Can the Positional Release Technique Affect Central Sensitization in Patients With Chronic Tension-Type Headache? A Randomized Clinical Trial

Mohamadi, Marzieh; Rojhani-Shirazi, Zahra; Assadsangabi, Reza; Jaberi, Abbas Rahimi

doi:10.1016/j.apmr.2020.05.028

Cited by 12 publications

(28 citation statements)

References 41 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%

“…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). Quality of life was measured in three studies (24,38,41) (using SF-12 and SF-36) and headache duration was evaluated in five studies (25,28,30,31,38).…”

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%

“…The 20 studies included in this review evaluated numerous physiotherapy interventions such as cryotherapy, transcutaneous electrical nerve stimulation (TENS), trigger point therapy, soft tissue techniques, various mobilisation and manipulation techniques. Eight studies assessed a single modality (23)(24)(25)(26)(27)(28)(29)(30), while the remaining studies evaluated multiple modalities. In all studies, participants were allowed to use abortive (acute) medication, regardless of the intervention allocation.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, presence of or controlling for other headache disorders (e.g. migraine) was not reported in five studies (25,26,29,32,36), which could limit the applicability of results. Lastly, no grey literature was searched and only reports in German or English language were included.…”

Section: Discussionmentioning

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%

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: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

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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Tension-Type Headache Management: A Systematic Review and Network Meta-analysis of Complementary and Alternative Medicine

Qin,

Song,

et al. 2024

Pain Ther

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Introduction: Tension-type headache (TTH) is common but challenging to manage due to limited effectiveness of conventional treatments. This study examines six complementary and alternative medicine (CAM) interventions through network meta-analysis to identify effective TTH management strategies. Methods: We searched PubMed, Embase, Web of Science, Cochrane Library, OVID, CNKI, Wanfang, VIP, and CBM databases for randomized controlled trials on CAM for TTH treatment. Headache frequency and intensity were the primary outcomes. Methodological quality was evaluated on the basis of the Cochrane risk of bias tool. We used R software to conduct this Bayesian network meta-analysis. We used mean difference (MD) with 95% credible intervals (CI) to calculate the continuous Lingli Qin and Ping Song contributed equally to this work.

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Is chronic pain caused by central sensitization? A review and critical point of view

Velasco,

Flores-Cortés,

Guerra-Armas

et al. 2024

Neuroscience & Biobehavioral Reviews

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Can the Positional Release Technique Affect Central Sensitization in Patients With Chronic Tension-Type Headache? A Randomized Clinical Trial

Cited by 12 publications

References 41 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

Tension-Type Headache Management: A Systematic Review and Network Meta-analysis of Complementary and Alternative Medicine

Is chronic pain caused by central sensitization? A review and critical point of view

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