The efficacy of cervical adjustments (toggle recoil) for chronic cervicogenic headaches

Whittingham, W 1997, The efficacy of cervical adjustments (toggle recoil) for chronic cervicogenic headaches, Doctor of Philosophy (PhD), Health Sciences, RMIT University.


Document type: Thesis
Collection: Theses

Title The efficacy of cervical adjustments (toggle recoil) for chronic cervicogenic headaches
Author(s) Whittingham, W
Year 1997
Abstract OBJECTIVE A randomised controlled clinical trial was used to investigate the chiropractic management of chronic cervicogenic headaches. Particular attention was paid to: O evaluating the efficacy of adjusting the atlas (Cl) and/or axis (C2) vertebrae only, using the ‘Toggle Recoil’ adjustment and placebo control; © assessing the diagnostic usefulness of self-report questionnaires for evaluating psychosocial behavior, neck disability, area of head and neck pain, and pain intensity; © assessing the diagnostic usefulness of objective measurements, for evaluating cervical range of motion and pressure algometry recordings; © assessing short and long term patient satisfaction with the chiropractic management of chronic cervicogenic headaches. DESIGN A five phase randomised crossover design was employed with each phase being conducted over a three week period.

The first phase consisted of a baseline assessment, followed in the second phase by either a placebo treatment (group 1) ora toggle recoil treatment (group 2). The third phase consisted of a toggle recoil treatment for group 1 or a washout (no treatment) for group 2. The fourth phase consisted of a washout for group 1 or a placebo treatment for group 2. The fifth phase was post treatment follow up. At the initial consultation each subject was examined using cervical x-rays and objective measurements, and was then requested to complete self-report questionnaires. Each subject was instructed to monitor their headaches on a daily basis and record their experience in a diary. Objective and subjective measurements were conducted at the end of each phase of the trial. An 8 and 24 month post treatment questionnaire was sent to each volunteer.
Degree Doctor of Philosophy (PhD)
Institution RMIT University
School, Department or Centre Health Sciences
Keyword(s) cervical adjustments
cervicogenic headaches
Toggle Recoil
cervical xrays
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Created: Mon, 17 Oct 2016, 10:14:33 EST by Denise Paciocco
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