The effect Of cervical spine chiropractic manipulation in conjunction with muscle energy technique of the suboccipital muscles in the treatment of tension - type headaches

Abstract: OBJECTIVE: The aim of the study was to determine the efficacy of cervical spine chiropractic manipulation and muscle energy technique of the suboccipital muscles in relieving tension-type headaches. This study was also used to determine which treatment protocol would be most effective in relieving tension-type headaches, cervical spine chiropractic manipulation, muscle energy technique of the suboccipital muscles or a combination of both treatment protocols. STUDY DESIGN: A randomized clinical study was used in this research study. SETTING: University of Johannesburg, Chiropractic Day Clinic, Johannesburg, South Africa. SUBJECTS: A total of thirty participants were used, male and female, between the ages of 18-50. The participants were divided into three groups, with each group consisting of ten participants. Group 1 received cervical spine manipulations; Group 2 received muscle energy technique of the suboccipital muscles and Group 3 a combination of cervical spine manipulation and muscle energy technique of the suboccipital muscles. METHODS: Prior to becoming a participant, each individual was assessed according to an inclusion and exclusion criteria. Thereafter participants had to read and sign relevant information and consent forms. A full case history, physical examination and cervical spine regional examination was then completed. PROCEDURE: Subjective data was collected from the participants using the Numerical Pain Rating Scale and the Headache Impact Questionnaire. Objective data was collected from the participants by using the Cervical Range of Motion Device and Pressure Algometer. Objective and subjective data was collected prior to the 1st and 4th treatment consultations and at the 7th final consultation. Each participant was treated six times, over a three-week period depending on the group they fell into. An additional 7th consultation was done to obtain objective and subjective data...M.Tech. (Chiropractic