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Evidence-Based Medicine 2007;12:14; doi:10.1136/ebm.12.1.14
Copyright © 2007 by the BMJ Publishing Group Ltd.

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Therapeutics

Physiotherapy plus a craniocervical training programme was better than physiotherapy alone in tension type headache

van Ettekoven H, Lucas C. Efficacy of physiotherapy including a craniocervical training programme for tension-type headache; a randomized clinical trial. Cephalalgia 2006;26:983–91.[CrossRef][Medline]

Q In patients with tension type headache (TTH), is physiotherapy plus a craniocervical training programme (CTP) more effective than physiotherapy alone for clinical outcomes?

Clinical impact ratings GP/FP/Primary care ******{star} Neurology ******{star} Physical medicine & rehabilitation ******{star}

Key Words: biofeedback (psychology) • exercise therapy • musculoskeletal manipulations • tension type headache

The first 150 words of the full text of this article appear below.

METHODS
Formula Design: randomised controlled trial.

Formula Allocation: {concealed*}{dagger}.

Formula Blinding: blinded ({data collectors and data analysts}{dagger}).*

Formula Follow up period: 6 months.

Formula Setting: 7 healthcare centres in the Netherlands.

Formula Patients: 81 patients (mean age 46 y, 81% female) with a diagnosis of TTH based on the International Headache Society classification (including the episodic and chronic versions). Exclusion criteria were the other headache types, cervical function problems, or previous physiotherapy treatment for TTH within 6 months.

Formula Intervention: CTP, 10 min/session, twice a day at home, plus physiotherapy, {1–2 sessions/week, maximum 9 sessions}{dagger} (n = 39); or physiotherapy alone (n = 42) for 6 weeks. Physiotherapy included conventional Western massage techniques, oscillation techniques, and instruction on postural correction. The CTP was a craniocervical flexion exercise performed using a 150 cm latex band (Thera-Band, Resistive Exercise Systems; Hygenic Corporation, Akron, OH, USA; blue colour coded level of progressive resistance) that was used as a . . . [Full text of this article]

D Todd Detar, DO, Alexander W Chessman, MD

Medical University of South Carolina,
Charleston, South Carolina, USA


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Evid. Based Med. 2007 12: 31-32. (in ) [Extract] [Full Text] [PDF]






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Copyright © 2007 by the BMJ Publishing Group Ltd.