ArticleHeliyon2021
Does restoration of sagittal cervical alignment improve cervicogenic headache pain and disability: A 2-year pilot randomized controlled trial.
Article in Heliyon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- The effectiveness of manual and exercise therapy on headache intensity and frequency among patients with cervicogenic headache: a systematic review and meta-analysis.Chiropractic & manual therapies · 2022Pooled it
- Predictors of cervicogenic headache in patients with chronic neck pain: a prospective study of 6-month follow-up.The Journal of manual & manipulative therapy · 2026Article
- Increased Cervical Disc Height and Decreased Neck Pain and Disability Following Improvement in Cervical Lordosis and Posture Using Chiropractic BioPhysics.Bioengineering (Basel, Switzerland) · 2026Article
- Improvement in Cervical Spinal Alignment and Posture May Redefine Recovery Pathways for Motor Vehicle Collision Whiplash Injury: A Multicenter Retrospective Consecutive Case Series.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Remission of Dowager's hump by manipulative correction of spinal alignment: a case report.Journal of medicine and life · 2023Article
- Cervical sagittal balance after consecutive three-level hybrid surgery versus anterior cervical discectomy and fusion: radiological results from a single-center experience.Journal of orthopaedic surgery and research · 2023Article
- Post-concussion syndrome and concussion incidence improved in a pro rugby player following cervical spine rehab: case study and 6-year follow-up.Concussion (London, England) · 2023Article
- Re-establishing the cervical lordosis after whiplash: a Chiropractic BiophysicsJournal of physical therapy science · 2023Article
- Structural rehabilitation of the cervical lordosis and forward head posture: a selective review of Chiropractic BioPhysicsJournal of physical therapy science · 2022Review
- Reduction of lumbar hyperlordosis in a pediatric: a Chiropractic BiophysicsJournal of physical therapy science · 2022Article
- Is the cervical lordosis a key biomechanical biomarker in cervicogenic headache?: a Chiropractic BiophysicsJournal of physical therapy science · 2022Article
- Improving the cervical lordosis relieves neck pain and chronic headaches in a pediatric: a Chiropractic BiophysicsJournal of physical therapy science · 2022Article
- Radiophobia Overreaction: College of Chiropractors of British Columbia Revoke Full X-Ray Rights Based on Flawed Study and Radiation Fear-Mongering.Dose-response : a publication of International Hormesis SocietyArticle
- The Rationale and Safety of Routine Imaging in Rehabilitative Spine Care: Delayed Radiographs for Patients Presenting With Spine Disorders is Debatable.Dose-response : a publication of International Hormesis SocietyArticle
- Smoke Screen to Distract From Flawed Science: A Response to Côté et al. Over Criticisms to Their Deficient 'Rapid Review' on Chiropractic X-Ray Utility.Dose-response : a publication of International Hormesis SocietyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo investigate the feasibility and effect of a multimodal program for improving chronic cervicogenic headache (CGH) via the addition of sagittal cervical spine alignment correction.
designPilot, parallel-group, randomized controlled trial.
participants60 patients with CGH, straightening of the cervical lordosis, and forward head posture (FHP) were randomly assigned using permuted-block randomization either to a control (n = 30) or an experimental group (n = 30).
interventionsSubjects in both groups received a multimodal program where the denneroll cervical spine extension traction orthotic was added to the experimental group only. Feasibility was assessed through recruitment rate, compliance rate, adherence rate, safety, and global satisfaction in addition to clinical outcome measures: FHP distance, cervical lordosis, headache frequency, headache disability inventory (HDI), headache impact test-6 (HIT-6), and daily defined dose (DDD). Evaluations were performed at: baseline, 10 weeks, 1 year follow up, and 2-year follow up. The assessor was blind to group allocation for all measured outcomes.
resultsThe recruitment rate was 60%, 78 % out of them completed the entire study. The recruited participants complied with 98% of the required visits. No adverse events were recorded and greater overall satisfaction with the interventions was reported. Greater improvements were found for the experimental group's cervical lordosis (f = 259.9,
conclusionThe results indicated feasibility for recruitment rate, compliance rate, exercise session adherence, safety, and global satisfaction. At 1-year and 2-year follow-up, the addition of the denneroll orthotic device revealed positive influence on CGH management outcomes.
trial registrationThe trial was retrospectively registered with the Pan African Clinical Trial Registry (PACTR201605001650300).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.