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The relative effectiveness of cervical spine manipulation and a nonsteroidal anti-inflammatory drug (Ibuprofen) in the treatment of episodic tension-type headaches

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dc.contributor.advisor Korporaal, Charmaine Maria
dc.contributor.author Legoete, Kgosietsile
dc.date.accessioned 2010-09-07T07:17:59Z
dc.date.available 2012-09-01T22:20:06Z
dc.date.issued 2010
dc.identifier.other 326253
dc.identifier.uri http://hdl.handle.net/10321/523
dc.description Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic, Durban University of Technology, 2010. en_US
dc.description.abstract The 1 year overall prevalence of Episodic Tension-Type Headache (ETTH) is 38.3%; with lifetime prevalence at 46% for TTH. Little literature exists to support the effectiveness of spinal manipulation in the treatment of ETTH. Therefore aim of this study was to determine the relative effectiveness of cervical spine manipulation and a Nonsteroidal Anti-inflammatory drug (NSAID) (Ibuprofen®) in the treatment of ETTH. Method: This study was a prospective randomised clinical trial with two intervention groups (N=32, n1=16 and n2=16). The allocation of participants to the two groups was completed by means of simple randomization. Group one were treated using cervical spine manipulation. Group two were treated using Ibuprofen. Subjective measurements included the Numerical Rating Scale 101 Questionnaire (NRS-101), Short Form McGill Pain Questionnaire (SF-MPQ), CMCC Neck Disability Index (CMCC) and Headache Diary. A p value <0.05 was considered as statistically significant. Results: The subjective measurements of the NRS-101, SF-MPQ and CMCC showed a significant time effect in both treatment groups. Several of the subjective Headaches Diary outcomes followed this trend with significant time effect in both groups. There was a significant treatment effect for the NRS-101. Several subject outcomes from the Headache Diary showed a significant treatment effect in favour of manipulation, namely frequency and duration of headaches. Conclusion: The findings in this study have shown that cervical spine manipulation is more effective than Ibuprofen® for the treatment of ETTH in terms of several subjective outcomes namely: pain intensity (NRS-101), and the frequency and the duration of headache per day. en_US
dc.format.extent 105 p en_US
dc.language.iso en en_US
dc.subject Chiropractic en_US
dc.subject Tension-type headache en_US
dc.subject NSAIDs en_US
dc.subject Ibuprofen® en_US
dc.subject.lcsh Chiropractic en_US
dc.subject.lcsh Tension headache--Chiropractic treatment en_US
dc.subject.lcsh Spinal adjustment en_US
dc.subject.lcsh Manipulation (Therapeutics) en_US
dc.subject.lcsh Ibuprofen en_US
dc.subject.lcsh Pain--Measurement en_US
dc.subject.lcsh Nonsteroidal anti-inflammatory agents en_US
dc.title The relative effectiveness of cervical spine manipulation and a nonsteroidal anti-inflammatory drug (Ibuprofen) in the treatment of episodic tension-type headaches en_US
dc.type Thesis en_US
dc.dut-rims.pubnum DUT-000386


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