TY - JOUR
T1 - Physical Treatments Reduce Pain in Children with Tension-Type Headache
T2 - A Systematic Review and Meta-Analysis
AU - Bot, Maria N.
AU - de Wijer, Anton
AU - Pool, Jan
AU - Bronkhorst, Ewald M.
AU - Kalaykova, Stanimira Sparreboom
AU - Creugers, Nico Hj
AU - van de Putte, Elise M.
N1 - Publisher Copyright:
© 2020. by Quintessence Publishing Co Inc. All Rights Reserved.
PY - 2020/9/2
Y1 - 2020/9/2
N2 - Aims: To assess the effectiveness of a variety of physical treatments in the management of tension-type headache (TTH) in children. Methods: This review is reported in accordance with the PRISMA guidelines and was registered in the PROSPERO database (CRD42014015290). Randomized and nonrandomized controlled trials that examined the effects of all treatments with a physical component in the management of TTH in children and compared these treatments to a placebo intervention, no intervention, or a controlled comparison intervention were included. The Physiotherapy Evidence Database (PEDro) criteria for bias assessment and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) Working Group criteria were used to assess the quality of the body of evidence. The outcome measures were pain, functioning, and quality of life. Only RCTs were included in the meta-analyses. Results: An initial search produced 10,464 published articles. Of these, 17 were relevant trials, including 1,815 participants. The overall GRADE rating of the included studies was moderate, and 11 of the 17 studies could be used in the meta-analyses. The effectiveness of physical treatments in terms of a reduction of pain of 50% or more showed a risk ratio (RR) of 2.37 (95% CI: 1.69 to 3.33). Relaxation training was the most evaluated intervention and proved to be significantly effective (RR: 3.00 [95% CI: 1.94 to 4.63]). In children having TTH combined with temporomandibular disorders, occlusal appliances were effective (RR: 2.58 [95% CI: 1.37 to 4.85]). Conclusion: This review supports the use of physical treatments to reduce pain in children with TTH. J Oral Facial Pain Headache 2020;34:240-254. doi: 10.11607/ofph.2575
AB - Aims: To assess the effectiveness of a variety of physical treatments in the management of tension-type headache (TTH) in children. Methods: This review is reported in accordance with the PRISMA guidelines and was registered in the PROSPERO database (CRD42014015290). Randomized and nonrandomized controlled trials that examined the effects of all treatments with a physical component in the management of TTH in children and compared these treatments to a placebo intervention, no intervention, or a controlled comparison intervention were included. The Physiotherapy Evidence Database (PEDro) criteria for bias assessment and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) Working Group criteria were used to assess the quality of the body of evidence. The outcome measures were pain, functioning, and quality of life. Only RCTs were included in the meta-analyses. Results: An initial search produced 10,464 published articles. Of these, 17 were relevant trials, including 1,815 participants. The overall GRADE rating of the included studies was moderate, and 11 of the 17 studies could be used in the meta-analyses. The effectiveness of physical treatments in terms of a reduction of pain of 50% or more showed a risk ratio (RR) of 2.37 (95% CI: 1.69 to 3.33). Relaxation training was the most evaluated intervention and proved to be significantly effective (RR: 3.00 [95% CI: 1.94 to 4.63]). In children having TTH combined with temporomandibular disorders, occlusal appliances were effective (RR: 2.58 [95% CI: 1.37 to 4.85]). Conclusion: This review supports the use of physical treatments to reduce pain in children with TTH. J Oral Facial Pain Headache 2020;34:240-254. doi: 10.11607/ofph.2575
KW - child
KW - headache
KW - meta-analysis
KW - myofascial
KW - pain
KW - systematic review
KW - temporomandibular disorders
KW - therapeutics
KW - therapy
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=85090181122&partnerID=8YFLogxK
U2 - 10.11607/ofph.2575
DO - 10.11607/ofph.2575
M3 - Review article
C2 - 32870953
AN - SCOPUS:85090181122
VL - 34
SP - 240
EP - 254
JO - Journal of oral & facial pain and headache
JF - Journal of oral & facial pain and headache
IS - 3
ER -