Prevalence and factors associated with the use of primary headache diagnostic criteria by chiropractors

Moore, Craig; Leaver, Andrew; Sibbritt, David; Adams, Jon

doi:10.1186/s12998-019-0254-y

Chiropractic & Manual Therapies

Table 5 Headache management characteristics across the use of ICHD primary headache diagnostic criteria

From: Prevalence and factors associated with the use of primary headache diagnostic criteria by chiropractors

Chiropractic headache management		Used diagnostic criteria for primary headache types
Chiropractic headache management		No (n = 61)	Yes (n = 334)	p-value
Chiropractic headache management - migraine		%	%
Manual adjusting/manipulation (including Diversified, Gonstead)	Never	7	5	0.751
	Rarely	14	12
	Often	45	51
	Almost every migraine patient	34	32
Non-thrust spinal mobilisations	Never	18	9	0.001
	Rarely	37	19
	Often	34	58
	Almost every migraine patient	11	14
Instrument adjusting	Never	14	9	0.407
	Rarely	18	18
	Often	48	58
	Almost every migraine patient	20	14
Drop piece, Thompson or similar	Never	29	29	0.944
	Rarely	34	37
	Often	22	28
	Almost every migraine patient	5	6
Massage, myofascial technique, stretching or trigger-points to neck/shoulder area	Never	9	2	< 0.001
	Rarely	25	9
	Often	48	42
	Almost every migraine patient	18	47
Electro-physical therapies (TENS, ultrasound etc)	Never	89	77	0.236
	Rarely	9	15
	Often	2	7
	Almost every migraine patient	0	2
Soft tissue or exercise therapy to temporomandibular region	Never	29	5	< 0.001
	Rarely	20	27
	Often	41	54
	Almost every migraine patient	11	14
Prescriptive exercises for the neck/shoulder region	Never	14	2	< 0.001
	Rarely	20	14
	Often	46	52
	Almost every migraine patient	20	33
Advice on stress management	Never	2	0	0.019
	Rarely	16	9
	Often	59	51
	Almost every migraine patient	23	41
Advice on diet or fitness	Never	2	1	0.057
	Rarely	12	14
	Often	64	49
	Almost every migraine patient	21	37
Advice on Headache triggers	Never	0	0	0.005
	Rarely	14	5
	Often	52	45
	Almost every migraine patient	34	50
Chiropractic headache management - tension headache
Manual adjusting/manipulation (including Diversified, Gonstead)	Never	9	4	0.291
	Rarely	11	7
	Often	36	42
	Almost every tension headache patient	45	47
Non-thrust spinal mobilisations	Never	27	11	0.003
	Rarely	27	21
	Often	38	52
	Almost every tension headache patient	9	16
Instrument adjusting	Never	14	11	0.810
	Rarely	20	18
	Often	48	55
	Almost every tension headache patient	18	16
Drop piece, Thompson or similar	Never	32	35	0.662
	Rarely	25	27
	Often	38	30
	Almost every tension headache patient	5	8
Massage, myofascial technique, stretching or trigger-points to neck/shoulder area	Never	5	3	< 0.001
	Rarely	27	6
	Often	43	40
	Almost every tension headache patient	25	51
Electro-physical therapies (TENS, ultrasound etc)	Never	89	79	0.374
	Rarely	9	13
	Often	2	6
	Almost every tension headache patient	0	2
Soft tissue or exercise therapy to temporo- mandibular region	Never	18	8	0.017
	Rarely	32	25
	Often	43	50
	Almost every tension headache patient	7	18
Prescriptive exercises for the neck/shoulder region	Never	11	1	< 0.001
	Rarely	20	8
	Often	45	45
	Almost every tension headache patient	25	46
Advice on stress management	Never	2	0	0.002
	Rarely	14	9
	Often	59	42
	Almost every tension headache patient	25	49
Advice on diet or fitness	Never	2	2	0.480
	Rarely	11	11
	Often	59	48
	Almost every tension headache patient	29	39
Headache triggers advice	Never	7	0	< 0.001
	Rarely	14	7
	Often	46	47
	Almost every tension headache patient	32	46

Back to article page

ISSN: 2045-709X

Contact us

Submission enquiries: Access here and click Contact Us
General enquiries: info@biomedcentral.com