IngentaConnect Predictors of responsiveness to physiotherapy management of cervi...

Authors: Jull, GA; Stanton, WR¹

Source: Cephalalgia, Volume 25, Number 2, February 2005 , pp. 101-108(8)

Abstract:

Jull GA & Stanton WR. Predictors of responsiveness to physiotherapy management of cervicogenic headache. Cephalalgia 2004. London. ISSN 0333-1024

A recent randomized controlled trial tested the effectiveness of therapeutic exercise and manipulative therapy on 200 subjects with cervicogenic headache. Although treatments were efficacious, 25% of patients did not achieve a clinically acceptable outcome – 50% reduction in headache frequency. This study aimed to identify predictors from variables in subjects’ demographics and headache history which might identify those who did or did not achieve a 50–79% or 80–100% reduction in headache immediately after the active treatments and 12 months postintervention. The results revealed no consistent pattern of predictors, although the absence of light-headedness indicated higher odds of achieving either a 50–79%[odds ratio (OR) = 5.45) or 80–100% (OR = 5.7) reduction in headache frequency in the long term. Headaches of at least moderate intensity, the patient's age and chronicity of headache did not mitigate against a successful outcome from physiotherapy intervention.

Keywords: Cervicogenic headache; exercise; manipulative therapy; outcomes; predictors

Document Type: Research article

DOI: 10.1111/j.1468-2982.2004.00811.x

Affiliations: 1: Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Australia

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