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)