Evidence map›Paper›PMID 41398826›Full record

ArticleMedicine2025

Immediate analgesic effect of cervical localized rotation manipulation combined with cervical Huatuo-Jiaji electroacupuncture on cervicogenic headache.

Chao Zhong, Fang Zhu, Qian Liang

Abstract read
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Chao ZhongDepartment of Pain Management, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine (Sichuan Provincial Hospital of Traditional Chinese Medicine), Chengdu, Sichuan Province, China.
Fang ZhuDepartment of Pain Management, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine (Sichuan Provincial Hospital of Traditional Chinese Medicine), Chengdu, Sichuan Province, China.
Qian LiangDepartment of Pharmacy, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine (Sichuan Provincial Hospital of Traditional Chinese Medicine), Chengdu, Sichuan Province, China.ORCID 0009-0009-2339-7630

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to evaluate the immediate analgesic effect and safety of cervical localized rotation manipulation (CLRM) combined with cervical Huatuo-Jiaji electroacupuncture (CHJE) on cervicogenic headache (CEH) in a retrospective controlled study. A total of 300 patients with CEH who visited the pain and rehabilitation departments of a hospital from July 2024 to March 2025 were included and assigned to 3 groups according to their received treatments: CLRM, CHJE, and combined CLRM + CHJE (100 cases each). Primary outcomes included headache intensity (visual analog scale, VAS), pressure pain threshold, and somatosensory evoked potential-N13 latency. Secondary measures were cervical range of motion, serum β-endorphin and 5-hydroxytryptamine levels, headache frequency and duration, and adverse events. All groups showed significant improvement immediately after treatment, while the combined CLRM + CHJE group exhibited greater reductions in VAS scores, higher pressure pain threshold, and shorter somatosensory evoked potential-N13 latency compared with single interventions. The immediate analgesic response rate (≥50% VAS reduction) was highest in the combined group (71%). The combined therapy also improved cervical mobility, elevated serum β-endorphin and 5-hydroxytryptamine levels, and reduced associated symptoms. Only mild, self-limited adverse events were observed, with no serious complications reported. This retrospective controlled study suggests that CLRM combined with CHJE may provide superior immediate pain relief and functional improvement for patients with CEH compared with either treatment alone. The combined protocol appears to be safe, rapid in onset, and well tolerated. However, these findings reflect only short-term outcomes and should be interpreted cautiously until confirmed by prospective studies with long-term follow-up.

Indexed as

ElectroacupunctureManipulation, SpinalPost-Traumatic HeadacheAdultbeta-EndorphinCervical VertebraeCombined Modality TherapyEvoked Potentials, SomatosensoryFemaleHumansMaleMiddle AgedPain MeasurementRange of Motion, ArticularRetrospective StudiesTreatment Outcomebeta-Endorphin5-hydroxytryptaminecervical Huatuo–Jiaji electroacupuncturecervical localized rotation manipulationcervicogenic headacheimmediate analgesiaβ-endorphin

Identifiers

PMID41398826
PMCPMC12708196

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Registered trials

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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.