Conservative treatments of children with episodic tension-type headache. A systematic review.

Abstract:

OBJECTIVE:We aimed to assess the effectiveness of conservative treatments in children with tension-type headaches (TTH). METHOD:We searched Medline, Embase and the Cochrane Library and performed reference checking. Two independent authors assessed trial quality and extracted data. Analysis was carried out according to type of intervention. RESULTS:In total we included 11 trials (427 TTH patients, age between 7-18 years) in this review. None of the studies were considered to be of high quality. Eight studies evaluated the effectiveness of relaxation training. Four studies included a waiting list or no treatment control group and in one study a placebo was used. CONCLUSION:We found conflicting evidence about the effectiveness of relaxation therapy when compared with no treatment or other treatments, with Relative Risks varying from 1.4 (0.6-3.2) to 10.6 (1.6-71.3). With regard to all other interventions evaluated (such as biofeedback, cognitive therapy or flupirtin) no evidence is found for or against their effectiveness.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Verhagen AP,Damen L,Berger MY,Passchier J,Merlijn V,Koes BW

doi

10.1007/s00415-005-0940-7

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

1147-54

issue

10

eissn

0340-5354

issn

1432-1459

journal_volume

252

pub_type

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