「7歳から14歳までの小児の慢性頭痛に対するカイロプラクティック・マニピュレーションと偽マニピュレーションの効果」：ランダム化臨床試験
新たなランダム化臨床試験では、カイロプラクティック脊椎マニピュレーションが小児の再発性の頭痛を軽減することを示しました。
カイロプラクティック脊椎マニピュレーションと偽マニピュレーションを受けるグループに分かれて4か月間施術を受けたところ、カイロプラクティック脊椎マニピュレーションを受けたグループは頭痛の発症日数が大きく減り、評価法でも全体的な改善が見られました。
ただし、頭痛の強さに関しては違いが出ませんでした。
CHIROPRACTIC SPINAL MANIPULATION REDUCES HEADACHE FREQUENCY IN CHILDREN, NEW RCT SHOWS. The results of a randomized controlled trial [1], published in Chiropractic and Manual Therapies, has found that when compared to sham manipulation, spinal manipulation provided by chiropractors reduces frequency and has a greater perceived global effect.
The two-armed, single blinded randomized controlled trial, conducted in Denmark, involved 199 children aged 7-14 years, all of whom had suffered at least one headache per week for at least six months and had an identified musculoskeletal dysfunction.
All participants received information (oral and written) on how to reduce headaches. Children in the active treatment group received chiropractic spinal manipulation and children in the sham group received sham manipulation over a 4-month period.
The chiropractic spinal manipulation group experienced significantly fewer days with headaches and better global perceived effect than the sham group. No difference was identified in relation to the intensity of the headaches.
Only minor side effects were experienced in the spinal manipulation group. It was concluded on the basis of safety and effectiveness that chiropractic spinal manipulation be considered for children suffering recurrent headaches.
Reference [1]: Lynge S, Boe Dissing K, Vach W, Christensen HW, Hestbaek L. Effectiveness of chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7-14 years - a randomised clinical trial. Chiro Man Ther 2021: 29(1) https://doi.org/10.1186/s12998-020-00360-3 (open access)