ChiroACCESS Clinical Review

Parker College of Chiropractic Research Institute

Parker College of Chiropractic is a nonprofit, co-educational, private professional institution of higher education. The purpose of the College is the preparation of men and women to become Doctors of Chiropractic, who will then serve as primary health care providers and perpetuate chiropractic services worldwide for the benefit of all mankind.

Parker College is committed to the maintenance of chiropractic as a separate and distinct healing art which addresses primarily the location and detection of spinal misalignments, dysfunctions and subluxations affecting neural integrity. Correction is achieved by either force or non-force spinal and/or extraspinal techniques.

The integration of this wellness philosophy principle is woven through the basic science, chiropractic science, clinical science and techniques department.

Cervicogenic Headache: Prevention

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s):

Dwain M. Daniel, D.C.

Dwain M. Daniel, D.C.

Dr. Dwain Daniel graduated from Cleveland Chiropractic College in 1981 and opened his private practice in San Antonio, Texas in 1982. He was in solo practice until 2000 when he accepted the position of Associate Director of Research at Parker College of Chiropractic. In 2002 he was selected as the Chairperson for the Department of Diagnosis and Clinical Applications. In 2006 he returned to the Research Institute to become the Research-Faculty Liaison for the college. His primary mission is to develop reviews on evidence-based prevention, diagnosis and treatment of a variety of commonly encountered conditions and to assist faculty research. This new and unique position is critical to the educational process in a rapidly changing information and evidence based health care environment. Dr. Daniel received his B.A. degree from Texas State University, is a past President of the Texas Chiropractic Association, District 10, and has earned a Chiropractic Certification in Spinal Trauma (CCST). He has had several papers published in the peer reviewed press and teaches informatics and evidence-based practice to chiropractors throughout the United States.

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Strength of Recommendation Taxonomy (SORT)

Legend:

A = consistent, good quality patient oriented evidence;

B = inconsistent or limited quality patient oriented evidence;

C = consensus, disease oriented evidence, usual practice, expert opinion or case series;

D = all or the preponderance of existing evidence is negative.

For more information on the Strength of Recommendation Taxonomy (SORT), please click here.

Published on

January 2, 2007

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The recognition of cervicogenic headache (CH) as a distinct and separate form of headache is relatively recent. First mentioned in the literature in the late 1940s, it wasn’t until 1983 that the descriptive term “cervicogenic headache” was coined by Sjaastad et al (1). Many conditions have existed throughout the ages, yet have only limited information as to risk factors and prevention. It should not be surprising that only one risk factor--trauma, usually whiplash injury--has been published in the scientific literature for CH.

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References

Sjaastad O, Saunte C., Hovdahl H et al. "Cervicogenic" headache. A hypothesis. Cephalalgia 1983; 55:841-848.

Chou LH, Lenrow DA. Cervicogenic headache. Pain Physician 2002; 5(2):215-225.

Lord SM, Barnsley L, Wallis BJ, Bogduk N. Third occipital nerve headache: a prevalence study. J Neurol Neurosurg Psychiatry 1994; 57(10):1187-1190.

Incidence

The proportion of new cases of the target disorder in the population at risk during a specified time interval. It is usual to define the disorder, and the population, and the time, and report the incidence as a rate.

For some examples of incidence studies, two of the best relate to how Parkinson's disease incidence varies with latitude, and how Perthes' disease (a developmental problem of the hip joint affecting younger children) varies with deprivation.