At Waverley Chiropractic the health of your child’s spine is important. As children return to school, it is important that parents of school aged children look at the quality and fit of their child’s backpack, as heavy, incorrectly fitted and badly packed school backpacks can lead to spinal health problems as your child grows.
Spinal health is crucial at any age and items like heavy backpacks may cause strain and discomfort to the spine. I believe spinal pain can be attributed to a number of factors, and heavy and incorrectly worn bags may also lead to poor posture, slouching and uneven hips.
The relationship between spinal health and carrying a heavy backpack may also depend on additional aspects such as your child’s age and weight.
If you’re worried about your child’s backpack weight, here are a few lifestyle and backpack modification tips:
What to look for in a backpack:
sure the backpack is the right size for your child, no wider than their chest
and below the
hollow of their back
- A moulded frame on the back, that when adjusted fits their spine.
- A bag made from a light weight material like canvas, with two padded straps
- Adjustable waist and sternum straps
- Separate compartments that allow for easy packing and weight distribution
How to carry the backpack in a spine safe way:
- Ensure that the weight of the backpack is no more than 10% of your child’s weight when packed. Only pack essentials to lessen the load, perhaps use school lockers if available.
- Pack the heaviest items closest to the spine and make sure all zippers are done up all the way.
- Secure the sternum and waist straps (they’re there for a reason)
- Always wear both straps. Tell the kids it’s not cool to ‘one-strap it’ anymore.
- Reduce the time spent wearing the backpack to no more than 30 minutes at any one time.
tip is to ensure your child is undertaking 60 minutes of moderate physical
activity every day, as a part of correct spinal care.
 Chen YL, Mu YC. Effects of backpack load and position on body strains in male schoolchildren while walking. PLoS One. 2018;13(3):e0193648. Published 2018 Mar 21. doi:10.1371/journal.pone.0193648
Our bodies are designed to be healthy – to exist in a stable state of optimal function better known as homeostasis. During the holidays, heightened stress can wreak havoc on our nervous system, and therefore our optimal function, leaving us feeling tired and worn down. The good news is, you can stay happy and healthy and feeling great this holiday season by integrating a few simple holiday stress busters into your routine, and while you can’t eliminate every source of stress in your life, a few smart decisions can help keep that added stress at bay and reduce your chances of getting sick.
Why it Matters:
Each year, millions of people get sick before, during, or after the holidays, and the most common culprit for all this illness is STRESS. When your body is stressed, it doesn’t recover very well, and you are more likely to become sick. Not only could you experience more aches and pains, but you may also experience mental fatigue. Luckily, you’re in the right place. New research tells us that just like eating well and getting enough sleep, Chiropractic adjustments can go a long way towards positively influencing your stress levels by reducing your muscle tension so that you can feel better both during the holiday season and into the new year.
- Many people carry their stress in their neck and shoulders.
- Chiropractic adjustments have been shown to decrease muscle tension in the neck and shoulders.
- Research has shown people experience less stress after receiving Chiropractic care.
By getting enough rest, exercise, and Chiropractic care, you can bust your stress levels and reduce your chance of getting sick this holiday season. You’ll feel better, more energized and experience a happier and healthier holiday, helping you do more of what you love with the people you love. That’s what it’s all about, and we’re here to help! Give us a call to schedule your next adjustment – you’ll be glad you did! Happy holidays from our family to yours! Book online at www.waverleychiro.com.au or phone 9581 2624
Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain. Alternative therapies in health and medicine. November 2011
Glucose Metabolic Changes in the Brain and Muscles of Patients with Nonspecific Neck Pain Treated by Spinal Manipulation Therapy. Evidence-Based Complementary and Alternative Medicine. Volume 2017
Traveling long distances on planes, trains, and automobiles is a common side-effect of the holidays, and the stress of all this holiday travel can be overwhelming. Lifting heavy suitcases, hopping in the car for a 13+ hour drive, or even getting the middle seat on an overbooked flight can lead to awkward neck positions and that all too familiar worn down feeling. It’s no surprise that many people experience increased neck pain and shoulder tension during the holidays, so what can you do about it besides turning into the Grinch and staying home? Well, new research tells us that you’ve made a smart decision in visiting our office for help.
Why it Matters:
No one should have to rely on dangerous medications to get through the holiday season. Even some of the most common over the counter medications have a laundry list of potentially harmful side effects. If you are experiencing neck pain and shoulder tension, Chiropractic care is a top alternative. Researchers have found that adjustments can drastically reduce neck pain, improve mobility,and reduce the overall levels of stress on our musculoskeletal system, which means you can feel better without having to reach for a bottle of pills.
- Chiropractic adjustments can reduce the stress response triggered by our nervous system.
- Reduced pain, improved rang eof motion, and fewer muscle spasms are often reported following Chiropractic care.
For many of us, travel is a part of our yearly holiday tradition. As much as the trip can be hard on our bodies, it’s important to visit with friends and family. We want you to have the best holiday season possible, and if you plan on traveling this holiday season, let us know! We would love to show you a few simple stretches and exercises you can do to help you stay well between your adjustments. Give us a call or stop in today. Happy holidays!
Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain.Alternative therapies in health and medicine. November 2011
Glucose Metabolic Changes in the Brain and Muscles of Patients with Nonspecific Neck Pain Treated by Spinal Manipulation Therapy. Evidence-Based Complementary and Alternative Medicine. Volume 2017
Waverley Chiropractic Centre participated in ‘Giving Back’ Week from 10 – 16 December, collecting a large number of toys and food items, valued at over $1000, benefiting families doing it tough this Christmas.
Joining chiropractors from the Australian Chiropractors Association (ACA) in hosting ‘Giving Back’ Week, local chiropractor Dr Shaun Beovich asked patients to donate new, unwrapped toys, non-perishable food items or cash donations to the less fortunate in the community, in lieu of payment on Friday 14th December.
The gifts collected were donated to the Waverley Salvation Army in time for Christmas to children and families in the local area, going through difficult times this festive season.
Dr Beovich would like to thank all those who donated in any manner, whether big or small. Your generosity has been felt by the community and has gone a long way in helping families this Christmas.
A community service from Waverley Chiropractic Centre.
Fibromyalgia Case Study shows improvement in symptoms, cervical alignments and quality of life
Fibromyalgia is widely viewed as a pain syndrome with an unknown cause. Sufferers will tell you a common truth though: it can be debilitating, distressing, and it’s very, very real. Sadly, the issue of how to treat this pain syndrome is no more straight-forward than finding its cause. Cognitive behavioural therapy, low-dose anti-depressants and mild exercise are often prescribed but “there is no permanent change associated with this form of treatment .” This often leaves sufferers feeling frustrated at the apparent permanence of their predicament.
Mount Waverley chiropractor Dr Shaun Beovich shares a case study found on the Australian Spinal Research Foundation Blog. For specific advice and care, family chiropractor Dr Shaun Beovich is experienced in fibromyalgia. Waverley Chiropractic Centre services the Mt Waverley, Glen Waverley, Burwood, Chadstone, Clayton, Ashwood and surrounding areas. Book online here or call 9581 2624.
Case Reports Offer Strong Indications that Chiropractic Care May Help
A recent case study and literature review posted in the Annals of Vertebral Subluxation reveals some interesting observations on the matter. It reported on the structural and symptomatic improvements in a 40-year-old female who had suffered with the disorder for 8 years.
Hers is a demographic group that is no stranger to this disorder. It is said to affect between 2-5% of the population of the developed world. Interestingly, the vast majority of these sufferers are young to middle-aged women . The symptoms of this diagnostic enigma include significant fatigue, musculoskeletal pain, cognitive disturbances and tenderness along with many other potential symptoms. Due to the fatigue elements of the disorder, many sufferers find themselves wearing a diagnostic label of ‘chronic fatigue syndrome’ though this fails to explain all their symptoms.
In the case study the patient’s symptoms included widespread musculoskeletal pain, fatigue, depression and headaches. The researchers used an initial SF 36 questionnaire to measure health-related quality of life, as well as checking her for structural misalignments or subluxations. The latter revealed an anterior head translation, left lateral head flexion, and a lateral cervical translation of 32.7mm when the ideal is 0mm. Significant segmental misalignments were noted at C3-C4, C4-C5 and C5-C6.
On her self-reported quality of life questionnaire (the SF 36), the patient’s highest scores were in the areas of role limitations due to emotional problems or physical health (50.9 and 47 respectively). When it came to general health, energy/fatigue, pain and physical functioning, she reported scores as low as 16.6, 3, 0 and 0 respectively. This illustrates the degree to which this disorder had impacted her life.
She received 44 sessions of chiropractic care over the course of 5 months using a combination of mirror image exercises, adjustments and traction.
Following the intervention, the patient’s films revealed significant improvements in subluxations. Her 32.7mm lateral cervical translation had dropped to 15.4mm and significant improvements were noted from C3-C6, restoring a lordosis to a spinal region in which she previously suffered kyphosis.
The interesting part of the case report was the quality of life scores post-intervention. The patient’s energy score had risen from 16.6 to 35. Her general health score lifted from 3 to 38. Pain and physical function rose from 0 to 38 and 36.7 respectively.
Fedorchuk et al point out that there are a number of case reports that look at fibromyalgia and chiropractic care. Their literature review, written into the case report, included details of ten other studies on the topic. In all instances, chiropractic care was employed as part of the care, and improvements were noted.
RCT Shows Upper Cervical Manipulative Therapy is Beneficial
Fedorchuk’s work, and the case reports that fed into the literature review, jog the memory back to a piece of work that may have escaped the eyes of many a chiropractor. Emerging from Cairo University and appearing in the journal Rheumatology International, the randomized controlled trial looked at the addition of upper cervical manipulative therapy to a multimodal program in treatment of fibromyalgia .
The study, authored by researchers Ibrahim Moustafa and Aliaa Diab, took a sample of 120 people with fibromyalgia and definite C1-2 joint dysfunction. These were randomly assigned to either a control group or an experimental group. Both groups benefited from a multimodal program involving exercise, education and cognitive behavioural therapy, whilst the experimental group also received upper cervical manipulative therapy.
The education aspect of the program included information about “typical symptoms, the usual course, medical conditions, potential causes of the illness, the influence of psychosocial factors on pain, current pharmacologic and non-pharmacological treatments, the benefits of regular exercise, and the typical barriers to behavioural change .” There were 12 sessions, delivered once a week in 2-hour blocks over the course of the intervention period. The same was true for the cognitive behavioural therapy aspect of the study, which concentrated on a combination of components including “educational, physical, cognitive and behavioural elements .” The exercise component of the program centred on a variety of relaxation techniques and stretches. All participants in the study took part in these three aspects.
The upper cervical manipulative therapy administered to the experimental group came in the form of a HVLA thrust described below:
“With the patient in the supine position, the therapist contacted the left posterior arch of the atlas with the lateral aspect of the proximal phalanx of the left second finger using a “cradle hold.” To localize the forces to the left C1-2 articulation, the secondary levers of extension, posterior– anterior shift, ipsilateral side-bend, and contralateral side- shift were used. While maintaining the secondary levers, the therapist applied a single HVLA thrust manipulation to the left atlantoaxial joint using the combined thrusting primary levers of right rotation in an arc toward the under- side eye and translation toward the table. This process was repeated using the same procedure but directed to the right C1-2 articulation.”
Additionally, the experimental group underwent low-velocity cervical joint mobilization techniques as described in Maitland .
The researchers used a number of outcome measures to report on baseline data and results. Outcome measures were taken after the 12-week intervention, and at 6 months and 1 year post-intervention respectively. Among the outcome measures were:
- A fibromyalgia impact questionnaire
- Rasterstereographic posture analysis
- A pain catastrophizing scale
- Algometric score
- Sleep quality
- The Beck Anxiety Inventory
- The Beck Depression Inventory
This is where it gets interesting: the results didn’t differ significantly between groups at the 12-week mark. In fact, the fibromyalgia management outcomes indicated that both of the programs were equally successful. Both groups saw some level of improvement in their symptoms, and this supported a meta-analysis showing that multicomponent treatment was effective for improving key symptoms of fibromyalgia.
However, at the one-year follow-up from this, there were “statistically significant changes that indicated that the FMS management outcomes of the experimental group exhibited continued improvement and that the control subjects’ scores regressed back toward the baseline values (i.e., the scores worsened) .”
The study’s authors went on to remark that, “the normalization of the afferent input of the upper cervical spine seems to offer an explanation for these one-year improved outcomes in the experimental group.” There are a number of possible explanations for the difference witnessed at the one-year mark. Among them is the possibility that the long-term effects of poor or flexed posture, or continuous asymmetrical loading and muscle imbalance may have a role – a hypothesis supported by previous research [7, cited in 3].
For a randomised controlled trial, the sample size may appear small. Given 20 of 120 people dropped out of the one-year follow up, this could appear more limiting. However, the authors indicated that this still gave them enough data for a statistically relevant change. Though not without its limitations, the results of the Cairo [fibromyalgia] study left its authors confident enough to state their belief that the results of the study should be used to introduce new guidelines for the treatment of fibromyalgia.
Although the intervention in the study was not directed specifically at subluxations, it does demonstrate the importance of a properly functioning nervous system.
How this changes the game
Up until the publication of the Cairo study, the most comprehensive literature on the matter was possibly the systemic review by Schneider et al, which was published in 2009. The lack of a comprehensive RCT left the authors of that study with the following evidence for the management of fibromyalgia: “Strong evidence supports aerobic exercise and cognitive behavioural therapy. Moderate evidence supports massage, muscle strength training, acupuncture, and spa therapy (balneotherapy). Limited evidence supports spinal manipulation, movement/body awareness, vitamins, herbs, and dietary modification .”
Later on, in 2011, another systemic review looked at complementary and alternative medicine in the treatment of fibromyalgia. Again, the lack of larger clinical trials left them with little evidence for spinal manipulation and other therapies like massage .
Moustafa and Diab’s work offers us the reliability of a clinical trial and, for the first time, statistically significant indications that the addition of upper cervical manipulative therapy can have a role. Although as with all things research-related cautious optimism is the order of the day, this study does offer a unique and valuable contribution to the evidence surrounding this condition. We look forward to seeing further research of the impact of the subluxation on the health of those with fibromyalgia.
Read the full article at https://spinalresearch.com.au/fibromyalgia-case-study-shows-improvement-symptoms-cervical-alignments-quality-life/
 Fedorchuk, C, Lightstone, D, Moser, J (2017), “Improvements in Symptoms, Cervical Alignment and Quality of Life in a 40-Year-Old Female with Fibromyalgia Following Chiropractic BioPhysics® Technigue: A Case Study and Selective Review of Literature,” Annals of Vertebral Subluxation
 Gumer, E, Littlejohn, G (2013), “Diagnostic Challenges, Fibromyalgia’ Australian Family Physician, Volume 42, No. 10, October 2013, pp 690-694, http://www.racgp.org.au/afp/2013/october/fibromylagia/
 Moustafa I, Diab A (2015), “The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial,” Journal Rheumatology International, https://link.springer.com/article/10.1007/s00296-015-3248-7
 Maitland GD, Hengeveld E, Banks K et al (2000) Maitland’s vertebral manipulation, 6th edn. Butterworth, London
 Schneider M, Vernon H, Ko G, Lawson G and Perera, J (2009), “Chiropractic management of fibromyalgia syndrome: a systematic review of the literature,” JMPT Vol 32, Issue 1, January 2009, pp. 25-40, https://doi.org/10.1016/j.jmpt.2008.08.012
 Terhost L, Schneider M, Kim K Goozdich L and Stilley C (2011), “Complementary and Alternative Medicine in the Treatment of Pain in Fibromyalgia: a systematic review of randomized controlled trials,” JMPT Vol 34, Issue 7, September 2011, pp. 483-496, http://www.sciencedirect.com/science/article/pii/S0161475411000959
 Mueller A, Hartmann M, Eich W (2000) Inanspruchnahme medizinischer Versorgungsleistungen. Untersuchung bei Patienten mit Fibromyalgiesyndrom (FMS) [Health care utiliza- tion in patients with bromyalgia syndrome (FMS)]. Schmerz 14:77–83 (German)
We all want pain relief as soon as possible. Whether it’s back pain, neck pain, shoulder pain, headaches or arm and leg pain. No one likes being in pain. It interferes with our daily activities, our work, our play and can be quite debilitating. As your local family chiropractor at Waverley Chiropractic Centre I want to get you out of pain as quick as possible.
24 years of chiropractic experience tells me though that the body often needs time to heal. We live in a fast paced society where we expect quick turnarounds in most things. We don’t like waiting. Unfortunately the body is one thing that can’t be rushed. Yes you can cover up the symptoms but true healing, true health takes time. The longer a problem has been there, the older you are, previous trauma, how fit you are, how much you sit, how stressed you are etc may all impact on the time taken to heal, especially when it comes to your spine.
So can I strongly recommend we work together. It starts with having realistic expectations on the time it takes to recover from your back or neck pain. Follow the advice given, do your stretches, ice/heat etc, get enough rest/sleep, keep moving as much as possible and keep your chiropractic appointments. Allow time for your body to recover, to heal. And as we get you out of pain we want to move towards a state of wellness. Where your spine, and in particular your nervous system is functioning to its peak.
If you are in pain now then give chiropractic a try. Family chiropractor Dr Shaun Beovich is experienced in dealing with many of your aches and pains. Waverley Chiropractic Centre services the Mt Waverley, Glen Waverley, Burwood, Chadstone, Clayton, Ashwood and surrounding areas. Book online here or call 9581 2624.
Have you ever had a nagging neck pain that slowed you down and kept you from doing the things you love? You’re not alone. Millions of people every year suffer from neck and arm pain caused by a disc herniation. Sometimes the pain is caused by an injury, other times people just seem to wake up one day with numbness or tingling. The good news is, you don’t have to rely on medications, injections, or surgeries to get back your quality of life. New scientific research has shown patients experience HUGE improvements with natural health care, such as Chiropractic, and the more you know, the smarter you can be with your healthcare choices.
Our bodies are designed to heal, but sometimes they need a little help. Medications and injections may mask the problem. Well, you should be happy to know that Chiropractic adjustments not only may help provide fantastic pain relief, but they also help correct the underlying problem so you can find long-term relief.
- After 2 weeks of receiving Chiropractic care, over 55% of patients experienced relief from their neck pain.
- At the 3 month mark, over 75% of patients reported experiencing significant relief.
Sitting at a desk, awkward sleeping positions, and just plain getting older can all contribute to neck pain and disc problems. Maintaining an active lifestyle by eating right, exercising, and getting periodic Chiropractic care may help your body fend off these degenerative processes. Ask Mt Waverley Chiropractor, Dr Shaun Beovich today about how you can maintain a healthy lifestyle using Chiropractic care. Learning how to stay happy and healthy; that’s what we call a smart decision!
- Science Sources: Outcomes from Magnetic Resonance Imaging-Confirmed Symptomatic Cervical Disk Herniation Patients Treated with High-Velocity, Low-Amplitude Spinal Manipulative Therapy. Journal of Manipulative and Physiological Therapeutics. October 2013
- Outcomes of Acute and Chronic Patients with MRI Confirmed Symptomatic Lumbar Disc Herniations Receiving High-Velocity, Low-Amplitude, Spinal Manipulative Therapy: A Prospective Observational Cohort Study with One Year Follow-Up. Journal of Manipulative and Physiological Therapeutics. March/April 2014
- Manipulation or Microdiskectomy for Sciatica? A Prospective Randomized Clinical Study. Journal of Manipulative and Physiological Therapeutics. October 2010
- Symptomatic MRI-Confirmed Lumbar Disk Herniation Patients: A Comparative Effectiveness Prospective Observational Study of 2 Age and Sex-Matched Cohorts Treated with Either High-Velocity, Low Amplitude Spinal Manipulative Therapy or Imaging-Guided Lumbar Nerve Root Injections. Journal of Manipulative and Physiological Therapeutics. May 2013
‘Love Your Spine’ this World Spine Day
Prevent back Pain – Love Your Spine. Every year, people from around the world come together on World Spine Day (an initiative of the Global Alliance for Musculoskeletal Health) to raise awareness about spinal disorders and empower others to take charge of their spinal health.
Our increasingly sedentary lifestyle is having a profound negative impact on our health and especially our spines. Back pain and other musculoskeletal disorders are on the rise and Australians of all ages are suffering. The good news is that it is possible to prevent such spinal health issues without the need for drastic measures.
The theme for World Spine Day this year is ‘Love your Spine’, emphasising the importance of looking after your spine and taking steps to prevent spinal disorders. Regular physical activity, good posture, lifting safely, healthy working conditions and lifestyle adjustments can improve spinal health and overall wellbeing.
Staying active helps spinal tissues and muscles stay healthy and eases the pressure on the spine. Whether it’s walking, running, swimming or taking regular breaks from sitting, Australians are encouraged to incorporate physical activity into their daily routines. Good posture also plays an integral role in optimal spinal health, as it allows the spine to be correctly aligned and reduces the amount of strain on the body.
Ways to ‘Love Your Spine’ this World Spine Day:
- Be mindful of your posture
- Practise responsible lifting
- Get moving and stay active
- Download the Straighten Up app
The Australian Chiropractors Association has developed the Straighten Up Australia app to help you stay active, improve your posture and enhance spinal health. The app has posture reminders, a daily exercise program, and other helpful resources to assist Australians in taking control of their health.
Most people underestimate the positive effects that simple lifestyle changes can have on spinal health. World Spine Day is a great opportunity to assess your activity levels, posture and other lifestyle choices, and make adjustments accordingly.
To book an appointment with us, https://www.waverleychiro.com.au
Low back pain and maintenance care
Many people suffering from low back pain see their chiropractor for what we call maintenance care or wellness care. These are periodic check-ups which help to maintain a good functioning spine. In other words getting an adjustment before you feel pain rather waiting for the symptoms to arrive. Brand new research backs up maintenance care as effective in reducing discomfort for people suffering from low back pain.
Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain—A pragmatic randomized controlled trial
For individuals with recurrent or persistent non-specific low back pain (LBP), exercise and exercise combined with education have been shown to be effective in preventing new episodes or in reducing the impact of the condition. Chiropractors have traditionally used Maintenance Care (MC), as secondary and tertiary prevention strategies. The aim of this trial was to investigate the effectiveness of MC on pain trajectories for patients with recurrent or persistent LBP.
The authors conclude that MC was more effective than symptom-guided treatment in reducing the total number of days over 52 weeks with bothersome non-specific LBP but it resulted in a higher number of treatments. For selected patients with recurrent or persistent non-specific LBP who respond well to an initial course of chiropractic care, MC should be considered an option for tertiary prevention.
To read the full article click here.
If you are suffering from low back pain then Waverley Chiropractic Centre can tailor a care plan specifically for you to help alleviate your discomfort. Situated in Mt Waverley and servicing the Mount Waverley, Glen Waverley, Ashwood, Ashburton, Burwood and Clayton areas. Book online easily here or phone 9581 2624.
Tension headaches due to poor posture and stress effect over 20% of the community. Dr Shaun from Waverley Chiropractic Centre says that the latest research shows how chiropractic adjustments can make a positive impact on these headaches and the patients’ quality of life.
Relationship of the neck and headaches
The trigeminocervical nucleus is a region of the upper cervical spinal cord where sensory nerve fibers in the descending tract of the trigeminal nerve (trigeminal nucleus caudalis) are believed to interact with sensory fibers from the upper cervical roots. This functional convergence of upper cervical and trigeminal sensory pathways allows the bidirectional referral of painful sensations between the neck and trigeminal sensory receptive fields of the face and head. A functional convergence of sensorimotor fibers in the spinal accessory nerve (CN XI) and upper cervical nerve roots ultimately converge with the descending tract of the trigeminal nerve and might also be responsible for the referral of cervical pain to the head.
2 studies looking at Tension Type Headaches (TTH)
1. Espí-López GV, Rodríguez-Blanco C, Oliva-Pascual-Vaca A, Molina-Martínez F, Falla D. Do manual therapy techniques have a positive effect on quality of life in people with tension-type headache? A randomized controlled trial. Eur J Phys Rehabil Med. 2016 Aug;52(4):447-56. Epub 2016 Feb 29. PubMed PMID: 26928164.
To assess the quality of life of patients suffering from TTH treated for 4 weeks with different manual therapy techniques.
Seventy-six (62 women) patients aged between 18 and 65 years (age: 39.9±10.9) with either episodic or chronic TTH.
Patients were divided into four groups: suboccipital inhibitory pressure; suboccipital spinal manipulation; a combination of the two treatments; control. Quality of life was assessed using the SF-12 questionnaire (considering both the overall score and the different dimensions) at the beginning and end of treatment, and after a one month follow-up.
All three treatments were effective at changing different dimensions of quality of life, but the combined treatment showed the most change. The results support the effectiveness of treatments applied to the suboccipital region for patients with TTH.
CLINICAL REHABILITATION IMPACT:
Manual therapy techniques applied to the suboccipital region, for as little as four weeks, offered a positive improvement in some aspects of quality of life of patient’s suffering with TTH.
2. Espí-López GV, Zurriaga-Llorens R, Monzani L, Falla D. The effect of
manipulation plus massage therapy versus massage therapy alone in people with tension-type headache. A randomized controlled clinical trial. Eur J Phys Rehabil Med. 2016 Oct;52(5):606-617. Epub 2016 Mar 18. PubMed PMID: 26989818.
Manipulative techniques have shown promising results for relief of tension-type headache (TTH), however prior studies either lacked a control group, or suffered from poor methodological quality. The aim of this study was to compare the effect of spinal manipulation combined with massage versus massage alone on range of motion of the cervical spine, headache frequency, intensity and disability in patients with TTH.
We enrolled 105 subjects with TTH.
Participants were divided into two groups: 1) manipulation and massage; 2) massage only (control). Four treatment sessions were applied over four weeks. The Headache Disability Inventory (HDI) and range of upper cervical and cervical motion were evaluated at baseline, immediately after the intervention and at a follow-up, 8 weeks after completing the intervention.
Both groups demonstrated a large (ƒ=1.22) improvement on their HDI scores. Those that received manipulation reported a medium-sized reduction (ƒ=0.33) in headache frequency across all data points (P<0.05) compared to the control group.
These findings support the benefit of treating TTH with either massage or massage combined with a manipulative technique. However, the addition of manipulative technique was more effective for increasing range of motion of the upper cervical spine and for reducing the impact of headache.
CLINICAL REHABILITATION IMPACT:
Although massage provided relief of headache in TTH sufferers, when combined with cervical manipulation, there was a stronger effect on range of upper cervical spine motion.