Combination of acupuncture and spinal manipulative therapy: management of a 32-year-old patient with chronic tension-type headache and migraine

Ohlsen, Bahia A.

doi:10.1016/j.jcm.2012.02.003

Cited by 8 publications

(3 citation statements)

References 49 publications

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“…16 There is growing evidence from research studies of the effectiveness of chiropractic and osteopathic manipulation for nonmusculoskeletal conditions, especially in patients with migraine and headache, 17,18 pulmonary disease, 21 and different pediatric conditions, 22 including CP. [23][24][25][26] Our study was aimed at evaluating changes in wrist muscle spasticity in children with CP after 1 SM and a 2-week intensive rehabilitation program with daily SM together with other treatment modalities: physical therapy, massage, reflexotherapy, extremity joint mobilization, mechanotherapy, and rehabilitation computer games.…”

Section: Discussionmentioning

confidence: 99%

Changes in Muscle Spasticity in Patients With Cerebral Palsy After Spinal Manipulation: Case Series

Kachmar

Voloshyn

Hordiyevych

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case series was to report quantitative changes in wrist muscle spasticity in children with cerebral palsy after 1 spinal manipulation (SM) and a 2-week course of treatment. Methods: Twenty-nine patients, aged 7 to 18 years, with spastic forms of cerebral palsy and without fixed contracture of the wrist, were evaluated before initiation of treatment, after 1 SM, and at the end of a 2-week course of treatment. Along with daily SM, the program included physical therapy, massage, reflexotherapy, extremity joint mobilization, mechanotherapy, and rehabilitation computer games for 3 to 4 hours' duration. Spasticity of the wrist flexor was measured quantitatively using a Neuroflexor device, which calculates the neural component (NC) of muscle tone, representing true spasticity, and excluding nonneural components, caused by altered muscle properties: elasticity and viscosity. Results: Substantial decrease in spasticity was noted in all patient groups after SM. The average NC values decreased by 1.65 newtons (from 7.6 ± 6.2 to 5.9 ± 6.5) after 1 SM. Another slight decrease of 0.5 newtons was noted after a 2-week course of treatment. In the group of patients with minimal spasticity, the decrease in NC after the first SM was almost twofold-from 3.93 ± 2.9 to 2.01 ± 1.0. In cases of moderate spasticity, NC reduction was noted only after the 2-week course of intensive treatment. Conclusions: In this sample of patients with cerebral palsy, a decrease in wrist muscle spasticity was noted after SM. Spasticity reduction was potentiated during the 2-week course of treatment. (J Chiropr Med 2016;15:299-304)

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Section: Discussionmentioning

confidence: 99%

Changes in Muscle Spasticity in Patients With Cerebral Palsy After Spinal Manipulation: Case Series

Kachmar

Voloshyn

Hordiyevych

2016

Journal of Chiropractic Medicine

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“… 8 In pragmatic settings, however, an increased number of physiotherapists apply different therapeutic techniques to increase the analgesic effect on their patients’ headaches. 9 , 10 This is a quite clinically relevant question worth answering in order to demonstrate if various combinations of techniques provide better improvement than others. At present, there is limited information for reports of treatment of TTH with a combination of these therapeutic techniques.…”

Section: Introductionmentioning

confidence: 99%

The effect of physiotherapy and acupuncture on psychocognitive, somatic, quality of life, and disability characteristics in TTH patients

Georgoudis¹,

Felah²,

Nikolaidis³

et al. 2018

JPR

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IntroductionNonpharmacological therapies have been widely used to treat tension-type headache (TTH); however, limited evidence exists with regards to their effectiveness. Therefore, the aim of the present study was to examine the combined effect of acupuncture, stretching, and physiotherapy (myofascial release techniques and microwave diathermy) on psychocognitive, somatic, quality of life, and disability characteristics in such patients.Subjects and methodsPatients with TTH (n=44) performed either acupuncture or stretching (control group, n=20) or acupuncture, stretching, and physiotherapy (experimental group, n=24) during a 4-week intervention period including 10 treatment sessions. They were tested for the Greek version of the Short-Form McGill Pain Questionnaire, the Greek version of the Migraine Disability Assessment Questionnaire, the Greek version of the Hospital Anxiety and Depression Scale, Short Form Health Survey 12 9 (SF-12), and Pain Catastrophizing Scale at baseline after the fifth and tenth sessions.ResultsAll measures were improved throughout the first to tenth session (P<0.05), though no significant differences were observed between the two groups (P>0.05).ConclusionIn summary, a significant beneficial role of acupuncture, stretching, and physiotherapy on cognitive, psychosomatic pain measures, disability index, quality of life, and catastrophizing in patients with TTH was observed.

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“…In pragmatic situations, more and more therapists tend to combine therapeutic techniques in order to enhance the analgesic efficacy of their patients' headaches (France et al, ; Ohlsen, ). However, the literature is lacking of studies that combine physiotherapy, needling, and stretching techniques.…”

Section: Introductionmentioning

confidence: 99%

The effect of myofascial release and microwave diathermy combined with acupuncture versus acupuncture therapy in tension‐type headache patients: A pragmatic randomized controlled trial

Georgoudis¹,

Felah

Nikolaidis³

et al. 2017

Physiotherapy Res Intl

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Combination of acupuncture and spinal manipulative therapy: management of a 32-year-old patient with chronic tension-type headache and migraine

Cited by 8 publications

References 49 publications

Changes in Muscle Spasticity in Patients With Cerebral Palsy After Spinal Manipulation: Case Series

Changes in Muscle Spasticity in Patients With Cerebral Palsy After Spinal Manipulation: Case Series

The effect of physiotherapy and acupuncture on psychocognitive, somatic, quality of life, and disability characteristics in TTH patients

The effect of myofascial release and microwave diathermy combined with acupuncture versus acupuncture therapy in tension‐type headache patients: A pragmatic randomized controlled trial

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