Multimodal manual therapy vs. pharmacological care for management of tension type headache: A meta-analysis of randomized trials

Cephalalgia : an International Journal of Headache
Juan A Mesa-JiménezCesar Fernández-de-Las-Peñas

Abstract

Manual therapies are generally requested by patients with tension type headache. To compare the efficacy of multimodal manual therapy vs. pharmacological care for the management of tension type headache pain by conducting a meta-analysis of randomized controlled trials. PubMed, MEDLINE, EMBASE, AMED, CINAHL, EBSCO, Cochrane Database of Systematic Reviews, Cochrane Collaboration Trials Register, PEDro and SCOPUS were searched from their inception until June 2014. All randomized controlled trials comparing any manual therapy vs. medication care for treating tension type headache adults were included. Data were extracted and methodological quality assessed independently by two reviewers. We pooled headache frequency as the main outcome and also intensity and duration. The weighted mean difference between manual therapy and pharmacological care was used to determine effect sizes. Five randomized controlled trials met our inclusion criteria and were included in the meta-analysis. Pooled analyses found that manual therapies were more effective than pharmacological care in reducing frequency (weighted mean difference -0.8036, 95% confidence interval -1.66 to -0.44; three trials), intensity (weighted mean difference -0.5974, 95% confid...Continue Reading

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Citations

Feb 13, 2016·Expert Review of Neurotherapeutics·César Fernández-De-Las-Peñas, María L Cuadrado
Mar 5, 2016·Cephalalgia : an International Journal of Headache·Arnaud LardonAndrée-Anne Marchand
Aug 6, 2016·Neurología : publicación oficial de la Sociedad Española de Neurología·A C Álvarez-MelcónJ V Beneit-Montesinos
Mar 5, 2019·Current Pain and Headache Reports·Sarah MingelsMarita Granitzer
Jun 13, 2020·International Journal of Environmental Research and Public Health·César Fernández-de-Las-PeñasJosé L Arias-Buría
Dec 17, 2016·Chiropractic & Manual Therapies·E J Thoomes
Jan 8, 2018·Psychotherapy and Psychosomatics·Peter HenningsenFrancis Creed
Sep 15, 2020·Disability and Rehabilitation·Danilo Harudy KamonsekiLetícia Bojikian Calixtre
Sep 27, 2019·Deutsches Ärzteblatt International·Casper RoennebergConstanze Hausteiner-Wiehle
Nov 10, 2015·The Clinical Journal of Pain·Lars Arendt-NielsenCésar Fernández-de-Las-Peñas
Mar 12, 2018·Neurología : publicación oficial de la Sociedad Española de Neurología·C Cumplido-TrasmonteF Molina-Rueda

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