Manual Therapy Techniques, Effect on Quality of Life in People With Tension-type Headache
Written by Editor   
Thursday, April 28, 2016 11:00 AM

Controversy exists regarding the effectiveness of manual therapy for the relief of tension-type headache (TTH). However most studies have addressed the impact of therapy on the frequency and intensity of pain. No studies have evaluated the potentially significant effect on the patient’s quality of life.  A factorial, randomized, single-blinded, controlled clinical trial was conducted to assess the quality of life of patients suffering from TTH treated for 4 weeks with different manual therapy techniques.  The results support the effectiveness of treatments applied to the suboccipital region for patients with TTH.

Seventy-six (62 women) patients aged between 18 and 65 years with either episodic or chronic TTH were divided into four groups: sub occipital inhibitory pressure; suboccipital spinal manipulation; a combination of the two treatments; control. Quality of life was assessed using the SF-12 questionnaire at the beginning and end of treatment, and after a one month follow-up.

Compared to baseline, the suboccipital inhibition treatment group showed a significant improvement in their overall quality of life at the one month follow-up and also showed specific improvement in the dimensions related to moderate physical activities, and in their emotional role. All the treatment groups, but not the control group, showed improvements in their physical role, bodily pain, and social functioning at the one month follow-up. Post treatment and at the one month follow-up, the combined treatment group (suboccipital inhibitory pressure and suboccipital spinal manipulation) showed improved vitality and the two treatment groups that involved manipulation showed improved mental health.

All three treatments were effective at changing different dimensions of quality of life, but the combined treatment showed the most change.