Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial

Espí-López, Gemma Victoria; Bueno, Laura López; Vicente-Herrero, Ma Teófila; Martínez-Arnau, Francisco Miguel; Monzani, Lucas

doi:10.1016/j.ijosm.2016.05.003

Cited by 24 publications

(33 citation statements)

References 30 publications

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“…This search yielded 417 articles (after duplicates removed), of which three RCTs were relevant, and all three had a low risk of bias (Supporting information Table S4). The low risk of bias studies from the updated searches investigated the following interventions: (a) manual therapy (Dunning et al, 2016;Espi-Lopez, Zurriaga-Llorens, Monzani, & Falla, 2016); (b) multimodal care (Dunning et al, 2016); and (c) soft-tissue therapies (Damapong, Kanchanakhan, Eungpinichpong, Putthapitak, & Damapong, 2015). None of these studies provided evidence that conflicted with the original recommendations developed by the OPTIMa Collaboration (i.e., based on original searches conducted in February or March 2015).…”

Section: Reviewsmentioning

confidence: 99%

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Non‐pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration

Côté

Shearer

et al. 2019

European Journal of Pain

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Objectives To develop an evidence‐based guideline for the non‐pharmacological management of persistent headaches associated with neck pain (i.e., tension‐type or cervicogenic). Methods This guideline is based on systematic reviews of high‐quality studies. A multidisciplinary expert panel considered the evidence of clinical benefits, cost‐effectiveness, societal and ethical values, and patient experiences when formulating recommendations. Target audience includes clinicians; target population is adults with persistent headaches associated with neck pain. Results When managing patients with headaches associated with neck pain, clinicians should (a) rule out major structural or other pathologies, or migraine as the cause of headaches; (b) classify headaches associated with neck pain as tension‐type headache or cervicogenic headache once other sources of headache pathology has been ruled out; (c) provide care in partnership with the patient and involve the patient in care planning and decision making; (d) provide care in addition to structured patient education; (e) consider low‐load endurance craniocervical and cervicoscapular exercises for tension‐type headaches (episodic or chronic) or cervicogenic headaches >3 months duration; (f) consider general exercise, multimodal care (spinal mobilization, craniocervical exercise and postural correction) or clinical massage for chronic tension‐type headaches; (g) do not offer manipulation of the cervical spine as the sole form of treatment for episodic or chronic tension‐type headaches; (h) consider manual therapy (manipulation with or without mobilization) to the cervical and thoracic spine for cervicogenic headaches >3 months duration. However, there is no added benefit in combining spinal manipulation, spinal mobilization and exercises; and (i) reassess the patient at every visit to assess outcomes and determine whether a referral is indicated. Conclusions Our evidence‐based guideline provides recommendations for the conservative management of persistent headaches associated with neck pain. The impact of the guideline in clinical practice requires validation. Significance Neck pain and headaches are very common comorbidities in the population. Tension‐type and cervicogenic headaches can be treated effectively with specific exercises. Manual therapy can be considered as an adjunct therapy to exercise to treat patients with cervicogenic headaches. The management of tension‐type and cervicogenic headaches should be patient‐centred.

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Section: Reviewsmentioning

confidence: 99%

“…Clinicians should not offer manipulation of the cervical spine. This recommendation is based on two low risk of bias RCTs suggesting that cervical manipulation combined with massage led to similar outcomes as inert LASER combined with massage (Bove & Nilsson, 1998) or massage alone (Espi-Lopez et al, 2016).…”

Section: Manual Therapymentioning

confidence: 99%

Non‐pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration

Côté

Shearer

et al. 2019

European Journal of Pain

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“…It found that the overall Headache Disability Inventory (HDI) score improved among the OAA and combination groups (size of effect 0.57 and 0.57, respectively) but not the SI or control groups (size of effect 0.18 and 0.14, respectively; P<0.05). 43 The same authors completed another RCT in 84 patients with tension-type headache over four weeks using the same interventions and control groups. It found improved scores on the Headache Impact Test (HIT-6) in the OAA group only at four weeks after treatment (pretreatment score: 60.23 (standard deviation 5.85) to 53.50 (6.12); P=0.001) and at follow-up (eight weeks after treatment: 52.85 (6.27); P=0.001).…”

Section: Safetymentioning

confidence: 99%

Complementary and integrative medicine in the management of headache

Millstine

Chen

Bauer

2017

BMJ

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Headaches, including primary headaches such as migraine and tension-type headache, are a common clinical problem. Complementary and integrative medicine (CIM), formerly known as complementary and alternative medicine (CAM), uses evidence informed modalities to assist in the health and healing of patients. CIM commonly includes the use of nutrition, movement practices, manual therapy, traditional Chinese medicine, and mind-body strategies. This review summarizes the literature on the use of CIM for primary headache and is based on five meta-analyses, seven systematic reviews, and 34 randomized controlled trials (RCTs). The overall quality of the evidence for CIM in headache management is generally low and occasionally moderate. Available evidence suggests that traditional Chinese medicine including acupuncture, massage, yoga, biofeedback, and meditation have a positive effect on migraine and tension headaches. Spinal manipulation, chiropractic care, some supplements and botanicals, diet alteration, and hydrotherapy may also be beneficial in migraine headache. CIM has not been studied or it is not effective for cluster headache. Further research is needed to determine the most effective role for CIM in patients with headache.

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“…Taking repetitive medication can lead to an increase in the prevalence of side effects and may show symptoms of poisoning, although best management of TTH is a pharmacological approach such as tricyclic antidepressants [5]. In previous studies, the non-pharmacological approaches have been reported in spinal manipulation, massage, connective tissue massage, spinal mobilization and manual traction to relieve TTH [1,[5][6][7][8][9][10][11]. EspiLopez and colleagues studied to assess the effectiveness of relaxation approach techniques applied to the suboccipital region, on the aspect of disability in a sample of patients with TTH [7].…”

Section: Introductionmentioning

confidence: 99%

“…In previous studies, the non-pharmacological approaches have been reported in spinal manipulation, massage, connective tissue massage, spinal mobilization and manual traction to relieve TTH [1,[5][6][7][8][9][10][11]. EspiLopez and colleagues studied to assess the effectiveness of relaxation approach techniques applied to the suboccipital region, on the aspect of disability in a sample of patients with TTH [7]. Ferragut-Garcías et al [11] studied to evaluate the effects of a protocol involving soft tissue techniques and neural mobilization techniques in the management of patients with TTH.…”

Section: Introductionmentioning

confidence: 99%

Effects of relaxation approach with self-exercise on head posture, static postural stability, and headache in persons with tension-type headache

Park

2016

PTRS

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Objective: Tension-type headache is caused by hormones, foods, irritants, stress, obesity, fatigue, and neck and head trigger points-prolonged abnormal posture. The purpose of this study was to evaluate the effects of relaxation approach on head posture, static postural stability, and headache in persons with tension-type headache. Design: Randomized controlled trial. Methods: Thirty-five persons with tension-type headache participated in this study. This study was a pretest-posttest with a control group design for a duration of 4 weeks (60 min/3 times/1 wk). The participants were randomly allocated to the relaxation approach group (n=18) and the control group with conventional rehabilitation including thermotherapy and transcutaneous electrical stimulation for the same period (n=17). Outcome measures involved forward head posture (FHP), foot pressure, neck disability index (NDI), and six-item headache impact test (HIT-6). Results: Relaxation approach and control groups improved significantly in the amount of forward head posture, neck disability index, and six-item headache impact test scores after training (p<0.05). The control group was found to be significantly different in the amount of FHP, backward foot pressure, NDI, and HIT-6 after training compared to before training (p<0.05). The relaxation approach group significantly improved in forward head posture, neck disability index, and six-item headache impact test compared with control group after training (p<0.05). Neck disability index and six-item headache impact test significantly improved after training compared with before training in the control group (p<0.05). However, the foot pressure was not significantly different between relaxation approach and control groups. Conclusions: This study suggests that treatment with relaxation approach combined with self-exercise would be effective in reducing the amount of forward head posture, neck disability and headache impacts.

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Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial

Cited by 24 publications

References 30 publications

Non‐pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration

Non‐pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration

Complementary and integrative medicine in the management of headache

Effects of relaxation approach with self-exercise on head posture, static postural stability, and headache in persons with tension-type headache

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