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Physiotherapy for tension-type headache: a controlled study.

P Torelli1, R Jensen, J Olesen

  • 1Headache Centre, Unit of Neurology, Department of Neuroscience, University of Parma, Strada del Quartiere 4, 43100 Parma, Italy. paolatorelli@libero.it

Cephalalgia : an International Journal of Headache
|December 23, 2003
PubMed
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Physiotherapy significantly reduced headache days for tension-type headache (TTH) patients, particularly those with chronic TTH (CTTH). While headache severity and drug use remained unchanged, physiotherapy offers a beneficial non-pharmacological treatment option for a specific patient group.

Area of Science:

  • Neurology
  • Physical Therapy
  • Headache Medicine

Background:

  • Non-pharmacological therapies for tension-type headache (TTH) lack conclusive evidence.
  • Physiotherapy's role in TTH prevention requires further controlled investigation.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of standardized physiotherapy in patients with TTH.
  • To assess physiotherapy's impact on headache frequency, severity, duration, and medication use.

Main Methods:

  • A controlled trial involving 50 TTH patients (episodic frequent TTH and chronic TTH).
  • Randomization into immediate physiotherapy or delayed physiotherapy groups after a run-in period.
  • Evaluation of headache parameters and drug consumption pre- and post-treatment.

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Main Results:

  • A significant reduction in headache days per 4-week period was observed in both groups post-physiotherapy.
  • No significant changes were noted in headache severity, duration, or symptomatic drug consumption.
  • Higher response rates were found in chronic TTH patients compared to episodic TTH patients, and in females versus males.

Conclusions:

  • Standardized physiotherapy demonstrates a positive therapeutic effect in reducing headache frequency for TTH patients.
  • The treatment appears most effective for patients with chronic TTH and female patients.
  • Physiotherapy represents a valuable non-pharmacological approach for a subset of TTH sufferers.