Effects of joint manipulation in the upper cervical spine on the signs and symptoms of subjects with headache: a blind, clinical trial.

Background: There is a relationship between headaches and dysfunctions in the upper cervical spine and joint manipulation in this region can be a useful tool for returning tissue mobility and improving the symptoms of these individuals. Objective: to evaluate the effects of 3 sessions of manipulatio...

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Publicado en:Manual Therapy, Posturology & Rehabilitation Journal Vol. 18; pp. 1 - 9
Autores principales: Sakabe, Fabiana Forti, Sakabe, Daniel Iwai, Bortolazzo, Gustavo Luiz
Formato: clinical trial pictorial research tables/charts Journal Article
Publicado: Revista Terapia Manual 2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2020
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      pub: Revista Terapia Manual
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        10.17784/mtprehabjournal.2020.18.808
        147878897
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        atl: Effects of joint manipulation in the upper cervical spine on the signs and symptoms of subjects with headache: a blind, clinical trial.
      aug:
        au:
          Sakabe, Fabiana Forti
          Sakabe, Daniel Iwai
          Bortolazzo, Gustavo Luiz
        affil: Faculdades Integradas Einstein de Limeira (SP), Brazil
      sug:
        subj:
          Headache
          Cervical Vertebrae
          Manipulation, Orthopedic
          Signs and Symptoms
          Treatment Outcomes
          Pain
          Movement
          Clinical Assessment Tools
          Human
          Questionnaires
          Post Hoc Analysis
          Paired T-Tests
          Descriptive Statistics
          Analysis of Variance
          Male
          Female
          Adolescence
          Adult
          Clinical Trials
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: There is a relationship between headaches and dysfunctions in the upper cervical spine and joint manipulation in this region can be a useful tool for returning tissue mobility and improving the symptoms of these individuals. Objective: to evaluate the effects of 3 sessions of manipulation of the upper cervical spine on pain, cervical mobility, Neck Disability Index (NDI) and the Migraine Disability Assessment (MIDAS) questionnaire of individuals with headache. Methods: 13 volunteers (28.1 ± 6.7 years) with headache participated. Initially, they filled in a pain diary for 4 weeks. After this period, the volunteers answered the NDI questionnaire and MIDAS. Then, the movements of the cervical spine were measured with the aid of a tape measure, with the volunteer seated. Subsequently, the intervention was performed (3 sessions with an interval of 7 days between them), with the volunteer in the supine position and the global maneuver for the upper cervical spine was applied bilaterally. At the end of the intervention, they were reassessed for cervical mobility and for the NDI and MIDAS questionnaires. After that period, they answered the pain diary again for another 4 weeks (follow up). The statistical analysis consisted of the Kolmogorov-Smirnov normality test followed by ANOVA tests with post hoc and tukey or paired Student's t test with a significance level of 5%. Results: There was a significant improvement after the cervical mobility intervention, in the MIDAS and NDI questionnaires. The pain parameters, assessed by the pain diary, were significantly reduced during the intervention and remained in the follow up. Conclusion: the intervention was effective in reducing the signs and symptoms of individuals with headache.
      pubtype: Academic Journal
      doctype:
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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