Chiropractic Spinal Manipulation for Headache
Cervicogenic Headache, Tension-Type Headache
About this trial
This is an interventional treatment trial for Cervicogenic Headache
Eligibility Criteria
Inclusion Criteria:
- At least 2 episodes per month of cervicogenic or tension-type headache for at least 3 months. Diagnoses will be determined by case history and physical examination according to the International Headache Society criteria (3rd Edition)
Exclusion Criteria:
- Not fulfilling the inclusion criteria
- Having received chiropractic treatment in the previous 12 months
- Diagnosis or frequent symptoms of migraine headaches (symptoms present at least once a month) without an overlapping presentation of cervicogenic or tension-type headache.
- Patients with pathologies affecting the nervous system (MS, tumors, past history of stroke...)
- Contraindications to manual therapy, particularly spinal manipulative therapy (cancer, uncontrolled high blood-pressure, severe cardiovascular conditions)
- Past history of cervical spine surgery
- Pregnancy
- Having being diagnosed with a psychiatric conditions, with the exception of depression and anxiety
Sites / Locations
- Real Centro Universitario María CristinaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Spinal manipulation
Placebo
Spinal manipulative therapy will be delivered to the cervical spine (segments including occiput-atlas to C7-D1) according to the chiropractors' evaluation during each visit. During each session, one or two segments will be manipulated using a high-velocity low-amplitude thrust manipulation (a joint cavitation will be expected, if not, the thrust can repeated once) applied to the segments with the highest motion restriction, as determined by the chiropractor by static and motion palpation of the cervical spine.
Sham manipulation will be delivered to the cervical spine (segments including occiput-atlas to C7-D1) according to the chiropractors' evaluation during each visit. During each session, one or two segments will receive a sham manipulation applied to the segments with the highest motion restriction, as determined by the chiropractor by static and motion palpation of the cervical spine. The sham manipulation will consist in a identical contact to the real manipulation, except the thrust will be delivered towards the table, away from the target segment and with the intention to lower the cervical drop piece of the table, which will substitute the joint cavitation noise.