scholarly journals 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

2021 ◽  
Vol 11 (15) ◽  
pp. 6856
Author(s):  
Aida Herranz-Gómez ◽  
Irene García-Pascual ◽  
Pablo Montero-Iniesta ◽  
Roy La Touche ◽  
Alba Paris-Alemany
Keyword(s):  
Quality Of Life ◽  
Pain Intensity ◽  
Manual Therapy ◽  
Meta Analysis ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Cervicogenic Headaches ◽  
Pain Frequency ◽  
Tension Type Headaches

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.

scholarly journals Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Mohammadreza Pourahmadi ◽  
Mohammad Ali Mohseni-Bandpei ◽  
Abbasali Keshtkar ◽  
Bart W. Koes ◽  
César Fernández-de-Las-Peñas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Dry Needling ◽  
Statistical Heterogeneity ◽  
Patient Consent ◽  
Type Headache ◽  
Tension Type Headaches

Abstract Background Headache is the most common neurological symptoms worldwide, as over 90% of people have noted at least one headache during their lifetime. Tension-type headaches, cervicogenic headaches, and migraines are common types of headache which can have a significant impact on social, physical, and occupational functioning. Therapeutic management of headaches mainly includes physical therapy and pharmacological interventions. Dry needling is a relatively new therapeutic approach that uses a thin filiform needle without injectate to penetrate the skin and stimulate underlying tissues for the management of neuromusculoskeletal pain and movement impairments. The main objective of this systematic review and meta-analysis is to evaluate the effectiveness of dry needling in comparison to other interventions on pain and disability in patients with tension-type headache, cervicogenic headache, and migraine. Methods/design We will focus on clinical trials with concurrent control group(s) and comparative observational studies assessing the effect of dry needling in patients with tension-type headache, cervicogenic headache, and migraine. Electronic databases from relevant fields of research (PubMed/ Medline, Scopus, Embase®, PEDro, Web of Science, Ovid, AMED, CENTRAL, and Google Scholar) will be searched from inception to June 2019 using defined search terms. No restrictions for language of publication or geographic location will be applied. Moreover, grey literature, citation tracking, and reference lists scanning of the selected studies will be searched manually. Primary outcomes of this study are pain intensity and disability, and secondary outcomes are cervical spine ROM, frequency of headaches, health-related quality of life, and TrPs tenderness. Studies will be selected by three independent reviewers based on prespecified eligibility criteria. Three reviewers will independently extract data in each eligible study using a pre-piloted Microsoft Excel data extraction form. The assessment of risk of bias will be implemented using the Cochrane Back and Neck Review Group 13-item criteria and NOS. Direct meta-analysis will be performed using a fixed or random effects model to estimate effect size such as standardized mean difference (Morris’s dppc) and 95% confidence intervals. Statistical heterogeneity will also be evaluated using the I2 statistic and the χ2 test. All meta-analyses will be performed using Stata V.11 and V.14 softwares. The overall quality of the evidence for the primary outcomes will be assessed using GRADE. Discussion All analyses in this study will be based on the previous published papers. Therefore, ethical approval and patient consent are not required. The findings of this study will provide important information on the value of dry needling for the management of tension-type headache, cervicogenic headache, and migraine. Trial registration PROSPERO registration number: CRD42019124125.

scholarly journals The Pain Frequency-Severity-Duration Scale as a Measure of Pain: Preliminary Validation in a Pediatric Chronic Pain Sample

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Katherine S. Salamon ◽  
W. Hobart Davies ◽  
Melissa R. Fuentes ◽  
Steven J. Weisman ◽  
Keri R. Hainsworth
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Intensity ◽  
Functional Limitations ◽  
Pain Clinic ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Pain Frequency

Typically, pain is measured by intensity and sensory characteristics. Although intensity is one of the most common dimensions of pain assessment, it has been suggested that measuring pain intensity in isolation is only capturing part of the pain experience and may not lead to an accurate measurement of how pain impacts a child’s daily functioning. The current study aimed to develop a measure that would capture pain intensity along with frequency and duration in a clinical sample of youth diagnosed with chronic pain. The pain-frequency-severity-duration (PFSD) scale was developed and data were collected from a multidisciplinary pain clinic at a large, midwestern children’s hospital. Validated measures of functional limitations and health related quality of life were also collected. Significant correlations were found between the PFSD composite score, functional limitations, and health related quality of life. Future research should continue to evaluate this questionnaire utilizing other validated pain measures and other areas potentially impacted by chronic pain and with more diverse samples. This initial finding suggests that the PFSD is a convenient self-reported measure and is strongly related to health related quality of life and functional disability.

Quality of Life of Patients With Cervicogenic Headache: A Comparison With Control Subjects and Patients With Migraine or Tension‐type Headache

2003 ◽  
Vol 43 (10) ◽  
pp. 1034-1041 ◽  
Author(s):  
Hans A. van Suijlekom ◽  
Inge Lamé ◽  
Suzanne G. M. Stomp‐van den Berg ◽  
Alfons G. H. Kessels ◽  
Wilhelm E. J. Weber
Keyword(s):  
Quality Of Life ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Control Subjects ◽  
Type Headache

The effects of manual therapy or exercise therapy or both in people with hip osteoarthritis: a systematic review and meta-analysis

2016 ◽  
Vol 30 (12) ◽  
pp. 1141-1155 ◽  
Author(s):  
Kesava Kovanur Sampath ◽  
Ramakrishnan Mani ◽  
Takayuki Miyamori ◽  
Steve Tumilty
Keyword(s):  
Quality Of Life ◽  
Physical Function ◽  
Manual Therapy ◽  
Exercise Therapy ◽  
Meta Analysis ◽  
Hip Osteoarthritis ◽  
Post Treatment ◽  
Quality Evidence

Objective: To determine whether manual therapy or exercise therapy or both is beneficial for people with hip osteoarthritis in terms of reduced pain, improved physical function and improved quality of life. Methods: Databases such as Medline, AMED, EMBASE, CINAHL, SPORTSDiscus, PubMed, Cochrane Library, Web of Science, Physiotherapy Evidence Database, and SCOPUS were searched from their inception till September 2015. Two authors independently extracted and assessed the risk of bias in included studies. Standardised mean differences for outcome measures (pain, physical function and quality of life) were used to calculate effect sizes. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used for assessing the quality of the body of evidence for each outcome of interest. Results: Seven trials (886 participants) that met the inclusion criteria were included in the meta-analysis. There was high quality evidence that exercise therapy was beneficial at post-treatment (pain-SMD-0.27,95%CI-0.5to-0.04;physical function-SMD-0.29,95%CI-0.47to-0.11) and follow-up (pain-SMD-0.24,95%CI- 0.41to-0.06; physical function-SMD-0.33,95%CI-0.5to-0.15). There was low quality evidence that manual therapy was beneficial at post-treatment (pain-SMD-0.71,95%CI-1.08to-0.33; physical function-SMD-0.71,95%CI-1.08to-0.33) and follow-up (pain-SMD-0.43,95%CI-0.8to-0.06; physical function-SMD-0.47,95%CI-0.84to-0.1). Low quality evidence indicated that combined treatment was beneficial at post-treatment (pain-SMD-0.43,95%CI-0.78to-0.08; physical function-SMD-0.38,95%CI-0.73to-0.04) but not at follow-up (pain-SMD0.25,95%CI-0.35to0.84; physical function-SMD0.09,95%CI-0.5to0.68). There was no effect of any interventions on quality of life. Conclusion: An Exercise therapy intervention provides short-term as well as long-term benefits in terms of reduction in pain, and improvement in physical function among people with hip osteoarthritis. The observed magnitude of the treatment effect would be considered small to moderate.

scholarly journals Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Heidemarie Haller ◽  
Romy Lauche ◽  
Tobias Sundberg ◽  
Gustav Dobos ◽  
Holger Cramer
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Intensity ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Craniosacral Therapy ◽  
Secondary Outcomes

Abstract Objectives To systematically assess the evidence of Craniosacral Therapy (CST) for the treatment of chronic pain. Methods PubMed, Central, Scopus, PsycInfo and Cinahl were searched up to August 2018. Randomized controlled trials (RCTs) assessing the effects of CST in chronic pain patients were eligible. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated for pain intensity and functional disability (primary outcomes) using Hedges’ correction for small samples. Secondary outcomes included physical/mental quality of life, global improvement, and safety. Risk of bias was assessed using the Cochrane tool. Results Ten RCTs of 681 patients with neck and back pain, migraine, headache, fibromyalgia, epicondylitis, and pelvic girdle pain were included. CST showed greater post intervention effects on: pain intensity (SMD = -0.32, 95%CI = [− 0.61,-0.02]) and disability (SMD = -0.58, 95%CI = [− 0.92,-0.24]) compared to treatment as usual; on pain intensity (SMD = -0.63, 95%CI = [− 0.90,-0.37]) and disability (SMD = -0.54, 95%CI = [− 0.81,-0.28]) compared to manual/non-manual sham; and on pain intensity (SMD = -0.53, 95%CI = [− 0.89,-0.16]) and disability (SMD = -0.58, 95%CI = [− 0.95,-0.21]) compared to active manual treatments. At six months, CST showed greater effects on pain intensity (SMD = -0.59, 95%CI = [− 0.99,-0.19]) and disability (SMD = -0.53, 95%CI = [− 0.87,-0.19]) versus sham. Secondary outcomes were all significantly more improved in CST patients than in other groups, except for six-month mental quality of life versus sham. Sensitivity analyses revealed robust effects of CST against most risk of bias domains. Five of the 10 RCTs reported safety data. No serious adverse events occurred. Minor adverse events were equally distributed between the groups. Discussion In patients with chronic pain, this meta-analysis suggests significant and robust effects of CST on pain and function lasting up to six months. More RCTs strictly following CONSORT are needed to further corroborate the effects and safety of CST on chronic pain. Protocol registration at Prospero CRD42018111975.

scholarly journals Effect of physical activity and exercise on endometriosis-associated symptoms: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Merete Kolberg Tennfjord ◽  
Rakel Gabrielsen ◽  
Tina Tellum
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Systematic Review ◽  
Pain Intensity ◽  
Meta Analysis ◽  
Cardiovascular Fitness ◽  
Treatment Modalities ◽  
Control Group ◽  
Associated Symptoms

Abstract Background Endometriosis is a common benign gynecological disease that has the potential to debilitate due to pain and reduced quality of life. Treatment modalities such as hormones and surgery have limitations and do not treat all dimensions of the problems caused by endometriosis, and physical activity (PA) and exercise have been suggested as alternative treatments. Aim of this study was to perform a systematic review and meta-analysis to assess the effect of PA and exercise on endometriosis-associated symptoms. Methods Eleven databases were searched systematically. Study selection, quality assessment, and data extraction were carried out by two independent researchers in accordance with PRISMA guidelines. Eligibility criteria were women with diagnosed endometriosis receiving an intervention (PA and/or exercise). The primary outcome was pain intensity, but all outcomes were accepted. Results This study screened 1045 citations for eligibility. Four interventional studies were identified, of which one showed fatal design flaws and so was excluded. Three studies, two randomized controlled trials (RCT) and one pre-post study with no control group, involving 109 patients were included in a descriptive synthesis. The interventions included flexibility and strength training, cardiovascular fitness, and yoga, and were performed from one to four times per week for a total duration of 8–24 weeks, with or without supervision. Only one study found improvements in pain intensity. One study showed decreases in stress levels. Due to the heterogeneity of the study outcomes and measures, as well as confounding factors, a quantitative meta-analysis could not be performed. Conclusion The effect of PA and exercise as treatments for endometrioses-associated symptoms could not be determined due to significant limitations of the included studies. Future research should be based on RCTs of high methodological quality, measuring and reporting relevant core outcomes such as pain, improvements in symptoms and quality of life, and acceptability and satisfaction from the perspectives of patients. Furthermore, these outcomes need to be measured using reliable and validated tools. Trial registration number CRD42021233138.

scholarly journals Influence of social factors, clinical characteristics and comormidities on the health related quality of life in patients with tension type headaches

2008 ◽  
Vol 7 (5-1) ◽  
pp. 34-39
Author(s):  
L. R. Akhmadeyeva ◽  
E. N. Zakirova ◽  
V. A. Voevodin ◽  
R. V. Magzhanov
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Short Form ◽  
Tension Type Headache ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Type Headache ◽  
Tension Type Headaches

Here we present the results of our study of the influence of clinical and social parameters as well as co-morbidities (as anxiety, depression, sleep disturbances) on the health related quality of life of 95patients with the most often met primary cephalgias — tension type headache. We used MOS-SF36 (Medical Outcomes Study Short Form-36) as the main instrument to measure health related quality of life. Significant influence of anxiety and depression on the quality of life in patients with both frequent episodic and chronic tension type headache was reported. Anxiety in these patients was mostly associated with psychic health, general health and vitality. In patients with chronic tension type headaches depression was associated with physical functioning; in those with frequent episodic tension type headaches — with social functioning and role functioning due to emotional sate.

scholarly journals Non-pharmacological self-management for people living with migraine or tension-type headache: a systematic review including analysis of intervention components

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016670 ◽  
Author(s):  
Katrin Probyn ◽  
Hannah Bowers ◽  
Dipesh Mistry ◽  
Fiona Caldwell ◽  
Martin Underwood ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Usual Care ◽  
Pain Intensity ◽  
Tension Type Headache ◽  
Self Management ◽  
Headache Frequency ◽  
Delivery Methods ◽  
Management Interventions ◽  
Type Headache

ObjectivesTo assess the effect of non-pharmacological self-management interventions against usual care, and to explore different components and delivery methods within those interventionsParticipantsPeople living with migraine and/or tension-type headacheInterventionsNon-pharmacological educational or psychological self-management interventions; excluding biofeedback and physical therapy.We assessed the overall effectiveness against usual care on headache frequency, pain intensity, mood, headache-related disability, quality of life and medication consumption in meta-analysis.We also provide preliminary evidence on the effectiveness of intervention components and delivery methods.ResultsWe found a small overall effect for the superiority of self-management interventions over usual care, with a standardised mean difference (SMD) of −0.36 (−0.45 to −0.26) for pain intensity; −0.32 (−0.42 to −0.22) for headache-related disability, 0.32 (0.20 to 0.45) for quality of life and a moderate effect on mood (SMD=0.53 (−0.66 to −0.40)). We did not find an effect on headache frequency (SMD=−0.07 (−0.22 to 0.08)).Assessment of components and characteristics suggests a larger effect on pain intensity in interventions that included explicit educational components (−0.51 (−0.68 to −0.34) vs −0.28 (−0.40 to −0.16)); mindfulness components (−0.50 (−0.82 to −0.18) vs 0.34 (−0.44 to −0.24)) and in interventions delivered in groups vs one-to-one delivery (0.56 (−0.72 to −0.40) vs −0.39 (−0.52 to −0.27)) and larger effects on mood in interventions including a cognitive–behavioural therapy (CBT) component with an SMD of −0.72 (−0.93 to −0.51) compared with those without CBT −0.41 (−0.58 to −0.24).ConclusionOverall we found that self-management interventions for migraine and tension-type headache are more effective than usual care in reducing pain intensity, mood and headache-related disability, but have no effect on headache frequency. Preliminary findings also suggest that including CBT, mindfulness and educational components in interventions, and delivery in groups may increase effectiveness.Trial registration numberPROSPERO 2016:CRD42016041291

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