Effects of Manual Therapy in Reducing Headaches. A Literature Review
Senanayake, Sahani Malshini Jr (2019)
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201905088400
https://urn.fi/URN:NBN:fi:amk-201905088400
Tiivistelmä
Headache is a quite common conditions in the nervous system and can be very painful and affect the day to day life. Most of the world’s adults are suffering from tension-type headache cervicogenic headache and migraine. Medication is the first choice for headaches in the modern world rather than manual therapy to get a fast recovery.
The purpose of this literature review was to investigate the effects of manual therapy techniques in reducing headache.
The method used for this thesis was based on literature review. It follows the main principles of systematic search. A systematic search was conducted in PubMed, CINAHL, Academic search Elite and manual search. Nine randomized controlled trials (RCT) and systematic reviews of meta-analysis of RCT articles that were selected for the thesis fulfilled the inclusion criteria.
According to the results, outcome measures of headache frequency and complaints of daily headache were significantly reduced with manual therapy treatments. Manual therapy helps to reduce pain frequency and maintain long term effectiveness at 4-8 weeks of follow-up period. In addition, two articles show that manipulative treatment and combined treatment gives good results to reduce tension-type headache and migraine. Furthermore, manual therapy and exercise therapy together reduce headaches and benefit to maintain long term effect.
Conclusion of this study was, manual therapy, manipulative treatment and combine treatment (manual therapy and exercises) have shown effect on reducing pain frequency of tension-type headache, cervicogenic headache and migraine and effects have maintained. In few studies with manual therapy, exercise therapy and combined therapy had also (Jull et al.2002, Chaibi et al.2014, Espi-Lopez et al.2014, Monzani et al.2016) quite a long-term effect on headache frequency. The result was maintained from 4-26 weeks in reducing headache frequency. To find out about the efficacy of manual therapy, long term follow-up needs to be done with big group of participants.
The purpose of this literature review was to investigate the effects of manual therapy techniques in reducing headache.
The method used for this thesis was based on literature review. It follows the main principles of systematic search. A systematic search was conducted in PubMed, CINAHL, Academic search Elite and manual search. Nine randomized controlled trials (RCT) and systematic reviews of meta-analysis of RCT articles that were selected for the thesis fulfilled the inclusion criteria.
According to the results, outcome measures of headache frequency and complaints of daily headache were significantly reduced with manual therapy treatments. Manual therapy helps to reduce pain frequency and maintain long term effectiveness at 4-8 weeks of follow-up period. In addition, two articles show that manipulative treatment and combined treatment gives good results to reduce tension-type headache and migraine. Furthermore, manual therapy and exercise therapy together reduce headaches and benefit to maintain long term effect.
Conclusion of this study was, manual therapy, manipulative treatment and combine treatment (manual therapy and exercises) have shown effect on reducing pain frequency of tension-type headache, cervicogenic headache and migraine and effects have maintained. In few studies with manual therapy, exercise therapy and combined therapy had also (Jull et al.2002, Chaibi et al.2014, Espi-Lopez et al.2014, Monzani et al.2016) quite a long-term effect on headache frequency. The result was maintained from 4-26 weeks in reducing headache frequency. To find out about the efficacy of manual therapy, long term follow-up needs to be done with big group of participants.