Comparative analysis and diagnostic accuracy of the cervical flexion–rotation test
The aim of this study was to compare the findings of the cervical flexion–rotation test (FRT) between subjects with probable cervicogenic headache (CGH), migraine without aura (Migraine), and multiple headache forms (MHF). An additional aim was to identify the diagnostic accuracy of the FRT in CGH evaluation. Sixty subjects were evaluated: 20 with CGH, 20 [...]
Further evidence of the positive effects of an educational and physical program on headache, neck and shoulder pain in a working community.
In a controlled trial to evaluate the effectiveness of a simple educational and physical program administered to a large cohort of public servants, we previously found that 6 months following treatment the monthly frequency of headache and neck and shoulder pain and drug intake was reduced by 40% in the experimental compared with controls. These [...]
New therapeutic developments in chronic migraine.
Chronic migraine is a common cause of chronic daily headache, which is often refractory to standard treatment. New research has increased our understanding of this disorder and its treatment. This review focuses on recent clinical trials and advances in our understanding of migraine pathophysiology. Migraine research has traditionally focused on the more common episodic form [...]
Botox approved for the prevention of chronic migraine
Botox has been approved as a preventive treatment for chronic migraine by UK drug regulators. It comes after a trial of more than 1,300 patients showed success in reducing the frequency of headaches. But only patients who suffer headaches for at least 15 days a month, half of which come with migraine symptoms, are eligible, [...]
Comparative analysis and diagnostic accuracy of the cervical flexion-rotation test.
The aim of this study was to compare the findings of the cervical flexion-rotation test (FRT) between subjects with probable cervicogenic headache (CGH), migraine without aura (Migraine), and multiple headache forms (MHF). An additional aim was to identify the diagnostic accuracy of the FRT in CGH evaluation. Sixty subjects were evaluated: 20 with CGH, 20 [...]
Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial.
The purpose of this study was to compare the efficacy of two doses of SMT and two doses of light massage (LM) for CGH. Eighty patients with chronic CGH were randomized to either 8 or 16 treatment sessions with either SMT or a minimal LM control. Patients were treated once or twice per week for [...]
Myofascial Examination Leads to Diagnosis and Successful Treatment of Migraine Headache.
The objective of this report is to evaluate the likelihood of reproducing a migraine patient’s typical head pain with pressure on muscles and ligaments [the myofascial examination] and to evaluate the success of a home program of physical therapist supervised stretching of involved muscles along their lengths [PTS] in reducing the headache of migraine. A [...]
Link between migraine and stroke
Young women who have migraines with auras are twice as likely to have a stroke, researchers have confirmed. Auras are sensory or visual disturbances that occur before or during a migraine headache. Based on available evidence, the risk is greater if the woman is under 45, smokes and is on the contraceptive pill, say international [...]
The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain.
Jull GA, Falla D, Vicenzino B, Hodges PW This study investigated the effects of low load cranio-cervical flexion (C-CF) and neck flexor strengthening exercises on spatial and temporal characteristics of DCF activation during a neck movement task and a task challenging the neck's postural stability. Forty-six chronic neck pain subjects were randomly assigned to an [...]
Psychological therapies for the management of chronic and recurrent pain in children and adolescents.
Eccleston C, Palermo TM, Williams AC, Lewandowski A, Morley S. The objective of this review was to assess the effectiveness of psychological therapies for reducing pain, disability, and improving mood in children and adolescents with recurrent, episodic, or persistent pain. Randomised Controlled Trials (RCTs) with at least ten participants in each arm post-treatment comparing psychological [...]
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