Vernon H T
Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
J Manipulative Physiol Ther. 1995 Nov-Dec;18(9):611-17.
To review the literature on outcome studies of chiropractic/manipulation for tension-type and migraine headaches.
Qualitative literature review.
Of nine studies of manipulation for tension-type headaches that reported quantitative outcomes, four were randomized clinical trials and five were case series designs. These studies reported on 729 subjects, 613 of whom received manipulation. Outcomes ranged from good to excellent. Manipulation seems to be better than no treatment, some types of mobilization and ice, and it seems to be equivalent to amitriptyline but with greater durability of effect than this medication. Of three studies on migraine, only one was a randomized clinical trial. These studies reported on 202 subjects, 156 of whom received manipulation. The outcomes ranged from fair to very good.
A modest body of clinical studies exists dealing with the effect of manipulation and headache. The overall results are encouraging, even if not quite supportive in the case of tension-type headache. Further studies in this area are definitely warranted, particularly well-controlled studies in migraine.
回顾关于脊椎按摩疗法/手法治疗紧张型头痛和偏头痛的疗效研究文献。
定性文献综述。
在九项报告了定量结果的紧张型头痛手法治疗研究中，四项为随机临床试验，五项为病例系列设计。这些研究涉及729名受试者，其中613人接受了手法治疗。治疗效果从良好到极佳不等。手法治疗似乎优于不治疗、某些类型的松动术和冰敷，且似乎与阿米替林等效，但效果持续时间比该药物更长。在三项偏头痛研究中，只有一项是随机临床试验。这些研究涉及202名受试者，其中156人接受了手法治疗。治疗效果从尚可到非常好不等。
存在一定数量关于手法治疗与头痛关系的临床研究。总体结果令人鼓舞，即便在紧张型头痛方面支持力度不太够。该领域肯定需要进一步研究，尤其是偏头痛方面的严格对照研究。
