Conflict of Interest: Peter Borusiak, Stephanie Bosserhof, and Joachim Opp have no conflict of interest to disclose. Heiner Biedermann is a manual therapist.
Lack of Efficacy of Manual Therapy in Children and Adolescents With Suspected Cervicogenic Headache: Results of a Prospective, Randomized, Placebo-Controlled, and Blinded Trial
Article first published online: 21 OCT 2009
© 2009 the Authors. Journal compilation © 2009 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 50, Issue 2, pages 224–230, February 2010
How to Cite
Borusiak, P., Biedermann, H., Boßerhoff, S. and Opp, J. (2010), Lack of Efficacy of Manual Therapy in Children and Adolescents With Suspected Cervicogenic Headache: Results of a Prospective, Randomized, Placebo-Controlled, and Blinded Trial. Headache: The Journal of Head and Face Pain, 50: 224–230. doi: 10.1111/j.1526-4610.2009.01550.x
- Issue published online: 24 JAN 2010
- Article first published online: 21 OCT 2009
- Accepted for publication August 31, 2009.
- manual therapy;
- tension-type headache;
- cervicogenic headache;
- spinal manipulation therapy
Objective.— Clinical trials concerning cervical spine manipulation and mobilization in children and adolescents with cervicogenic headache are lacking.
Methods.— We performed a multicenter, prospective, randomized, placebo-controlled, and blinded trial in 52 children and adolescents (21 boys, 31 girls) aged 7-15. After prospective baseline documentation for 2 months patients were either assigned to placebo or true manipulation with another 2-month follow-up. Main outcome measures were defined as: percentage of days with headache, total duration of headache, days with school absence due to headache, consume of analgesics, intensity of headache.
Results.— We did not find a significant difference comparing the groups with placebo and true manipulation with respect to the defined main outcome measures.
Conclusions.— We were not able to show an efficacy of cervical spine manipulation in 52 children and adolescents.