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    Por favor, use este identificador para citar o enlazar este ítem:https://uvadoc.uva.es/handle/10324/77007

    Título
    Is chiropractic spinal manipulation effective for the treatment of cervicogenic, tension-type, or migraine headaches? A systematic review
    Autor
    Ceballos Laita, LuisAutoridad UVA
    Ernst, Edzard
    Carrasco Uribarren, Andoni
    García García, DanielAutoridad UVA
    Jiménez del Barrio, SandraAutoridad UVA
    Año del Documento
    2025
    Editorial
    Elsevier
    Descripción
    Producción Científica
    Documento Fuente
    European Journal of Integrative Medicine, 2025, vol. 76, p. 102462
    Resumen
    Introduction: Patients with headaches often seek complementary and alternative therapies, including chiropractic care. Chiropractic spinal manipulation is one of the most commonly used techniques for these patients; however, its effectiveness remains unclear. This systematic review aimed to evaluate the effectiveness of chiropractic spinal manipulation in reducing headache days, episode duration, episode intensity, and medication intake in patients with headaches. Methods: MEDLINE (Pubmed), PEDro, SCOPUS, Cochrane Library and Web of Science databases were searched from inception to April 2024. PICO search strategy was used to identify randomized controlled trials applying chiropractic spinal manipulations versus sham manipulation, no additional intervention, or other conservative non-pharmacological interventions in patients with headaches. Eligible studies and data extraction were con- ducted independently by two reviewers. Quality of the studies was assessed with Physiotherapy Evidence Database scale, and risk of bias with Cochrane Collaboration tool. Certainty of the evidence was evaluated using GRADE approach. Results: Eight studies ranging from low to high methodological quality were included in the synthesis without a meta-analysis. The results were categorized into three subgroups: chiropractic manipulation versus sham, chiropractic manipulation versus control, and chiropractic manipulation versus deep friction massage. Among the five studies comparing chiropractic manipulation to sham, two found a significant reduction in the number of headache days. Of the three studies comparing chiropractic manipulation to a control, one reported a decrease in headache episode duration. No significant differences were observed for any other variable across the subgroups. The certainty of evidence was downgraded to very low. Conclusions: It is uncertain if chiropractic spinal manipulation is more effective than sham, control, or deep friction massage interventions for patients with headaches. PROSPERO registration number: CRD42024518480
    Materias Unesco
    32 Ciencias Médicas
    Palabras Clave
    Chiropractic
    Spinal manipulation
    Headache
    Systematic review
    ISSN
    1876-3820
    Revisión por pares
    SI
    DOI
    10.1016/j.eujim.2025.102462
    Version del Editor
    https://www.sciencedirect.com/science/article/pii/S1876382025000289
    Propietario de los Derechos
    © 2025 The Author(s)
    Idioma
    eng
    URI
    https://uvadoc.uva.es/handle/10324/77007
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
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    • DEP11 - Artículos de revista [243]
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    Attribution-NonCommercial-NoDerivatives 4.0 InternacionalLa licencia del ítem se describe como Attribution-NonCommercial-NoDerivatives 4.0 Internacional

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