to self-treatment short-term. Conclusion: Four 20-min sessions of manual therapy and an exercise protocol along with a home exercise regime is more effective in the short and mid-term than an exercise protocol and a home exercise regime for patients with cervicogenic headache. © 2022 Elsevier Ltden
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRodríguez-Sanz, J., Malo-Urriés, M., Corral-de-Toro, J., Lucha-López, M. O., López-de-Celis, C., Pérez-Bellmunt, A., Hernández-Secorún, M., Ruiz-de-Escudero-Zapico, A., Krauss, J., Hidalgo-García, C. (2022). Short- and medium-term effects of manual therapy on the upper cervical spine combined with exercise vs isolated exercise in patients with cervicogenic headache. A randomized controlled trial. International Journal of Osteopathic Medicine, 43, 5-15. https://doi.org/10.1016/j.ijosm.2022.04.006.
dc.identifier.doi10.1016/j.ijosm.2022.04.006
dc.identifier.issn1746-0689
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/53228
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofInternational Journal of Osteopathic Medicine (2022), vol. 43
dc.relation.publisherversionhttps://doi.org/10.1016/j.ijosm.2022.04.006
dc.rights.accessRightsinfo:eu-repo/semantics/closedAccess
dc.subjectCervicogenic headacheen
dc.subjectExerciseen
dc.subjectManual therapyen
dc.subjectUpper cervical spineen
dc.titleShort- and medium-term effects of manual therapy on the upper cervical spine combined with exercise vs isolated exercise in patients with cervicogenic headache: a randomized controlled trialen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication8fcb0fd8-423d-401d-9b1b-1235c35c8239
relation.isAuthorOfPublication.latestForDiscovery8fcb0fd8-423d-401d-9b1b-1235c35c8239

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