Are non-invasive interventions effective for the management of headaches associated with neck pain? an update of the bone and joint decade task force on neck pain and its associated disorders by the Ontario protocol for traffic injury management (OPTIMA) collaboration
Abstract
Purpose To update findings of the 2000-2010 Bone and Joint Decade Task Force on Neck Pain and its Associated Disorders and evaluate the effectiveness of non-invasive and non-pharmacological interventions for the management of patients with headaches associated with neck pain (i.e., tension-type, cervicogenic, or whiplash-related headaches).Methods We searched five databases from 1990 to 2015 for randomized controlled trials (RCTs), cohort studies, and case-control studies comparing non-invasive interventions with other interventions, placebo/sham, or no interventions. Random pairs of independent reviewers critically appraised eligible studies using the Scottish Intercollegiate Guidelines Network criteria to determine scientific admissibility. Studies with a low risk of bias were synthesized following best evidence synthesis principles.Results We screened 17,236 citations, 15 studies were relevant, and 10 had a low risk of bias. The evidence suggests that episodic tension-type headaches should be managed with low load endurance craniocervical and cervicoscapular exercises. Patients with chronic tension-type headaches may also benefit from low load endurance craniocervical and cervicoscapular exercises; relaxation training with stress coping therapy; or multimodal care that includes spinal mobilization, craniocervical exercises, and postural correction. For cervicogenic headaches, low load endurance craniocervical and cervicoscapular exercises; or manual therapy (manipulation with or without mobilization) to the cervical and thoracic spine may also be helpful.Conclusions The management of headaches associated with neck pain should include exercise. Patients who suffer from chronic tension-type headaches may also benefit from relaxation training with stress coping therapy or multimodal care. Patients with cervicogenic headache may also benefit from a course of manual therapy.
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Reviews on conservative interventions and local heat application reported that conclusions could not be drawn about the effectiveness of interventions either due to low quality or insufficient data for the population of interest.
“The reviews on conservative interventions103 104 and local heat application97 reported that conclusions could not be drawn about the effectiveness of interventions either due to low quality or insufficient data for the population of interest.”
From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [104]
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“107 Reviews that investigated virtual reality Two reviews investigated the use of virtual reality interventions.”
Background
- Authors
- Varatharajan, S., Ferguson, B., Chrobak, K., Shergill, Y., Côté, P., Wong, J. J., Yu, H., Shearer, H. M., Southerst, D., Sutton, D., Randhawa, K., Jacobs, C., Abdulla, S., Woitzik, E., Marchand, A.-A., van der Velde, G., Carroll, L. J., Nordin, M., Ammendolia, C., Mior, S., Ameis, A., Stupar, M., & Taylor-Vaisey, A.
- Affiliations
- Canadian Memorial Chiropractic College (CA)
- University of Ottawa (CA)
- Mount Sinai Hospital (CA)
- Université du Québec à Trois-Rivières (CA)
- University of Alberta (CA)
- New York University (US)
- University of Toronto (CA)
- Université de Montréal (CA)
- Corresponding author
- Côté, Pierre
- ORCID
- Venue
- European Spine Journal
- Published
- 2016-02-06
- Volume
- 25
- Issue
- 7
- Pages
- 1971-1999
- ISSN
- 0940-6719 (ISSN-L)
- 1432-0932
- OpenAlex
- W2283159329
- Cited by
- 59
- References
- 75
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 11 · 2018: 5 · 2017: 7 · 2016: 1 · 2015: 1
- FWCI
- 7.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Spine Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ontario Ministry of Finance and the Financial Services Commission of Ontario (RFP# OSS_00267175)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Keywords
- tension-type headache, cervicogenic headache, non-invasive intervention, non-pharmacological treatment, endurance exercise, relaxation training, manual therapy, spinal mobilization, posture correction, multimodal care, chronic tension-type headache, episodic tension-type headache
- MeSH terms
- Systematic Reviews as Topic, Exercise Therapy, Headache, Humans, Ontario, Relaxation Therapy, Whiplash Injuries, Exercise, Tension-Type Headache, Neck Pain, Neck Injuries, Musculoskeletal Manipulations, Advisory Committees, Post-Traumatic Headache
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