Proprioceptive training added to physiotherapy reduced cervicogenic headache frequency and duration in small RCT
This randomized controlled trial enrolled 38 adults aged 35-49 years with cervicogenic headache. Participants were assigned to receive either standard physiotherapy alone or standard physiotherapy plus gaze direction recognition-based proprioceptive training for 8 weeks, with 3 sessions per week in both groups. The primary outcome was not explicitly stated. Outcomes were assessed immediately post-intervention.
The group receiving the combined intervention showed statistically significant greater improvements compared to the physiotherapy-only group across all measured secondary outcomes. For headache frequency and headache duration, significant group × time interaction effects were reported (frequency: F(1,32)=7.61, P=0.010; duration: F(1,32)=7.43, P=0.010). A significant interaction effect was also found for center-of-pressure path length, a measure of postural balance (F(1,32)=130.0, P<0.001). The abstract did not report the absolute numbers, mean changes, or effect sizes for these clinical outcomes.
Safety and tolerability data, including adverse events and discontinuations, were not reported. Key limitations include the small sample size (n=38), the lack of long-term follow-up data, and the absence of a clearly defined primary outcome. The funding source and potential conflicts of interest were also not reported. While the RCT design supports a causal interpretation within the trial, the practice relevance is restrained by the small scale, missing safety information, and unquantified magnitude of clinical benefit.
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