Tension-Type Headache

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: Chronic headache is a prevalent condition with substantial socioeconomic impact. Complementary or alternative therapies are increasingly being used by patients to treat headache pain, and spinal manipulative therapy (SMT) is among the most common of these. OBJECTIVE: To assess the efficacy/effectiveness of SMT for chronic headache through a systematic review of randomized clinical trials. STUDY SELECTION: Randomized clinical trials on chronic headache (tension, migraine and cervicogenic) were included in the review if they compared SMT with other interventions or placebo.

Author(s): 
Bronfort, G.
Assendelft, W. J.
Evans, R.
Haas, M.
Bouter, L.
Publication Title: 
Pain

The study design is a systematic review of randomised clinical trials (RCTs). The objectives of the present study are to assess the effectiveness of physiotherapy and (spinal) manipulation in patients with tension-type headache (TTH). No systematic review exists concerning the effectiveness of physiotherapy and (spinal) manipulation primarily focussing on TTH. Literature was searched using a computerised search of MEDLINE, EMBASE and the Cochrane library. Only RCTs including physiotherapy and/or (spinal) manipulation used in the treatment of TTH in adults were selected.

Author(s): 
Lenssinck, Marie-Louise B.
Damen, Léonie
Verhagen, Arianne P.
Berger, Marjolein Y.
Passchier, Jan
Koes, Bart W.
Publication Title: 
Headache

BACKGROUND: Primary headache disorders, especially migraine, are commonly accompanied by neck pain or other symptoms. Because of this, physical therapy (PT) and other physical treatments are often prescribed. This review updates and synthesizes published clinical trial evidence, systematic reviews, and case series regarding the efficacy of selected physical modalities in the treatment of primary headache disorders.

Author(s): 
Biondi, David M.
Publication Title: 
The Journal of Orthopaedic and Sports Physical Therapy

STUDY DESIGN: Literature review of quality of clinical trials. OBJECTIVE: To determine the methodological quality of published randomized controlled trials that used spinal manipulation and/or mobilization to treat patients with tension-type headache (TTH), cervicogenic headache (CeH), and migraine (M) in the last decade. BACKGROUND: TTH, CeH, and M are the most prevalent types of headaches seen in adults. Individuals who have headaches frequently use physical therapy, manual therapy, or chiropractic care.

Author(s): 
Fernández-de-Las-Peñas, César
Alonso-Blanco, Cristina
San-Roman, Jesús
Miangolarra-Page, Juan C.
Publication Title: 
Headache

OBJECTIVES: This study was undertaken to evaluate the rates, pattern, and presence of predictors of complementary and alternative medicine use in a clinical population of patients with chronic tension-type headache. BACKGROUND: The use of complementary and alternative medicine in the treatment of headaches is a growing phenomenon about which little is known. METHODS: A total of 110 chronic tension-type headache patients attending a headache clinic participated in a physician-administered structured interview designed to gather information on complementary and alternative medicine use.

Author(s): 
Rossi, Paolo
Di Lorenzo, Giorgio
Faroni, Jessica
Malpezzi, Maria G.
Cesarino, Francesco
Nappi, Giuseppe
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: Tension-type headache (TTH) is the most common headache experienced by adults in Western society. Only 2 clinical trials of spinal manipulation for adult tension-type headache have been reported, neither of which was fully controlled. In 1 trial, spinal manipulation was compared to amitriptyline. There is an urgent need for well-controlled studies of chiropractic spinal manipulation for TTH. This trial was stopped prematurely due to poor recruitment.

Author(s): 
Vernon, Howard
Jansz, Gwen
Goldsmith, Charles H.
McDermaid, Cameron
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purpose of this manuscript is to provide evidence-informed practice recommendations for the chiropractic treatment of headache in adults. METHODS: Systematic literature searches of controlled clinical trials published through August 2009 relevant to chiropractic practice were conducted using the databases MEDLINE; EMBASE; Allied and Complementary Medicine; the Cumulative Index to Nursing and Allied Health Literature; Manual, Alternative, and Natural Therapy Index System; Alt HealthWatch; Index to Chiropractic Literature; and the Cochrane Library.

Author(s): 
Bryans, Roland
Descarreaux, Martin
Duranleau, Mireille
Marcoux, Henri
Potter, Brock
Ruegg, Rick
Shaw, Lynn
Watkin, Robert
White, Eleanor
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

BACKGROUND: In the nationwide German Acupuncture Trials (GERAC) verum acupuncture, based on Traditional Chinese Medicine (TCM), was to be tested against sham acupuncture for the entities classified in the West as "migraine" (MIG) and "tension-type headache" (TTH). However, there were no generally accepted guidelines on how to perform a consistent verum or sham treatment. OBJECTIVE: To design broadly consensual verum and sham acupuncture treatment protocols for MIG and TTH for the GERAC. METHODOLOGY: Extensive literature study and consultation with acupuncture experts.

Author(s): 
Molsberger, Albrecht F.
Boewing, Gabriele
Diener, Hans Christoph
Endres, Heinz G.
Kraehmer, Nils
Kronfeld, Kai
Zenz, Michael
Publication Title: 
The Journal of Headache and Pain

Acupuncture treatment is frequently sought for tension-type headache (TTH), but there is conflicting evidence as to its effectiveness. This randomised, controlled, multicentre, patient-and observer-blinded trial was carried out in 122 outpatient practices in Germany on 409 patients with TTH, defined as > or =10 headache days per month of which < or =1 included migraine symptoms. Interventions were verum acupuncture according to the practice of traditional Chinese medicine or sham acupuncture consisting of superficial needling at nonacupuncture points.

Author(s): 
Endres, Heinz G.
Böwing, Gabriele
Diener, Hans-Christoph
Lange, Stefan
Maier, Christoph
Molsberger, Albrecht
Zenz, Michael
Vickers, Andrew J.
Tegenthoff, Martin
Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

OBJECTIVE: Headache affects the quality of life for many people throughout the world. Tension headache is among the commonest forms. Acupuncture is the most widely practised non-medicinal treatment for headaches. The purpose of this study was to explore the effects of laser acupuncture in this type of headache. METHODS: Fifty patients with chronic tension-type headache were randomly allocated to treatment or placebo groups. Patients in the treatment group received low energy laser acupuncture to LU7, LI4, GB14, and GB20 bilaterally.

Author(s): 
Ebneshahidi, Narges Sadat
Heshmatipour, Mojtaba
Moghaddami, Alireza
Eghtesadi-Araghi, Payam

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