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首页> 外文期刊>Journal of manipulative and physiological therapeutics: JMPT >Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain: a randomized pilot study.
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Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain: a randomized pilot study.

机译：慢性宫颈源性头痛和相关颈痛的脊椎治疗的剂量反应：一项随机试验研究。

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OBJECTIVE: To acquire information for designing a large clinical trial and determining its feasibility and to make preliminary estimates of the relationship between headache outcomes and the number of visits to a chiropractor. DESIGN: Randomized, controlled trial. SETTING: Private practice in a college outpatient clinic and in the community. SUBJECTS: Twenty-four adults with chronic cervicogenic headache. METHODS: Patients were randomly allocated to 1, 3, or 4 visits per week for 3 weeks. All patients received high-velocity low-amplitude spinal manipulation. Doctor of Chiropractics could apply up to 2 physical modalities at each visit from among heat and soft tissue therapy. They could also recommend modification of daily activities and rehabilitative exercises. Outcomes included 100-point Modified Von Korff pain and disability scales, and headaches in last 4 weeks. RESULTS: Only 1 participant was insufficiently compliant with treatment (3 of 12 visits), and 1 patient was lost to follow-up. There was substantial benefit in pain relief for 9 and 12 treatments compared with 3 visits. At 4 weeks, the advantage was 13.8 ( P = .135) for 3 visits per week and 18.7 (P = .041) for 4 visits per week. At the 12-week follow-up, the advantage was 19.4 (P = .035) for 3 visits per week and 18.1 (P = .048) for 4 visits per week. CONCLUSION: A large clinical trial on the relationship between pain relief and the number of chiropractic treatments is feasible. Findings give preliminary support for the benefit of larger doses, 9 to 12 treatments, of chiropractic care for the treatment of cervicogenic headache.
机译：目的：获得有关设计大型临床试验并确定其可行性的信息，并初步估计头痛结果与脊医的就诊次数之间的关系。设计：随机对照试验。地点：大学门诊诊所和社区的私人诊所。受试者：二十四名患有慢性宫颈源性头痛的成年人。方法：将患者随机分配为每周1、3或4次，共3周。所有患者均接受了高速低振幅脊柱手术。脊医可以在热疗和软组织疗法中的每次访问中采用两种物理方法。他们还可以建议修改日常活动和康复锻炼。结果包括最近4周内100分改良的Von Korff疼痛和残疾量表以及头痛。结果：只有1名参与者对治疗的依从性不足（12次探访中的3次），并且有1名患者失去随访。与3次就诊相比，9和12种治疗在缓解疼痛方面有显着益处。在第4周，每周3次就诊的优势为13.8（P = .135），每周4次就诊的优势为18.7（P = .041）。在12周的随访中，每周3次就诊的优势为19.4（P = .035），每周4次就诊的优势为18.1（P = .048）。结论：关于缓解疼痛与脊椎治疗药物数量之间关系的大型临床试验是可行的。研究结果为较大剂量的9到12种疗法的脊骨疗法治疗宫颈源性头痛的益处提供了初步支持。

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