Effects of physical therapy and relaxation techniques on the parameters of pain in university students with tension-type headache: A randomised controlled clinical trial

Álvarez-Melcón, Ángela Concepción; Valero-Alcaide, Raquel; Atín-Arratibel, M.Á.; Melcón-Álvarez, A.; Montesinos, Juan Vicente Benéit

doi:10.1016/j.nrleng.2016.06.007

Cited by 19 publications

(49 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…TTH is a ubiquitous medical condition seen by primary care physicians. There are several non-pharmacologic treatment options including manual therapy and acupuncture which have suggested promising results, but widespread incorporation of these techniques has been limited by inconsistent findings on effectiveness [ 4 , 7 , 20 ]. In this systematic review, we aim to evaluate the efficacy of manual therapy and acupuncture for TTH, the prevalence of their use, and the efficacy of acupuncture compared to that of manual 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

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

Turkistani¹,

Shah²,

Jose³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…The AGREE-II and AMSTAR assessments can be found in Additional file 1 (Figure 1 and Table 2). An individual search for RCTs identified two additional studies, both concerning supervised physical activity [ 37 , 38 ]. PRISMA flow charts of identified clinical guidelines, systematic reviews and primary studies can be seen in Additional file 1 (Figures 2–12).…”

Section: Resultsmentioning

confidence: 99%

“… • Headache frequency (at the end of treatment and at follow-up) • Quality of life (at the end of treatment and at follow-up) • Headache intensity • Serious adverse events Supervised physical activity 2 (Alvarez-Melcon et al . [ 37 ]; Andersen et al [ 38 ]) Training program for the neck and relaxation (Alvarez-Melcon et al) and training of neck and shoulder using an elastic band (Andersen et al). Relaxation (Alvarez-Melcon et al) and weekly information on health (Andersen et al).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education for patients with tension-type headache. A systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

Background Tension-type headache (TTH) has been ranked the second most prevalent health condition worldwide. Non-pharmacological treatments for TTH are widely used as a supplement or an alternative to medical treatment. However, the evidence for their effects are limited. Therefore, the aim of this study was to review the evidence for manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education as treatments for TTH on the effect of headache frequency and quality of life. Methods A systematic literature search was conducted from February to July 2020 for clinical guidelines, systematic reviews, and individual randomised controlled trials (RCT). The primary outcomes measured were days with headache and quality of life at the end of treatment along with a number of secondary outcomes. Meta-analyses were performed on eligible RCTs and pooled estimates of effects were calculated using the random-effect model. The overall certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach (GRADE). In addition, patient preferences were included in the evaluation. Results In all, 13 RCTs were included. Acupuncture might have positive effects on both primary outcomes. Supervised physical activity might have a positive effect on pain intensity at the end of treatment and headache frequency at follow-up. Manual joint mobilisation techniques might have a positive effect on headache frequency and quality of life at follow-up. Psychological treatment might have a positive effect on stress symptoms at the end of treatment. No relevant RCTs were identified for patient education. The overall certainty of evidence was downgraded to low and very low. No serious adverse events were reported. A consensus recommendation was made for patient education and weak recommendations for the other interventions. Conclusion Based on identified benefits, certainty of evidence, and patient preferences, manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture, and patient education can be considered as non-pharmacological treatment approaches for TTH. Some positive effects were shown on headache frequency, quality of life, pain intensity and stress symptoms. Few studies and low sample sizes posed a challenge in drawing solid conclusions. Therefore, high-quality RCTs are warranted.

show abstract

“…The prevalence of stiffnesses/pain in the neck and nape due to posture changes affect the development of TMD were consistent with previous study results. 30 Only 10% to 20% of the population with TMD symptoms are expected to consult a doctor concerning treatment. 3,31 Our study revealed that 63% of individuals who are not aware of the presence of TMD have mild, moderate, or severe TMJ disorders.…”

Section: Discussionmentioning

confidence: 99%

Asemptomatik temporomandibular düzensizliklerin klinikte Fonseca anamnestik indeksi ile araştırılması

Yaman

Alpaslan

Kalaycıoğlu

2021

Acta Odontologica Turcica

View full text Add to dashboard Cite

OBJECTIVE:The study aims to evaluate the presence of temporomandibular disorders (TMD) and their severity in asymptomatic and healthy individuals using the Fonseca anamnestic index. MATERIALSAND METHOD: A total of 135 individuals (80 females and 55 males, mean age 34.4±10.9) were involved in the study. The Fonseca anamnestic index was administered to the individuals. The data analysis was conducted by using Pearson's chi-squared test, Fisher's exact test, one-way ANOVA, and Spearman's correlation. RESULTS: TMD was detected in 63% of the individuals. Most of them (40%) had mild TMD. The difference between gender and TMD severity was statistically significant (p=0.001). Temporomandibular joint (TMJ) pain showed a statistically significant positive correlation with headache and emotional stress (r=0.312, p˂0.001; r=0.299, p˂0.001, respectively). TMJ pain showed the strongest positive correlation with clicking (r=0.443, p˂0.001). Bruxism showed positive correlations with the TMJ pain and clicking (r=0.197, p=0.022 and r= 0.221, p=0.010, respectively). CONCLUSION:The Fonseca anamnestic index is a reliable diagnostic tool that can be used to detect TMD-related symptoms and severity even in asymptomatic and healthy participants, providing rapid results in clinical practice.

show abstract

Effects of physical therapy and relaxation techniques on the parameters of pain in university students with tension-type headache: A randomised controlled clinical trial

Cited by 19 publications

References 40 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

Manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education for patients with tension-type headache. A systematic review and meta-analysis

Asemptomatik temporomandibular düzensizliklerin klinikte Fonseca anamnestik indeksi ile araştırılması

Contact Info

Product

Resources

About