Effectiveness of suboccipital muscle inhibition combined with interferential current in patients with chronic tension-type headache: a randomised controlled clinical trial

Pérez-Llanes, Raúl; Ruiz-Cárdenas, Juan Diego; Meroño-Gallut, Javier; Fernández-Calero, M.I.; Ríos-Díaz, José

doi:10.1016/j.nrleng.2019.12.004

Cited by 5 publications

(12 citation statements)

References 26 publications

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“…In all studies, participants were allowed to use abortive (acute) medication, regardless of the intervention allocation. The most common outcome measured was headache intensity via the visual analogue scale (VAS) (24,26,30–34), the numerical rating scale (NRS) (25,27,29,35–38), the verbal rating scale (28) or the 3-point severity index of the headache disability inventory (HDI) (39,40). Headache frequency was measured via a headache diary (1 week to 3 months) (23,25,26,28–32,35,36,38), the 3-point scale of the HDI (39,40), a 4-point scale (33) or a 5-point Likert scale (27).…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen reports (24–26,28–38) comprising a total of 820 patients with TTH were included in NMA of pain intensity. The network structure for pain intensity can be seen in Figure 3.…”

Section: Resultsmentioning

confidence: 99%

“…In Figure 2 the results of the RoB assessment are presented. Most studies had "some concerns" as an overall rating, four had a "high risk of bias" (23,26,27,42) and one was rated as of "low risk of bias" (37). The lack of pre-registered protocols as well as the registration of retrospective protocols was the most critical factor, which highlighted "some concerns" in the domain "bias in selection of the reported result" (n ¼ 15).…”

Section: Narrative Synthesismentioning

confidence: 99%

“…After evaluation of transitivity, collation of treatments into treatment nodes and examination of the network geometry, a total of 15 reports (23)(24)(25)(26)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38) were included in NMA (14 reports for pain intensity and 10 reports for pain frequency). The remaining reports (n ¼ 5) (27,(39)(40)(41)(42) could not be included in NMA because of a lack of transitivity, the outcome measurement method reported was not adequate to (statistically) pool, or because they had no connection to the network.…”

Section: Quantitative Synthesismentioning

confidence: 99%

“…Summary of network structure and geometry. Fourteen reports (24)(25)(26)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38) comprising a total of 820 patients with TTH were included in NMA of pain intensity. The network structure for pain intensity can be seen in Figure 3.…”

Section: Nma Of Pain Intensity For Tthmentioning

confidence: 99%

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Effectiveness of physiotherapy interventions on headache intensity, frequency, duration and quality of life of patients with tension-type headache. A systematic review and network meta-analysis

et al. 2022

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Background This systematic review assesses the effectiveness of physiotherapy on headache parameters and quality of life of patients with tension-type headache using network meta-analysis. Methods A systematic search was conducted in the databases Web of Science, Medline, Cochrane Library and Physiotherapy Evidence Database up to August 2021. Randomised controlled trials investigating the effect of physiotherapy on tension-type headache were included. Risk of bias assessment was performed using the Risk of bias tool 2.0. Results were presented according to the Cochrane handbook and the PRISMA statement. Results Twenty reports were eligible and 15 were included in network meta-analysis for pain intensity and frequency. Transcutaneous electrical stimulation combined with physiotherapy was the most effective approach to reduce pain intensity compared to control (mean difference (MD): −4.18, moderate confidence) and usual care (MD: −3.8, moderate confidence) Manual therapy (joint mobilisation) plus exercise was the most effective intervention to reduce headache frequency compared to control (MD: −13.03, low confidence) and usual care (MD: −13.95, moderate confidence). Conclusion Results suggest a combination of passive physiotherapy techniques with exercise and/or transcutaneous electrical stimulation as the most effective physiotherapy intervention to reduce pain intensity and frequency in the short term. More research is needed to investigate mid-term and long-term effects. Trial registration: This review was prospectively registered in www.aspredicted.org under the registration number #46098 and an updated protocol was registered in the Open Science Framework (OSF) with the registration DOI: https://doi.org/10.17605/OSF.IO/RVUEY

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Section: Resultsmentioning

confidence: 99%

“…Fourteen reports (24–26,28–38) comprising a total of 820 patients with TTH were included in NMA of pain intensity. The network structure for pain intensity can be seen in Figure 3.…”

Section: Resultsmentioning

confidence: 99%

Section: Narrative Synthesismentioning

confidence: 99%

Section: Quantitative Synthesismentioning

confidence: 99%

Section: Nma Of Pain Intensity For Tthmentioning

confidence: 99%

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Effectiveness of physiotherapy interventions on headache intensity, frequency, duration and quality of life of patients with tension-type headache. A systematic review and network meta-analysis

et al. 2022

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Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials

Repiso-Guardeño

Morales

Armenta-Pendón³

et al. 2023

IJERPH

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(1) Objective: The aim of this study is to synthesize the effects of physical therapy on pain, frequency, or duration management in the short, medium, and long term in adult patients diagnosed with Tension-type headache (TTH). (2) Background: Tension-type headache (TTH) is the most common headache with migraine and its pathophysiology and treatment has been discussed for years without reaching a consensus. (3) Methods: A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review was registered in PROSPERO (CRD42020175020). The systematic search for clinical trials was performed in the databases PubMed, CINAHL, Cochrane Central Register of Controlled Trials, PEDro, Scopus, SciELO and Dialnet. Articles were selected according to the inclusion and exclusion criteria, regarding the effectiveness of physical therapy interventions on adult patients with TTH published in the last 11 years with a score ≥ 6 in the PEDro Scale (Physiotherapy Evidence Database). (4) Results: In total, 120 articles were identified, of which 15 randomized controlled trials were finally included in order to determine the inclusion criteria. Changes in pain intensity, headache frequency or headache duration of individual studies were described (5) Conclusions: This systematic review shows that there is no standardized physical therapy protocol for the approach to tension headache, although all the techniques studied to date address in one way or another the cranio-cervical-mandibular region. The approach to the cranio-cervical-mandibular region reports significant effects in terms of decreasing the intensity of pain and frequency of headache episodes in the short and medium term. More long-term longitudinal studies are needed.

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Headache in patients with occlusion disorders

Didenko,

Ushakov,

Mokrenko

2024

Stomatol. vseh

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The most common form of headache is tension headache. Painful indurations are found in the masticatory muscles of such patients, in the thickness of which there are areas of hypersensitivity – muscle-fascial trigger points. When examining adult patients with occlusion pathology at an orthodontist’s consultation appointment, complaints of headaches were revealed. These headaches are very common and make up the most numerous outpatient visits of patients with headache complaints. The purpose. To study the manifestations of headache in patients with occlusion disorders. Material and methods. The study covered 171 adult patients with occlusion anomalies and deformities of the dentition aged 18 to 63 years. All the patients were asked to answer the questionnaire. The data obtained were processed by standard parametric methods using the Student’s paired criterion. The Microsoft Excel application software package was used to calculate the correlation coefficient. Results. The study showed regular dependence of headache localization on the type of occlusion pathology. Headache in the region of the longitudinal suture very little depends on the type of occlusion pathology. The connection between pain in the frontal region and the pathology of occlusion is also weak. Pain in the temporal, occipital and parietal regions of the head shows a fairly high correlation with the corresponding pathologies of occlusion. Conclusions. It was found that the manifestation of headache in patients with occlusion pathology has a linear statistically significant correlation in the temporal and parietal lobes of the head. Pain in the occipital lobe has a rather high correlation with the types of occlusion pathology. Manifestations of headache in patients with occlusion pathology are poorly expressed in the frontal lobe of the head and very poorly expressed in the area of the longitudinal suture.

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Effectiveness of suboccipital muscle inhibition combined with interferential current in patients with chronic tension-type headache: a randomised controlled clinical trial

Cited by 5 publications

References 26 publications

Effectiveness of physiotherapy interventions on headache intensity, frequency, duration and quality of life of patients with tension-type headache. A systematic review and network meta-analysis

Effectiveness of physiotherapy interventions on headache intensity, frequency, duration and quality of life of patients with tension-type headache. A systematic review and network meta-analysis

Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials

Headache in patients with occlusion disorders

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