Physical Treatments Reduce Pain in Children with Tension-Type Headache: A Systematic Review and Meta-Analysis.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2020-06-01 DOI:10.11607/ofph.2575

Maria N Bot, Anton de Wijer, Jan Pool, Ewald M Bronkhorst, Stanimira Sparreboom Kalaykova, Nico Hj Creugers, Elise M van de Putte

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引用次数: 4

Abstract

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.

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物理治疗减轻儿童紧张性头痛的疼痛:一项系统回顾和荟萃分析。

目的:评价各种物理治疗方法对儿童紧张性头痛(TTH)的治疗效果。方法:本综述按照PRISMA指南进行报道，并在PROSPERO数据库注册(CRD42014015290)。包括随机和非随机对照试验，这些试验检查了儿童TTH治疗中所有物理成分的治疗效果，并将这些治疗与安慰剂干预、不干预或对照比较干预进行了比较。使用物理治疗证据数据库(PEDro)偏倚评估标准和推荐、评估、发展和评估等级工作组(GRADE)标准来评估证据体的质量。结果测量是疼痛、功能和生活质量。荟萃分析只包括随机对照试验。结果:最初的搜索产生了10,464篇已发表的文章。其中，17项是相关试验，包括1815名参与者。纳入研究的总体GRADE评分为中等，17项研究中有11项可用于meta分析。物理治疗在减轻疼痛50%或更多方面的有效性显示风险比(RR)为2.37 (95% CI: 1.69至3.33)。放松训练是评价最高的干预措施，被证明是显著有效的(RR: 3.00 [95% CI: 1.94 ~ 4.63])。对于TTH合并颞下颌疾病的儿童，咬合矫治器是有效的(RR: 2.58 [95% CI: 1.37至4.85])。结论:本综述支持使用物理治疗来减轻TTH患儿的疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.