Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial

Espí-López, Gemma Victoria; Gómez–Conesa, Antonia; Arnal‐Gómez, Anna; Martínez, Josep Benítez; Oliva-Pascual-Vaca, Ángel; Blanco, Cleofás Rodríguez

doi:10.1016/j.jbmt.2014.01.001

Cited by 35 publications

(45 citation statements)

References 29 publications

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“…In these studies, the combined therapy of soft tissue with manipulation had a larger effect on headache frequency and HDI scores then soft tissue therapy alone. In two of these studies [23,24], the improvement on overall HDI scores was similar in the occiputatlas-axis manipulation group and the combined therapy group-this may indicate that the effect of soft tissue therapy in the combined therapy is less signifi cant than the effect of spinal manipulation therapy. On the other hand, in the fourth study [25], headache frequency has decreased similarly in the manipulation therapy group and the soft tissue therapy group.…”

Section: Discussionmentioning

confidence: 94%

“…At the four following studies, the effect of soft tissue mobilizations as monotherapy was compared to neural and spinal manipulation therapy and to the combination of treatments. In the first study [17], 102 patients with TTH were divided into two groups in order to compare the effect of In the third study [24], 82 patients were assessed before and after treatment using the HDI scores and a weekly self-record of a headache and associated symptoms. In the month prior to the study, average pain intensity, was rated at 6.49 (SD 1.69), and 66.7% subjects suffered headaches of moderate intensity.…”

Section: Resultsmentioning

confidence: 99%

“…This review, evaluating the effi ciency of soft tissue therapy for patients with TTH, has included eleven studies. The soft tissue techniques used in the studies were massage and soft tissue mobilization [16][17][18][19][20]22,25], suboccipital soft tissue inhibition [23,24], and direct technique myofascial release [21].…”

Section: Discussionmentioning

confidence: 99%

“…At the four remaining studies [17,[23][24][25], the effect of soft tissue therapy, such as massage and suboccipital soft tissue inhibition and mobilization, was examined compared to neural and spinal manipulation therapy and also compared to the combination of both treatments. In these studies, the combined therapy of soft tissue with manipulation had a larger effect on headache frequency and HDI scores then soft tissue therapy alone.…”

Section: Discussionmentioning

confidence: 99%

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Soft Tissue Mobilizations as a Treatment for a Tension-Type Headache

Gal¹,

Kalichman²

2017

Ann Musculoskelet Med

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Background A tension-type headache (TTH) is the most common form of a headache, and what many people consider as their 'normal' a headache, in contrast with a migraine. Episodic TTH is characterized by a bilateral, pressing, tightening pain of mild to moderate intensity [1]. Chronic TTH is a disorder that evolves from episodic TTH, with daily or very frequent episodes of a headache lasting minutes to days. The 2004 International Headache Society criteria for chronic TTH are: headaches on 15 or more days a month (180 days/year) for at least three months; pain which does not worsen with routine physical activity (such as walking or climbing stairs); presence of no more than one additional clinical feature (mild nausea, photophobia, or phonophobia) and without moderate/severe nausea or vomiting [2]. Among many types of headache disorders, TTH is the most frequent in adults. Population-based studies suggest 1-year prevalence rates of 38.3% for episodic TTH and 2.2% for chronic TTH [3]. To quantify the impact of a headache on daily living, the Henry Ford Hospital has developed in 1994 a 25item headache disability inventory (HDI). The alpha version of AbstractBackground: A tension-type headache (TTH) is the most common form of a headache. The complex interrelation among the various pathophysiological aspects of TTH might explain why this disorder is so diffi cult to treat. Manual therapy is considered one of the main treatments for TTH. Massage therapy techniques, which act in part to increase blood fl ow to tissue, may reduce the activity of myofascial trigger points. Thus, it is possible that headaches originating from this etiology may be reduced with soft tissue mobilizations.

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Section: Discussionmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Soft Tissue Mobilizations as a Treatment for a Tension-Type Headache

Gal¹,

Kalichman²

2017

Ann Musculoskelet Med

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“…Out of 8 randomised controlled trials reviewed, 6 of them (28)(29)(31)(32)(33)(34) studied the improvement in headache frequency. One study (35) used the headache index-which was a multiplication of headache frequency and intensity.…”

Section: Primary Outcomes: Improvement In Headache Diary -Headache Frmentioning

confidence: 99%

A Topic Review: Is Manual Therapy Effective In The Management Of Tension Type Headaches In Primary Care?

Valerie¹

2017

SFP

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ObjectiveHeadaches are one of the commonest neurological disorders with a global lifetime prevalence of 66 percent (1), and 82.7 percent in Singapore (2). Tension type headache (TTH) is the commonest primary headache with a lifetime prevalence of 30-78 percent globally (1). TTH is related to muscular factors (17) thus treatment directed toward muscular factors such as manual therapy can be considered (18). This review is aimed at evaluating the use of manual therapy for TTH. MethodsPubMed and CENTRAL databases were searched in November 2015 with keywords 'tension-type headache' and 'manual therapy' or 'massage' or 'physiotherapy' or 'spinal manipulation' or 'trigger point therapy'. The search was limited to randomised control trials which studied the use of manual therapy in the treatment of TTH.Results 8 articles were selected for review. The studies included showed improvement in headache frequency, intensity and Headache Impact Test (HIT-6) scores in favour of manual therapy but not headache duration and Headache Disability Index (global) scores. One study also found an improvement in sick leave days taken. ConclusionManual therapy reduces headache frequency and intensity of attacks and reduces sick leave days resulting from TTH. There is also a positive effect on the quality of life related to headaches (HIT-6). However, manual therapy does not reduce the duration of a TTH episode. Due to the heterogeneity of manual therapy technique used, it is difficult to recommend a particular regime over another. There is a need for further study of manual therapy as an option for TTH.

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Tension-Type Headache

Martelletti

2023

Non-Migraine Primary Headaches in Medicine

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Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial

Cited by 35 publications

References 29 publications

Soft Tissue Mobilizations as a Treatment for a Tension-Type Headache

Soft Tissue Mobilizations as a Treatment for a Tension-Type Headache

A Topic Review: Is Manual Therapy Effective In The Management Of Tension Type Headaches In Primary Care?

Tension-Type Headache

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