Efficacy of manual and manipulative therapy in the perception of pain and cervical motion in patients with tension-type headache

The goal of this study was to evaluate the efficacy of manipulative and manual therapy treatments relating to pain perception and neck mobility in patients with tension-type headache. A randomized clinical trial was conducted on 84 adults diagnosed with tension-type headache. Eighty-four subjects took part in this study: 68 women and 16 men. Mean age was 39.76 years, ranging from 18 to 65 years. A total of 57.1% were diagnosed with chronic tension-type headache and 42.9% with tension-type headache. Participants were divided into 3 treatment groups (manual therapy, manipulative therapy, a combination of manual and manipulative therapy) and a control group. Four treatment sessions were administered over 4 weeks, with assessment after treatment and follow-up at 1 month. Cervical ranges of motion pain perception, and frequency and intensity of headaches were assessed. All 3 treatment groups showed significant improvements in the different dimensions of pain perception. Manual therapy and manipulative treatment improved some cervical ranges of motion. Headache frequency was reduced with manipulative treatment (P < .008). Combined treatment reported improvement after the treatment (P < .000) and at follow-up (P < .002). Pain severity improved after the treatment and at follow-up with manipulative therapy (P < .01) and combined treatment (P < .01).

Both treatments, administered both separately and combined together, exhibited efficacy for patients with tension-type headache with regard to pain perception. As for cervical ranges of motion, treatments yeilded greater effect when separately administered.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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