Thesis (Ph. D.)--University of Wisconsin--Madison, 1982. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 89-101).

Thesis (Ph. D.)--West Virginia University, 2009. / Title from document title page. Document formatted into pages; contains x, 155 p. : ill. Includes abstract. Includes bibliographical references (p. 129-155).

Introduction: Headache is one of the most common disorders of the nervous system and several of its subtypes lead to substantial levels of disability. Cervicogenic headache is a condition characterised by chronic hemi-cranial pain that is referred to the head from either bony structures or soft tissues of the neck. One of the common factors associated with all forms of headaches is the presence of trigger points. The aim of this study was to compare the sensitivity of trigger points, descriptive characteristics and level of disability in patients with cervicogenic and in patients with non-cervicogenic headaches. Methodology: The study was conducted as a quantitative, cross sectional, descriptive study. Forty participants (20 with cervicogenic and 20 non-cervicogenic headache) were included into this study sample. The classification of patients as having cervicogenic or non-cervicogenic headache was done according to the guidelines of Zito et al (2006). The sensitivity of trigger points in the upper trapezius, sternocleidomastoid, posterior cervical and temporalis muscles were established using a hand-held digital algometer with 1cm2 round head. Their level of disability was compared using the Henry Ford Headache Disability Inventory (HDI). The demographic and clinical presentation of both the groups was also compared including age, sex, duration of headache and pain rate scale. The above mentioned variables were compared using student t-test and chi-square test. Results: Descriptive characteristics, pain intensity and level of disability did not attain a statistical significant difference between the two groups. The results found evidence of a statistically significant difference with respect to trigger points sensitivity in right upper trapezius (p=0.02) and left upper trapezius (p=0.01). The sensitivity of trigger points of upper trapezius were higher in cervicogenic groups but none of the other muscles tested showed difference in sensitivity between both groups. Discussion Similarities in the descriptive characteristics, pain intensity and level of disability of both groups suggest that both types of headaches cannot be differentiated in terms of a specific age, sex, body mass index, pain intensity or level of disability. Increased sensitivity of trigger points especially in upper trapezius may be used as an additional diagnosing factor of cervicogenic headache group. Conclusion: The results of this study found that patients with cervicogenic headache had an increased sensitivity of the upper trapezius muscles compared to patients with non-cervicogenic headache. Since physiotherapists play an important role in the treatment of trigger points the value of physiotherapy treatment in the management of cervicogenic headache releasing the trigger points in the upper trapezius may result in a decrease in symptoms and an associated improvement in quality of life.

Thesis (M.A.)--Marshall University, 2002. / Title from document title page. Document formatted into pages; contains iii, 21 p. Includes bibliographical references (p. 13-16).

Thesis (M.S.)--Ohio University, November, 2009. / Release of full electronic text on OhioLINK has been delayed until December 1, 2011. Title from PDF t.p. Includes bibliographical references.

Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Homoeopathy, Technikon Natal, 1997. / The purpose of this placebo controlled study was to determine the efficacy of Similimum treatment on the treatment of recurrent headaches with reference to the patient's response and perception to treatment in'order to determine the effectiveness of the treatment methods and the management of recurrent headaches in patients. Thirty patients with recurrent headaches were admitted onto the study if they suffered from recurrent headaches at least one or more a month. Patients were recruited by means of advertising in local newspapers, shopping centres and libraries. After an initial consultation which included a detailed case history and physical examination, a double blind, random procedure assured that thirty patients were allocated to one of the two experimental groups ( i.e. fifteen in each group ). One of the groups received Similimum treatment and the other received placebo treatment for a period of three months. Treatment commenced one week after the initial consultation, in order to allow for time to evaluate the case and to prescribe the remedies accurately. The patients were seen regularly during the three-month period ( every two weeks) to evaluate their progress. The patients were given two questionnaires, one describing their headache characteristics and the other their perception changes towards their headaches. The questionnaire describing their headache characteristics (Appendix A) was filled in at the initial consultation and this information was used to select each patient's simillimum remedy, these characteristics tended to stay the stay the same throughout the study. / M

A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 1998. / Headaches are very common in today's society and of all presenting types of headaches, tension - type headaches are the most common. At a neurologic outpatient clinic 40% of 1152 of all patients referred had tension-type headache (Lance et al. 1965). The purpose of this study was to determine if manual traction is an effective adjunct to the chiropractic treatment (the adjustment) of tension - type headaches, and to determine if the adjustment alone or the adjustment and manual traction have an effect on tension - type headaches. It was hypothesised that the combination of manual traction and adjustments would be more effective than adjustments alone. The study was a randomised, uncontrolled clinical trial conducted at the Technikon Natal Chiropractic Day Clinic. Thirty patients, presenting with tension - type headaches, were selected for the study and randomly allocated to two groups of fifteen each. Patients in Group A received adjustmen~s and Group B r~eived adjustments and manual traction as treatment. The subjective findings of the patients were recorded by means of the Short - form McGill Pain Questionnaire, the CMCC Neck Disability Index, the Numerical Pain Rating Scale 101 and the Headache Diary. The first three questionnaire were completed by the patients \xE1t the beginning of the first, fifth, final and follow up consultations. The Headache Diary, on the other hand, was completed on a daily basis by the patients for the period of the study. Objective findings consisted of the six cervical ranges of motion obtained by means of the Cervical Range of Motion Instrument (CROM). / M

A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2001. / Episodic tension-type headache is more prevalent than chronic tension-type headache (Schwartz, et al. 1998). The exact causes of episodic tension-type headaches are not known (Headache Classification Committee, 1988:30-31). Episodic tension-type headache and chronic tension-type headache have different characteristics. Thus the mechanism of episodic tension-type headache is still unclear, and should be studied separately from chronic tension-type headache (Kim, et al. 1995). Presently, studies conflict with regard to spinal manipulation and its efficacy in the treatment of episodic tension-type headache. Therefore, the purpose of this study was to investigate the relative effectiveness of 500mg of acetylsalicylic acid as opposed to cervical spine manipulation for the treatment of episodic tension-type headache. It was hypothesized that manipulation would provide a significantly greater immediate and short-term benefit in comparison to acetylsalicylic acid. This study was conducted as a clinical trial at the Technikon Natal Chiropractic Day Clinic. Sixty patients presenting with episodic tension-type headaches were selected and randomly allocated into two equal groups. Patient's were provided with one of the two treatments at the initial consultation, and again upon a second consultation after a minimum 'washout period' of forty-eight hours, but within two weeks. Patient's in Group 1 received cervical spine manipulation, whereas patients in Group 2 received 500mg of acetylsalicylic acid. The subjective responses of each patient were recorded by means of the Short-form McGill Pain Questionnaire, the Numerical Pain Rating Scale, the CMCC Neck / M

A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2001. / Episodic tension-type is a highly prevalent condition with a significant functional impact at home and school (Schwartz et al. 1998). In children as in adults, it is the most common form of headache that a chiropractor will encounter in clinical practice (Davies 2000). The purpose of this study was to investigate the relative effectiveness of chiropractic manipulation in conjunction with soft tissue treatment, as compared with soft tissue treatment alone, in the management of Episodic tension-type headache in children and adolescents. It was hypothesised that manipulation in conjunction with soft tissue treatment would provide a significant long-term benefit in comparison to soft tissue treatment alone. This study was performed as a clinical trial conducted at the Technikon Natal Chiropractic Day Clinic. Thirty children between the ages of eight to eighteen presenting with Episodic tension-type headache were selected to participate in the study and were randomly allocated into two equal groups. Patients in both groups were treated six times over a period of three weeks and were monitored with respect to their headache using a headache diary for one week prior to and one week following the course of treatment. A final assessment was performed once the patients had completed the headache diary for the second time. Both groups received a ten minute massage of the cervical and upper thoracic musculature, while patients in group A received chiropractic manipulation of the cervical and upper thoracic spine as well. / M

Thesis (M.App.Sc. in Physiotherapy)--University of South Australia, 1996.