Alabama Physical Therapy & Acupuncture
The purpose of this research is to compare two different approaches for treating patients with cervicogenic headaches associated with type II whiplash associated disorder: non-thrust mobilization and exercise versus thrust manipulation and dry needling. Physical therapists commonly use all of these techniques to treat cervicogenic headaches. This study is attempting to find out if one treatment strategy is more effective than the other.
Patients with cervicogenic headaches and type II whiplash associated disorder will be randomized to receive 1-2 treatment sessions per week for 4 weeks (up to 8 sessions total) of either: (1) dry needling and upper cervical high-velocity low-amplitude thrust manipulation, or (2) exercise and non-thrust mobilization.
Inclusion Criteria: 1. Subacute (\> 4 weeks) or chronic type II whiplash associated disorder. Neck pain and headache following motor vehicle accident with reduced range of motion \& point tenderness. 2. Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria. 3. Headache frequency of at least one per week since the whiplash injury. 4. Headache intensity of greater than 2/10 on the NPRS. 5. Neck pain intensity of greater than 2/10 on the NPRS. 6. Neck Disability Index score of greater than 10/50 on the NDI. Exclusion Criteria: 1. WAD I (neck…
HVLA thrust manipulation to upper cervical and upper thoracic regions. Dry needling to cervicothoracic and craniofacial regions. Up to 8 treatment sessions over 4 weeks.
Non-thrust mobilization and exercise to upper cervical and upper thoracic regions. Up to 8 treatment sessions over 4 weeks.
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