RT info:eu-repo/semantics/article
T1 Is chiropractic spinal manipulation effective for the treatment of cervicogenic, tension-type, or migraine headaches? A systematic review
A1 Ceballos Laita, Luis
A1 Ernst, Edzard
A1 Carrasco Uribarren, Andoni
A1 García García, Daniel
A1 Jiménez del Barrio, Sandra
K1 Chiropractic
K1 Spinal manipulation
K1 Headache
K1 Systematic review
K1 32 Ciencias Médicas
AB 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
PB Elsevier
SN 1876-3820
YR 2025
FD 2025
LK https://uvadoc.uva.es/handle/10324/77007
UL https://uvadoc.uva.es/handle/10324/77007
LA eng
NO European Journal of Integrative Medicine, 2025, vol. 76, p. 102462
NO Producción Científica
DS UVaDOC
RD 23-ago-2025