Physical treatment manuel therapy for cervicogenic headache : a systematic review

(2016)

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Abstract
Background: The cervicogenic headache is a controversial problem in our society and it is caused by a disorder involving any structure in the neck, including bony, muscular and other soft tissue elements. Recent systematic reviews have already been done and they raise the lack of methodological quality of the RCT’s studied and also a lack of assessment of the available treatments out mobilizations and manipulations. Objectives: The purpose of this systematic review is to provide an update of evidence concerning manual therapy based on the most recent articles. Methods: Two reviewers look for articles on electronic databases including: Embase, PubMed, PEDro, Cochrane, Scopus and Cinahl. Inclusion criteria were: positive diagnosis of cervicogenic headache, be aged between 18 and 70 and must be a representative sample of the society. Only approaching technical manual therapy will be studied. All articles were evaluated according to the PEDro Rating Scale to provide an estimate of the quality of articles. Results: It seems that the evaluated treatments improve the cervicogenic headache about the intensity, duration, frequency of symptoms, cervical mobility and patient disability. Conclusion: In this systematic review, we are able to state that the manual therapy techniques have a beneficial effect to decrease the intensity, frequency and duration of cervicogenic headache at short term. However further studies are needed. Key words: Cervicogenic headache, manual therapy, systematic review.