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

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 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 ★★★★★★☆ Neurology ★★★★★★☆ Physical medicine & rehabilitation ★★★★★★☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded ({data collectors and data analysts}).*

Embedded ImageFollow up period:

6 months.

Embedded ImageSetting:

7 healthcare centres in the Netherlands.

Embedded ImagePatients:

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.

Embedded ImageIntervention:

CTP, 10 min/session, twice a day at home, plus physiotherapy, {1–2 sessions/week, maximum 9 sessions} (n = 39); or physiotherapy …

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  • * See glossary.

  • Information provided by author.

  • For correspondence: Dr J W van Ettekoven, University of Amsterdam, Amstelveen, the Netherlands. hansvettekoven{at}

  • Source of funding: no external funding.

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