Physical therapist clinical reasoning and classification inconsistencies in headache disorders: a United States survey

Dale, Philip C; Thomas, Jacob C; Hazle, Charles

doi:10.1080/10669817.2019.1645414

Cited by 10 publications

(7 citation statements)

References 83 publications

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“…Treatment for TTH includes pharmacologic and non-pharmacologic options [ 9 ]. Pharmacologic treatments mainly include analgesics, anticonvulsants, antidepressants, non-steroidal antiinflammatory drugs (NSAIDs), and triptans [ 10 ]. Non-pharmacologic treatments can be used alone or as an adjunct to pharmacologic therapy.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Manual Therapy and Acupuncture in Tension-Type Headache: A Systematic Review

Turkistani¹,

Shah²,

Jose³

et al. 2021

Cureus

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Tension-type headache is one of the most prevalent types of headache. The common presentation is a mildto-moderate dull aching pain around the temporal region, like a tight band around the forehead, neck, shoulder, and sometimes behind eyes. It can occur at any age but most commonly in the adult female population. The exact underlying mechanism is not clear but muscle tension is one of the main causes, which can be due to stress and anxiety. There are several non-pharmacologic treatment options suggested for tension-type headaches, such as cognitive behavioral therapy, relaxation, biofeedback, acupuncture, exercise, manual therapy, and even some home remedies. This systematic review was performed to evaluate the effectiveness of acupuncture and manual therapy in tension-type headaches. The literature search was primarily done on PubMed. Eight articles involving 3846 participants showed evidence that acupuncture and manual therapy can be valuable non-pharmacological treatment options for tension-type headaches. Acupuncture was compared to routine care or sham intervention. Acupuncture was not found to be superior to physiotherapy, exercise, and massage therapy. Randomized controlled trials done in various countries showed manual therapy also significantly decreased headache intensity. Manual therapy has an efficacy that equals prophylactic medication and tricyclic antidepressants in treating tension-type headaches. The available data suggests that both acupuncture and manual therapy have beneficial effects on treating symptoms of tension-type headache. However, further clinical trials looking at long-term benefits and risks are needed.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Manual Therapy and Acupuncture in Tension-Type Headache: A Systematic Review

Turkistani¹,

Shah²,

Jose³

et al. 2021

Cureus

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“…To the best of our knowledge, there have been no analogous studies in the literature concerning the migraine diagnostic accuracy by neurologists. Somewhat similar studies included physical therapists [ 21 ] and general practitioners [ 22 , 23 ]. Nevertheless, the aforementioned studies used significantly different case vignettes and/or answer structures, and the presented diagnostic accuracy among different specialties cannot be compared.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of migraine diagnosis and treatment by neurologists in the Baltic states: e-survey with clinical case challenge

Jokubaitis,

Vrublevska,

Zvaune

et al. 2023

Eur J Med Res

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Background Underdiagnosis of migraine causes a significant health burden, including lower quality of life, excessive medication use, and a delay in effective treatment. The purpose of this study was to evaluate migraine diagnosis accuracy and to review the treatment approaches used by neurologists in the Baltic states. Methods The research was conducted as an anonymous e-survey with four cases in March and April 2021. Results 119 practicing adult neurologists have participated. The migraine diagnostic accuracy was 63.2%. The most commonly used diagnostic criteria were moderate/severe pain, unilateral pain, and disruption of daily activities. Diagnostic accuracy did not differ significantly between neurologists who always use ICHD-3 criteria and those who don’t (68.4% vs. 58.5%, p = 0.167). It was higher in neurologists who were working in headache centers (91.7% vs. 60.9%, p = 0.012), and was related to a higher percentage of migraine diagnoses in all consulted headache patients (R2 = 0.202, adjusted R2 = 0.195, p < 0.001), prophylaxis with onabotulinumtoxin A [OR = 4.332, 95% Cl (1.588–11.814)], and anti-CGRP monoclonal antibodies [OR = 2.862, 95% Cl (1.186–6.907)]. Conclusions Migraine diagnostic accuracy is improved through practical patient counseling and modern treatment prescription. Although the neurologists in the Baltic states follow current European guidelines, there is room for improvement in diagnostic accuracy to reduce migraine burden.

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“…Though, the pathogenesis and progression of TTH appears to be in uenced by a combination of physiological, psychosocial, and lifestyle factors (6,7). Some of these factors, including nutritional patterns, are amenable to behavioral and clinical interventions (8).…”

Section: Introductionmentioning

confidence: 99%

Associations Between Fatty Acids Intake And Tension-Type Headache: A Cross-Sectional Study

Balmaseda

García-Pérez-de-Sevilla

Flor

et al. 2022

Preprint

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Introduction: Patients with tension-type headache (TTH) are characterized by recurrent pain that can become disabling, accompanied by sensory, motor and neurovascular changes, with a prevalence of between 36 and 78% in adults. Identifying the dietary triggers of headaches has led to defining dietary strategies to prevent this disease since excessive consumption, for example, of fats is widely accepted as unhealthy. Within the essential polyunsaturated fatty acids (PUFA), they have shown that Omega-3 fatty acids (ω-3) have anti-inflammatory and neuroprotective effects of ω-3 fatty acids. In contrast, excessive dietary intake of Omega-6 (ω-6) fatty acids, or an ω-6: ω3 ≥ 5 ratio, typical of Western diets, has been associated with a higher prevalence of headaches.Objectives: The objectives of the present study were to compare dietary fatty acid intake between participants with and without chronic TTH and to investigate the cross-sectional association of dietary fatty acid intake, pain characteristics, and quality of life in patients with chronic TTH.Methods: An observational study was conducted following the Strengthening Statement of the Reporting Initiative on Observational Studies in Epidemiology (STROBE), comparing healthy participants and participants diagnosed with chronic CT, for more than six months according to the Society's Headache Study Group criteria. Spanish of Neurology. For the study we used characteristics of headache episodes, headache impact test and diet analysis as variables.Results: There were no significant differences between the TTH group and the CG in anthropometric and demographic variables. The TTH group reported a significantly higher intake of SFA. Furthermore, significant associations were found between PUFA intake and headache characteristics. However, even though the TTH group reported a significant impact of headaches on their activities of daily living according to the HIT-6 questionnaire, there were no significant correlations between the HIT-6 score and fat intake. Regarding the total daily intake of MUFAs, PUFAs, and ω-6 fatty acids, there were no significant differences between the TTH group and the control group. However, there was a moderate positive correlation between ω-6 fatty acid intake and headache intensity.Conclusion: Chronic tension-type headache patients showed higher intakes of SFA, but similar intakes of MUFAs, PUFAs and ω-6: ω-3 ratio when compared to controls. In addition, Ω-6 fatty acids intake and ω-6: ω-3 ratio were associated with headache episodes.

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Physical therapist clinical reasoning and classification inconsistencies in headache disorders: a United States survey

Cited by 10 publications

References 83 publications

Effectiveness of Manual Therapy and Acupuncture in Tension-Type Headache: A Systematic Review

Effectiveness of Manual Therapy and Acupuncture in Tension-Type Headache: A Systematic Review

Accuracy of migraine diagnosis and treatment by neurologists in the Baltic states: e-survey with clinical case challenge

Associations Between Fatty Acids Intake And Tension-Type Headache: A Cross-Sectional Study

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