Possibilities of preventive therapy in frequent episodic tension-type headache

Tabeeva, G. R.; Fokina, N M

doi:10.17116/jnevro20161161134-39

Z. nevrol. psikhiatr. im. S.S. Korsakova

2016

DOI: 10.17116/jnevro20161161134-39

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Possibilities of preventive therapy in frequent episodic tension-type headache

G. R. Tabeeva

N M Fokina

Abstract: Головная боль напряжения (ГБН) относится к добро-качественной форме первичной головной боли, характе-ризуется значительной вариабельностью течения и кли-нических проявлений от редких эпизодов до хрониче-ской, практически ежедневной головной боли и является самой распространенной в популяции формой головной боли. Хотя основная часть пациентов с ГБН переносят не-тяжелые приступы легкой или умеренной по интенсивно-сти боли, однако при этом весьма значительная часть па-циентов страдают либо интенсивными, тяжелыми,… Show more

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Cited by 2 publications

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Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials

Repiso-Guardeño

Morales

Armenta-Pendón³

et al. 2023

IJERPH

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(1) Objective: The aim of this study is to synthesize the effects of physical therapy on pain, frequency, or duration management in the short, medium, and long term in adult patients diagnosed with Tension-type headache (TTH). (2) Background: Tension-type headache (TTH) is the most common headache with migraine and its pathophysiology and treatment has been discussed for years without reaching a consensus. (3) Methods: A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review was registered in PROSPERO (CRD42020175020). The systematic search for clinical trials was performed in the databases PubMed, CINAHL, Cochrane Central Register of Controlled Trials, PEDro, Scopus, SciELO and Dialnet. Articles were selected according to the inclusion and exclusion criteria, regarding the effectiveness of physical therapy interventions on adult patients with TTH published in the last 11 years with a score ≥ 6 in the PEDro Scale (Physiotherapy Evidence Database). (4) Results: In total, 120 articles were identified, of which 15 randomized controlled trials were finally included in order to determine the inclusion criteria. Changes in pain intensity, headache frequency or headache duration of individual studies were described (5) Conclusions: This systematic review shows that there is no standardized physical therapy protocol for the approach to tension headache, although all the techniques studied to date address in one way or another the cranio-cervical-mandibular region. The approach to the cranio-cervical-mandibular region reports significant effects in terms of decreasing the intensity of pain and frequency of headache episodes in the short and medium term. More long-term longitudinal studies are needed.

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Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials

Repiso-Guardeño

Morales

Armenta-Pendón³

et al. 2023

IJERPH

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Tension-type headache in children and adolescents: comparative study of the effectiveness of preventive therapy methods

Zavadenko

Shypilova

Nesterovskiy

2021

Nevrol. ž. im. L.O. Badalâna

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Introduction. Late and inaccurate diagnosis of tension-type headache (TTH) leads to the lack of timely rational treatment. In children and adolescents with TTH, the role of comorbid disorders that affect the course of TTH and can contribute to their chronification is not sufficiently taken into account. Meanwhile, with timely diagnosis and adequate treatment of TTH in many children and adolescents, a significant improvement in the disease’s course and the prognosis is achieved, and clinical remission is possible. Considering the high prevalence of TTH among children and adolescents, the decline in their quality of life, and the high frequency of comorbid disorders, it is reasonable to develop effective methods of preventive treatment for TTH in this age group. The aim of the study was to evaluate the effectiveness of monotherapy with γ-amino-β-phenyl butyric acid hydrochloride, amitriptyline, or breathing gymnastics (comparison group) indicated for two months as a preventive treatment of TTH in children and adolescents in the open randomized comparative study in three parallel groups of patients. Material and methods. In an open parallel study, 90 TTH patients aged 8-16 years were divided into three groups of 30 patients (each with 15 boys and 15 girls). Results. Significant differences with the comparison group in the individual response to therapy were confirmed. According to the criterion of a 50% or more reduction in the average number of headache attacks per month in group 1 (γ-amino-β-phenyl butyric acid hydrochloride), the improvement was achieved in 56.7% of patients, in group 2 (amitriptyline) - in 73.3%, in the 3rd group (breathing gymnastics) - in 30%. According to a more strict criterion for reducing the average number of headache attacks per month by 75% or more, the response to therapy was observed in group 1 in 30%. In group 2 - in 23.3%, in group 3 - in 3.3% of patients. In groups 1 and 2, along with a significant decrease in the frequency, duration, and intensity of TTH attacks, a significant improvement in daily activity, a favorable effect on the manifestations of fatigue, anxiety disorders, and sleep disorders associated with TTH was demonstrated. The therapeutic efficacy of breathing gymnastics exercises complex was confirmed in the prevention of TTH with frequency, duration, and intensity reduction of TTH, and diminishing its impact on daily activity, a moderate decrease in manifestations of fatigue, anxiety disorders (by patients’ self-assessment), and improvement in sleep quality.

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Possibilities of preventive therapy in frequent episodic tension-type headache

Cited by 2 publications

References 9 publications

Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials

Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials

Tension-type headache in children and adolescents: comparative study of the effectiveness of preventive therapy methods

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