The effect of manual therapies on tension-type headache in patients who do not respond to drug therapy: a randomized clinical trial

Tension-Type Headache (TTH) is one of the most common types of headache. In patients with TTH, manual therapy can be used to treat myofascial pain. This study aimed to evaluate the effect of manual therapy on TTH in patients who did not respond to drug therapy. A total of 24 patients with TTH were r...

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Published inThe Journal of manual & manipulative therapy Vol. 31; no. 4; pp. 246 - 252
Main Authors Azhdari, Negar, Kamali, Fahimeh, Vosooghi, Omid, Petramfar, Payman, Rahimijaberi, Abbas
Format Journal Article
LanguageEnglish
Published England Taylor & Francis 04.07.2023
Subjects
Headache
Humans
manipulation
Medication
Musculoskeletal Manipulations
Pain Measurement
physiotherapy
Prospective Studies
Tension-Type Headache - drug therapy
Medication
manipulation
physiotherapy
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Summary:Tension-Type Headache (TTH) is one of the most common types of headache. In patients with TTH, manual therapy can be used to treat myofascial pain. This study aimed to evaluate the effect of manual therapy on TTH in patients who did not respond to drug therapy. A total of 24 patients with TTH were randomly enrolled into this prospective trial. The participants were divided into an intervention and a control group. The intervention group received the common medication and manual therapy, while the control group only received the common medication. Headache pain intensity, frequency, and duration, tablet count, and Neck Disability Index (NDI) were measured in both groups before, after, and one week after the intervention. There were significant differences between the two groups (treatment, control) regarding pain intensity (3.04, 6.75, P = 0.0001; effect size (ES) = 1.85), headache frequency (2.33, 5, P = 0.004; ES = 1.48) and duration (91.29, 284.74, P = 0.002; ES = 1.48), tablet count (1.83, 4.91, P = 0.01; ES = 1.04), and NDI (7.33, 20.16, P = 0.003; ES = 1.37). Within group differences were recorded in intervention group only for all dependent variables immediately after intervention and one week after the intervention (p < 0.05). Manual therapy reduced headache pain intensity, frequency and duration, tablet count, and NDI score in patients with TTH.
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The trial was registered at the Iranian Registry of Clinical Trials (IRCT2017082924149N36).
ISSN:1066-9817
2042-6186
DOI:10.1080/10669817.2022.2107446