Therapeutic Patient Education as Part of the Physiotherapy Management of Adults with Headache: A Scoping Review

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Sarah Mingels, Marita Granitzer, Kerstin Luedtke, Wim Dankaerts
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Abstract

Purpose of Review

Physiotherapy interventions for headache mostly include exercise and manual therapy. Yet, the complex nature of headache, sometimes characterized by symptoms of facilitated central pain mechanisms, demands an individualized approach in which therapeutic patient education could be supportive. This scoping review aimed to summarize the position of therapeutic patient education within the physiotherapy management of adults with headache. PubMed, EMBASE, Web of Science, and Scopus were searched. The search-query comprised terminology relating to “headache”, “education”, and “physiotherapy”. Eligibility criteria were: adults with headache, interventions including education within the domain of physiotherapy, reviews, clinical trials, cohort, case report, case–control studies.

Recent Findings

Eleven publications were included from the 281 retrieved publications. These publications were clinical trials (n = 4), reviews (n = 4), case-reports (n = 2), and a guideline (n = 1). Type of headaches studied were migraine (n = 3), post-traumatic headache (n = 2), tension-type headache (n = 2), cervicogenic headache (n = 1), primary headaches (n = 1), chronic daily headache (n = 1), and mixed migraine-cervicogenic headache (n = 1). Education seems an umbrella-term for postural education, lifestyle advice, and pain education. Three themes emerged across the publications: handling headache triggers (migraine, post-traumatic headache), promoting active lifestyle (post-traumatic headache, chronic daily headache, migraine), evaluating posture (post-traumatic headache, chronic daily headache, tension-type headache, cervicogenic headache). All publications recommended education in the management of headache. Only one (of the 11 included) publication described the educational program and determined its efficacy.

Summary

Based on this scoping review, therapeutic patient education seems supported within physiotherapy management of headache. However, it is unclear how such education is tailored to the specific needs of the individual, the headache subtype, or when it should be added to physiotherapy management of headache.

Abstract Image

作为成人头痛物理治疗一部分的患者治疗教育:范围审查
综述目的 头痛的物理治疗干预措施大多包括运动和手法治疗。然而,头痛的性质复杂,有时还伴有中枢疼痛机制紊乱的症状,因此需要采取个性化的治疗方法,而对患者的治疗教育可以起到辅助作用。本范围综述旨在总结治疗性患者教育在成人头痛物理治疗中的地位。我们检索了 PubMed、EMBASE、Web of Science 和 Scopus。搜索关键词包括 "头痛"、"教育 "和 "物理治疗"。资格标准为:患有头痛的成年人、包括物理治疗领域内的教育在内的干预措施、综述、临床试验、队列研究、病例报告、病例对照研究。这些出版物包括临床试验(4 篇)、综述(4 篇)、病例报告(2 篇)和指南(1 篇)。研究的头痛类型包括偏头痛(3 例)、创伤后头痛(2 例)、紧张型头痛(2 例)、颈源性头痛(1 例)、原发性头痛(1 例)、慢性日常头痛(1 例)和偏头痛-颈源性混合头痛(1 例)。教育似乎是姿势教育、生活方式建议和疼痛教育的总称。出版物中出现了三个主题:处理头痛诱因(偏头痛、创伤后头痛)、提倡积极的生活方式(创伤后头痛、慢性日常头痛、偏头痛)、评估姿势(创伤后头痛、慢性日常头痛、紧张型头痛、颈源性头痛)。所有出版物都建议开展头痛管理教育。小结根据本范围综述,在头痛的物理治疗管理中似乎支持对患者进行治疗性教育。然而,目前尚不清楚如何根据个人的具体需求和头痛亚型开展此类教育,也不清楚何时应在头痛物理治疗中加入此类教育。
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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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