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Relaxation training for management of paediatric headache: A rapid review
Alison P Thompson1,2, David S Thompson2, Hsing Jou3
1Faculty of Nursing, University of Alberta, Edmonton, Alberta.
Insights
Relaxation training shows inconsistent results for managing childhood headaches. More high-quality research is needed to determine its effectiveness for pediatric headache relief.
Area of Science:
- Pediatric Neurology
- Behavioral Medicine
- Evidence-Based Practice
Background:
- Headaches are a common complaint in children and adolescents.
- Non-pharmacological interventions, such as relaxation training, are explored for managing pediatric headaches.
- The current evidence base for relaxation training in this population requires synthesis.
Purpose of the Study:
- To conduct a rapid review assessing the evidence for relaxation training in the management of pediatric headaches.
- To evaluate the efficacy of relaxation training as a primary or adjunctive therapy for headaches in individuals aged 0-18 years.
Main Methods:
- A rapid review methodology was employed.
- Searched English-language, peer-reviewed literature on relaxation training for pediatric headaches.
- Included seven studies with 571 children; evidence quality assessed using GRADE criteria.
Main Results:
- Evidence quality was determined to be very low.
- Results regarding the impact of relaxation training on headache frequency, duration, and intensity were inconsistent across studies.
- No adverse events associated with relaxation training were reported.
Conclusions:
- The current evidence for relaxation training in pediatric headache management is inconsistent and of very low quality.
- High-quality research is necessary to establish the effectiveness of relaxation training for children's headaches.
- Further investigation is required to guide clinical practice in this area.
Abstract:
The objective of this review was to assess the evidence on relaxation training for management of paediatric headaches. Our methodology was a rapid review of English-language peer reviewed published literature focused on studies evaluating relaxation training as a primary or adjunct management option for headache in a paediatric population (0 to 18 years of age). Seven studies involving 571 children were included in the review. The quality of evidence was very low using GRADE criteria. Headache frequency, duration, and intensity were the primary outcomes in the included studies. Results for the effects of relaxation training for paediatric headache are inconsistent. Four of the seven studies reported decreased headache frequency, two of the five studies reported decreased headache duration, and two of the six studies reported decreased headache intensity following relaxation training. No adverse events were reported. The current state of the evidence for relaxation training for management of paediatric headache is both inconsistent and of very low quality. High-quality research evaluating the effects of relaxation training for paediatric headaches is required to advance the field.
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