Effectiveness of Hands-Off Therapy in the Management of Primary Headache: A Systematic Review and Meta-Analysis

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Mukhtar N. B., Meeus M., GÜRŞEN C., Mohammed J., De Pauw R., Cagnie B.

EVALUATION & THE HEALTH PROFESSIONS, cilt.45, sa.2, ss.183-203, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 45 Sayı: 2
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1177/0163278720983408
  • Dergi Adı: EVALUATION & THE HEALTH PROFESSIONS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, CAB Abstracts, CINAHL, EBSCO Education Source, EMBASE, MEDLINE, Psycinfo, Public Affairs Index
  • Sayfa Sayıları: ss.183-203
  • Anahtar Kelimeler: effectiveness, hands-off, therapy, headache, trials, TENSION-TYPE HEADACHE, MIGRAINE SELF-MANAGEMENT, RANDOMIZED CONTROLLED-TRIAL, INTERNET-BASED TREATMENT, LOW-BACK-PAIN, AEROBIC EXERCISE, BEHAVIORAL-MANAGEMENT, PATIENT EXPECTATIONS, RECURRENT HEADACHE, TERM EFFECTIVENESS
  • Hacettepe Üniversitesi Adresli: Evet

Özet

A number of hands-off therapies have been widely reported and are used in the management of headache. This systematic review and meta-analysis aimed to assess evidence supporting these therapies on selected headache outcomes. A systematic literature search for randomized clinical trials reporting on the effects of hands-off therapies for headache was performed in two electronic databases; PubMed and Web of Science (PROSPERO: CRD42018093559). Risk of bias was assessed using the Cochrane risk of bias tool. Meta-analysis was performed using Review Manager v5.4. Thirty-five studies, including 3,403 patients with migraine, tension-type or chronic headaches were included in the review. Methodological quality of the studies ranged from poor to good. Result-synthesis revealed moderate evidence for aerobic exercises, relaxation training and pain education for reducing pain intensity and disability. Other hands-off interventions were either weak or limited in evidence. Meta-analysis of 22 studies indicated that the effect of hands-off therapies significantly differed from one another for pain intensity, disability and quality of life (p < 0.05). Relaxation training, aerobic and active/stretching exercises had significant effect on pain intensity and disability (p < 0.05). To conclude, few hands-off therapies were effective on selected headache outcomes. Evidence to support other hands-off therapies is limited by paucity of studies.