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dc.contributor.authorSureeporn Uthaikhupen_US
dc.contributor.authorJenjira Assapunen_US
dc.contributor.authorKanokwan Watcharasaksilpen_US
dc.contributor.authorGwendolen Jullen_US
dc.date.accessioned2018-09-05T03:50:23Z-
dc.date.available2018-09-05T03:50:23Z-
dc.date.issued2017-01-01en_US
dc.identifier.issn18781632en_US
dc.identifier.issn15299430en_US
dc.identifier.other2-s2.0-84995378033en_US
dc.identifier.other10.1016/j.spinee.2016.08.008en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84995378033&origin=inwarden_US
dc.identifier.urihttp://cmuir.cmu.ac.th/jspui/handle/6653943832/57823-
dc.description.abstract© 2016 Elsevier Inc. Background Context A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for those with cervical musculoskeletal signs who are suspected of having transitional headaches. Purpose This study aimed to determine the effectiveness of a physiotherapy program for seniors with recurrent headaches associated with neck pain and cervical musculoskeletal dysfunction, irrespective of the headache classification. Study Design This is a prospective, stratified, randomized controlled trial with blinded outcome assessment. Patient Sample Sixty-five participants with recurrent headache, aged 50–75 years, were randomly assigned to either a physiotherapy (n=33) or a usual care group (n=32). Outcome Measures The primary outcome was headache frequency. Secondary outcomes were headache intensity and duration, neck pain and disability, cervical range of motion, quality of life, participant satisfaction, and medication intake. Methods Participants in the physiotherapy group received 14 treatment sessions. Participants in the usual care group continued with their usual care. Outcome measures were recorded at baseline, 11 weeks, 6 months, and 9 months. This study was funded by a government research fund of $6,850. No conflict of interest is declared. Results There was no loss to follow-up for the primary outcome measure. Compared with usual care, participants receiving physiotherapy reported significant reductions in headache frequency immediately after treatment (mean difference −1.6 days, 95% confidence interval [CI] −2.5 to −0.6), at 6-month follow-up (−1.7 days, 95% CI −2.6 to −0.8), and at 9-month follow-up (−2.4 days, 95% CI −3.2 to −1.5), and significant improvements in all secondary outcomes immediately posttreatment and at 6- and 9-month follow-ups, (p<.05 for all). No adverse events were reported. Conclusions Physiotherapy treatment provided benefits over usual care for seniors with recurrent headache associated with neck pain and dysfunction.en_US
dc.subjectMedicineen_US
dc.titleEffectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trialen_US
dc.typeJournalen_US
article.title.sourcetitleSpine Journalen_US
article.volume17en_US
article.stream.affiliationsChiang Mai Universityen_US
article.stream.affiliationsKhon Kaen Universityen_US
article.stream.affiliationsUniversity of Queenslanden_US
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