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?
Neurology Physical medicine & rehabilitation
Key Words: biofeedback (psychology) • exercise therapy • musculoskeletal manipulations • tension type headache
| The first 150 words of the full text of this article appear below. |
Design:
randomised controlled trial.
Allocation:
{concealed*}
.
Blinding:
blinded ({data collectors and data analysts}).*
Follow up period:
6 months.
Setting:
7 healthcare centres in the Netherlands.
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.
Intervention:
CTP, 10 min/session, twice a day at home, plus physiotherapy, {1–2 sessions/week, maximum 9 sessions} (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
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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