title: [Comparative study on effects of manipulation treatment and transcutaneous electrical nerve stimulation on patients with cervicogenic headache].
abstract: OBJECTIVE
  To compare the effects of manipulation treatment and transcutaneous electrical nerve stimulation (TENS) on patients with cervicogenic headache.
  
  
  METHODS
  Seventy patients with cervicogenic headache were randomly allocated to receive manipulation treatment and TENS treatment, which were given every other day respectively for total 40 days. The headache degree (numeric rating scale, NRS), frequency, lasting time and the range of motion (ROM) of the cervical spine 2 weeks before treatment and 4 weeks after treatment, were compared.
  
  
  RESULTS
  Before treatment, there were no significant differences in the headache NRS scores , frequency, lasting time and the ROM scores between the two groups (P>0.05). After treatment, the headache NRS score, frequency, lasting time in the manipulation group decreased significantly (P<0.01), while in the TENS group just the headache NRS score decreased significantly (P<0.05). The ROM scores in both groups showed no significant changes (P>0.05). The response rate of manipulation treatment is 94.5%, significantly higher than 64.5% of TENS treatment (P<0.05).
  
  
  CONCLUSIONS
  The manipulation treatment is an effective method for patients with cervicogenic headache.
authors.affiliation: Rehabilitation Center, Naval Convalescent Hospital of People's Liberation Army, Hangzhou, Zhejiang Province 310002, China. chenlihzhl@sina.com
authors.forename: Chen
authors.initials: C
authors.lastname: Li
authors.forename: Xiu-ling
authors.initials: XL
authors.lastname: Zhang
authors.forename: Hong
authors.initials: H
authors.lastname: Ding
authors.forename: Yue-qiang
authors.initials: YQ
authors.lastname: Tao
authors.forename: Hong-sheng
authors.initials: HS
authors.lastname: Zhan
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae; D005260:Female; D006261:Headache / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D055009:Spondylosis / Q000150:complications*; D004561:Transcutaneous Electric Nerve Stimulation