SynthesisJournal of integrative and complementary medicine2026
Chiropractic Management of Adults with Cervicogenic or Tension-Type Headaches: Development of a Clinical Practice Guideline.
Synthesis in Journal of integrative and complementary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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
1 citing paper in PubMed.
- Association between spinal manipulative therapy and cervical artery dissection in patients with neck pain or headache: a retrospective cohort study.Chiropractic & manual therapies · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundChiropractors commonly manage cervicogenic headache (CGH) and tension-type headache (TTH) using nonpharmacological interventions such as spinal manipulative therapy. However, dedicated guidelines on chiropractic management of headaches are outdated.
methodsWe first conducted an umbrella review. A search for systematic reviews and clinical practice guidelines on nonpharmacological interventions for adults with CGH or TTH published from 2017 to August 2023 was conducted. At least two authors independently performed article screening, risk of bias/quality assessment, certainty of evidence, and data extraction. A steering committee developed statements from the synthesized data and seed documents, which were refined by anonymous feedback from a 57-member Delphi panel until reaching at least 80% consensus. The statements were then subjected to public comment, prompting further revisions that were subsequently reviewed by the Delphi panel.
resultsThirty-two relevant articles were identified (31 systematic reviews and 1 clinical practice guideline). Statements included recommendations regarding history (e.g., red flags) and examination for CGH/TTH, recommendation to use of spinal manipulation for CGH, and for TTH only within multimodal care. Certainty of evidence and strength of recommendations for other nonpharmacological interventions (e.g., acupuncture and exercise) varied. Limitations in evidence precluded strong recommendations for acupuncture, education, meditation/mindfulness, and modalities used in isolation for CGH and electroacupuncture for TTH.
conclusionsThis clinical practice guideline created evidence-based consensus recommendations for chiropractic management of adults with CGH and TTH. Chiropractors may appropriately care for individuals with CGH and TTH using a variety of nonpharmacological interventions, while considering best practices in diagnosis, referral, and other aspects of care management.
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What Socratic holds
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 Socratic graph.