Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial

© 2016 Elsevier Inc. Background Context A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed wi...

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Main Authors: Sureeporn Uthaikhup, Jenjira Assapun, Kanokwan Watcharasaksilp, Gwendolen Jull
Format: Journal
Published: 2018
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84995378033&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/47328
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spelling th-cmuir.6653943832-473282018-04-25T07:32:51Z Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial Sureeporn Uthaikhup Jenjira Assapun Kanokwan Watcharasaksilp Gwendolen Jull © 2016 Elsevier Inc. Background Context A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for those with cervical musculoskeletal signs who are suspected of having transitional headaches. Purpose This study aimed to determine the effectiveness of a physiotherapy program for seniors with recurrent headaches associated with neck pain and cervical musculoskeletal dysfunction, irrespective of the headache classification. Study Design This is a prospective, stratified, randomized controlled trial with blinded outcome assessment. Patient Sample Sixty-five participants with recurrent headache, aged 50–75 years, were randomly assigned to either a physiotherapy (n=33) or a usual care group (n=32). Outcome Measures The primary outcome was headache frequency. Secondary outcomes were headache intensity and duration, neck pain and disability, cervical range of motion, quality of life, participant satisfaction, and medication intake. Methods Participants in the physiotherapy group received 14 treatment sessions. Participants in the usual care group continued with their usual care. Outcome measures were recorded at baseline, 11 weeks, 6 months, and 9 months. This study was funded by a government research fund of $6,850. No conflict of interest is declared. Results There was no loss to follow-up for the primary outcome measure. Compared with usual care, participants receiving physiotherapy reported significant reductions in headache frequency immediately after treatment (mean difference −1.6 days, 95% confidence interval [CI] −2.5 to −0.6), at 6-month follow-up (−1.7 days, 95% CI −2.6 to −0.8), and at 9-month follow-up (−2.4 days, 95% CI −3.2 to −1.5), and significant improvements in all secondary outcomes immediately posttreatment and at 6- and 9-month follow-ups, (p < .05 for all). No adverse events were reported. Conclusions Physiotherapy treatment provided benefits over usual care for seniors with recurrent headache associated with neck pain and dysfunction. 2018-04-25T07:32:51Z 2018-04-25T07:32:51Z 2017-01-01 Journal 18781632 15299430 2-s2.0-84995378033 10.1016/j.spinee.2016.08.008 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84995378033&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/47328
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2016 Elsevier Inc. Background Context A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for those with cervical musculoskeletal signs who are suspected of having transitional headaches. Purpose This study aimed to determine the effectiveness of a physiotherapy program for seniors with recurrent headaches associated with neck pain and cervical musculoskeletal dysfunction, irrespective of the headache classification. Study Design This is a prospective, stratified, randomized controlled trial with blinded outcome assessment. Patient Sample Sixty-five participants with recurrent headache, aged 50–75 years, were randomly assigned to either a physiotherapy (n=33) or a usual care group (n=32). Outcome Measures The primary outcome was headache frequency. Secondary outcomes were headache intensity and duration, neck pain and disability, cervical range of motion, quality of life, participant satisfaction, and medication intake. Methods Participants in the physiotherapy group received 14 treatment sessions. Participants in the usual care group continued with their usual care. Outcome measures were recorded at baseline, 11 weeks, 6 months, and 9 months. This study was funded by a government research fund of $6,850. No conflict of interest is declared. Results There was no loss to follow-up for the primary outcome measure. Compared with usual care, participants receiving physiotherapy reported significant reductions in headache frequency immediately after treatment (mean difference −1.6 days, 95% confidence interval [CI] −2.5 to −0.6), at 6-month follow-up (−1.7 days, 95% CI −2.6 to −0.8), and at 9-month follow-up (−2.4 days, 95% CI −3.2 to −1.5), and significant improvements in all secondary outcomes immediately posttreatment and at 6- and 9-month follow-ups, (p < .05 for all). No adverse events were reported. Conclusions Physiotherapy treatment provided benefits over usual care for seniors with recurrent headache associated with neck pain and dysfunction.
format Journal
author Sureeporn Uthaikhup
Jenjira Assapun
Kanokwan Watcharasaksilp
Gwendolen Jull
spellingShingle Sureeporn Uthaikhup
Jenjira Assapun
Kanokwan Watcharasaksilp
Gwendolen Jull
Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
author_facet Sureeporn Uthaikhup
Jenjira Assapun
Kanokwan Watcharasaksilp
Gwendolen Jull
author_sort Sureeporn Uthaikhup
title Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
title_short Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
title_full Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
title_fullStr Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
title_full_unstemmed Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
title_sort effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84995378033&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/47328
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