Effectiveness of Exercise and Manual Therapy as Treatment for Patients with Migraine, Tension-Type Headache or Cervicogenic Headache: An Umbrella and Mapping Review with Meta-Meta-Analysis

The aim of the study was to perform a mapping and umbrella review with meta-meta-analysis (MMA) to synthesise and critically evaluate the effectiveness of manual therapy (MT) and aerobic exercise (AE) in relation to pain intensity, frequency, disability and quality of life in patients with migraines...

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Published inApplied sciences Vol. 11; no. 15; p. 6856
Main Authors Herranz-Gómez, Aida, García-Pascual, Irene, Montero-Iniesta, Pablo, Touche, Roy La, Paris-Alemany, Alba
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.08.2021
Subjects
aerobic exercise
Bias
cervicogenic headache
Exercise
Headache
Headaches
Intervention
Manipulative therapy
Mapping
Meta-analysis
Migraine
Pain
Patients
Performance evaluation
Physical fitness
Quality of life
Systematic review
tension-type headache
therapeutic exercise
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Summary:The aim of the study was to perform a mapping and umbrella review with meta-meta-analysis (MMA) to synthesise and critically evaluate the effectiveness of manual therapy (MT) and aerobic exercise (AE) in relation to pain intensity, frequency, disability and quality of life in patients with migraines, tension-type headaches (TTH) and cervicogenic headaches (CGH). A systematic search was conducted in PubMed, PEDro, Scielo and Google Scholar up to December 2020. A total of 18 articles met the inclusion criteria, and only 8 were included in the quantitative analysis. The MMA showed results in favour of the interventions in terms of pain intensity and quality of life in migraine, TTH and CCH. Data were also in favour of the intervention in terms of pain frequency in migraine and in terms of disability in TTH. However, there were no significant effects on pain frequency in TTH and CGH. The results showed moderate evidence to suggest that AE reduces pain intensity in patients with migraine. In addition, the evidence in favour of MT or a mixed intervention (including therapeutic exercise) was also moderate in terms of reducing pain intensity in patients with TTH.
ISSN:2076-3417
2076-3417
DOI:10.3390/app11156856