Show simple item record

dc.contributor.authorvon Piekartz, Harry
dc.contributor.authorHall, Toby
dc.identifier.citationvon Piekartz, Harry and Hall, Toby. 2013. Orofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: A randomized controlled trial. Manual Therapy. 18 (4): pp. 345-350.

There is evidence that temporomandibular disorder (TMD) may be a contributing factor to cervicogenic headache (CGH), in part because of the influence of dysfunction of the temporomandibular joint on the cervical spine. The purpose of this randomized controlled trial was to determine whether orofacial treatment in addition to cervical manual therapy, was more effective than cervical manual therapy alone on measures of cervical movement impairment in patients with features of CGH and signs of TMD. In this study, 43 patients (27 women) with headache for more than 3-months and with some features of CGH and signs of TMD were randomly assigned to receive either cervical manual therapy (usual care) or orofacial manual therapy to address TMD in addition to usual care. Subjects were assessed at baseline, after 6 treatment sessions (3-months), and at 6-months follow-up. 38 subjects (25 female) completed all analysis at 6-months follow-up. The outcome criteria were: cervical range of movement (including the C1-2 flexion-rotation test) and manual examination of the upper 3 cervical vertebra. The group that received orofacial treatment in addition to usual care showed significant reduction in all aspects of cervical impairment after the treatment period. These improvements persisted to the 6-month follow-up, but were not observed in the usual care group at any point. These observations together with previous reports indicate that manual therapists should look for features of TMD when examining patients with headache, particularly if treatment fails when directed to the cervical spine.

dc.publisherChurchill Livingstone
dc.subjectmanual therapy
dc.subjectcervicogenic headache
dc.subjectTemporomandibular disorder
dc.titleOrofacial manual therapy improves cervical movement impairment associated with headache and features of temporomandibular dysfunction: A randomized controlled trial
dc.typeJournal Article
dcterms.source.titleManual Therapy

NOTICE: this is the author’s version of a work that was accepted for publication in Manual Therapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Manual Therapy, Vol. 18, No. 4 (2013). DOI: 10.1016/j.math.2012.12.005

curtin.accessStatusOpen access

Files in this item


This item appears in the following Collection(s)

Show simple item record