PRACTICE PATTERN SURVEY AMONG PHYSICAL THERAPISTS REGARDING CERVICOGENIC HEADACHE.

Authors

  • Tooba Saleem Physiotherapist, Al Zahra clinic
  • Ahmad Raza Doctor of physiotherapy, Superior university Lahore

DOI:

https://doi.org/10.61919/jhrr.v2i1.12

Keywords:

Cervicogenic Headache, Physical Therapy, Practice Patterns, Assessment, Treatment

Abstract

Background: Cervicogenic headache is a prevalent condition that physical therapists commonly treat. However, there is limited research on the identifying or developing practice patterns of physical therapists regarding cervicogenic headache.

Objective: The aim of this study was to survey the practice patterns of physical therapists in Lahore, Pakistan regarding the assessment and treatment of cervicogenic headache.

Methodology: A cross-sectional study was conducted among 270 physical therapists practicing in Lahore. A convenience sampling technique was used, and data was collected using an online questionnaire. The questionnaire covered variables related to diagnosis, treatment, patient satisfaction, and demographic information.

Results: Most patients with cervicogenic headache presented with bilateral symptoms (62.6%) and neck pain or stiffness (50%). Physical therapists commonly provided two sessions per week (50%) and 60-minute session lengths (42.5%) for treatment. Manual therapy was used by 60% of physical therapists. Patient response showed that 55% of patients had significant improvement, while 45% of patients were very satisfied with their treatment. Most physical therapists were female (60%) and had private insurance (65%).

Conclusion: The findings of study gave insight into the practice patterns of physical therapists in Lahore, Pakistan regarding cervicogenic headache. The findings can help in developing evidence-based practice guidelines for the assessment and treatment of cervicogenic headache.

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References

Al Khalili Y, Ly N, Murphy PB. Cervicogenic headache. 2018.

Castejón O, Gonzalez C, Lastre-Amell G, Leal J, Galindez P, Castejon Salones M, et al. Clinical study of cervicogenic headache. 2020.

Fernández-De-Las-Peñas C, Cuadrado ML. Therapeutic options for cervicogenic headache. Expert review of neurotherapeutics. 2014;14(1):39-49.

Cumplido-Trasmonte C, Fernández-González P, Alguacil-Diego I, Molina-Rueda F. Manual therapy in adults with tension-type headache: a systematic review. Neurología (English Edition). 2021;36(7):537-47.

Núñez‐Cabaleiro P, Leirós‐Rodríguez R. Effectiveness of manual therapy in the treatment of cervicogenic headache: A systematic review. Headache: The Journal of Head and Face Pain. 2022;62(3):271-83.

Verma S, Tripathi M, Chandra PS. Cervicogenic headache: Current perspectives. Neurology India. 2021;69(7):194.

Dale PC, Thomas JC, Hazle CR. Physical therapist clinical reasoning and classification inconsistencies in headache disorders: a United States survey. Journal of Manual & Manipulative Therapy. 2020;28(1):28-40.

Corkery MB, Edgar KL, Smith CE. A survey of physical therapists’ clinical practice patterns and adherence to clinical guidelines in the management of patients with whiplash associated disorders (WAD). Journal of Manual & Manipulative Therapy. 2014;22(2):75-89.

Blumenfeld A, Siavoshi S. The challenges of cervicogenic headache. Current pain and headache reports. 2018;22:1-5.

Fernandez M, Moore C, Tan J, Lian D, Nguyen J, Bacon A, et al. Spinal manipulation for the management of cervicogenic headache: A systematic review and meta‐analysis. European Journal of Pain. 2020;24(9):1687-702.

Bier JD, Scholten-Peeters WG, Staal JB, Pool J, van Tulder MW, Beekman E, et al. Clinical practice guideline for physical therapy assessment and treatment in patients with nonspecific neck pain. Physical therapy. 2018;98(3):162-71.

Bini P, Hohenschurz-Schmidt D, Masullo V, Pitt D, Draper-Rodi J. The effectiveness of manual and exercise therapy on headache intensity and frequency among patients with cervicogenic headache: a systematic review and meta-analysis. Chiropractic & Manual Therapies. 2022;30(1):1-33.

Carlesso LC, MacDermid JC, Gross AR, Walton DM, Santaguida PL. Treatment preferences amongst physical therapists and chiropractors for the management of neck pain: results of an international survey. Chiropractic & Manual Therapies. 2014;22:1-15.

Gattie E, Cleland JA, Snodgrass S. A survey of American physical therapists’ current practice of dry needling: Practice patterns and adverse events. Musculoskeletal Science and Practice. 2020;50:102255.

Grandhi RK, Kaye AD, Abd-Elsayed A. Systematic review of radiofrequency ablation and pulsed radiofrequency for management of cervicogenic headaches. Current Pain and Headache Reports. 2018;22:1-9.

Haas M, Bronfort G, Evans R, Schulz C, Vavrek D, Takaki L, et al. Dose-response and efficacy of spinal manipulation for care of cervicogenic headache: a dual-center randomized controlled trial. The Spine Journal. 2018;18(10):1741-54.

Herranz-Gómez A, García-Pascual I, Montero-Iniesta P, Touche RL, Paris-Alemany A. Effectiveness of exercise and manual therapy as treatment for patients with migraine, tension-type headache or cervicogenic headache: an umbrella and mapping review with meta-meta-analysis. Applied Sciences. 2021;11(15):6856.

Yorke AM, Littleton S, Alsalaheen BA. Concussion attitudes and beliefs, knowledge, and clinical practice: survey of physical therapists. Physical therapy. 2016;96(7):1018-28.

Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, et al. Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. Journal of Physical Therapy Science. 2019;31(4):376-81.

Watson JC. Cervicogenic headache. UpToDate Waltham, MA: UpToDate. 2020.

Goyal S, Kumar A, Mishra P, Goyal D. Efficacy of interventional treatment strategies for managing patients with cervicogenic headache: a systematic review. Korean Journal of Anesthesiology. 2022;75(1):12-24.

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Published

2022-06-30

How to Cite

Tooba Saleem, & Ahmad Raza. (2022). PRACTICE PATTERN SURVEY AMONG PHYSICAL THERAPISTS REGARDING CERVICOGENIC HEADACHE. Journal of Health and Rehabilitation Research, 2(1), 1–7. https://doi.org/10.61919/jhrr.v2i1.12