Table 3.
Study | Intervention Group | Main Outcomes | Measurements Tools | Follow-Up Period | Effect Size (Cohen’sd) | 95% CI (Cohen’s d) | p Values |
---|---|---|---|---|---|---|---|
Castien et al. [83] | Mobilizations of the cervical and thoracic spine, postural correction and cervical stabilization | Intensity of pain | Numeric Rating Scale | 8 weeks | 0.9 | 0.53 to 1.46 | p = 0.003 |
26 weeks | 0.53 | 0.08 to 0.97 | p = 0.027 | ||||
Headache frequency | Personal diary (14 days) | 8 weeks | 1.58 | 1.07 to 2.08 | p < 0.001 | ||
26 weeks | 1.16 | 0.69 to 1.64 | p < 0.001 | ||||
Headache duration | Personal diary 14 day (h/day) | 8 weeks | 0.56 | 0.12 to 1.01 | p = 0.013 | ||
26 weeks | 0.39 | −0.05 to 0.8 | p = 0.095 | ||||
Ajimsha et al. [84] | Direct techniques for myofascial release | Headache frequency | Personal diary | 3 months | 2.59 | 1.65 to 3.52 | p < 0.001 |
Indirect techniques for myofascial release | Headache frequency | Personal diary | 3 months | 3.4 | 2.35 to 4.5 | p < 0.001 | |
Da Silva et al. [85] | Conventional acupuncture and additional points | Pain intensity | Numerical Rating Scale | 3 months | 0.55 | −0.05 to 1.16 | p = 0.035 |
Berggreen et al. [86] | Trigger points treatment | Pain intensity (morning) | Visual Analogical Scale | Post treatment | 0.66 | 0.014 to 1.32 | p = 0.047 |
Pain intensity (evening) | Visual Analogical Scale | Post treatment | 0.17 | −0.46 to 0.81 | p = 0.594 | ||
Espí-López et al. [87] | Suboccipital soft tissue inhibition | Pain severity | Headache Disability Inventory. | Post treatment | 0.31 | −0.35 to 0.93 | p = 0.04 |
Headache frequency | Headache Disability Inventory | Post treatment | 0.26 | −0.37 to 0.91 | p = 0.36 | ||
Occiput-atlas-axis manipulative treatment | Pain severity | Headache Disability Inventory. | Post treatment | 1.04 | 0.35 to 1.71 | p = 0.004 | |
Headache frequency | Headache Disability Inventory. | Post treatment | 0.59 | −0.08 to 1.21 | p = 0.03 | ||
Combined treatment of both | Pain severity | Headache Disability Inventory. | Post treatment | 0.80 | 0.067 to 1.38 | p = 0.01 | |
Headache frequency | Headache Disability Inventory. | Post treatment | 0.50 | −0.012 to 1.18 | p = 0.02 | ||
Moraska et al. [88] | Massage and trigger point treatment = 0.026 | Pain intensity | Visual Analogical Scale | 1 month | 0.37 | −0.28 to 1.03 | p = 0.30 |
Headache frequency | Interview (episodes/week) | 1 month | 0.54 | −0.13 to 1.21 | p = 0.026 | ||
Headache duration | Interview (hour/episode) | 1 month | 0.32 | −0.34 to 0.98 | p = 0.49 | ||
Chassot et al. [89] | Electroacupuncture | Pain intensity | Visual Analogical Scale | Post treatment | 0.63 | 0.05 to 1.32 | p = 0.005 |
Espí-López et al. [90] | Occiput-atlas-axis manipulation and soft tissue massage | Pain severity | Headache Disability Inventory | Post treatment | 0.38 | 0.0 to 0.77 | p < 0.10 |
2 months | 0.28 | −0.102 to 0.68 | p = 0.31 | ||||
Headache frequency | Headache Disability Inventory. | Post treatment | 0.35 | 0.03 to 0.75 | p < 0.10 | ||
2 months | 0.63 | 0.23 to 1.03 | p < 0.01 | ||||
Ferragut-Garcías et al. [91] | Soft tissues techniques | Pain intensity | Visual Analogical Scale | Post treatment | 2.35 | 1.61 to 3.09 | p < 0.001 |
1 month | 2.47 | 1.71 to 3.23 | p < 0.001 | ||||
Headache frequency | Personal diary | Post treatment | 0.93 | 0.32 to 1.53 | p < 0.001 | ||
1 month | 0.98 | 0.38 to 1.59 | p < 0.001 | ||||
Neural mobilization techniques | Pain intensity | Visual Analogical Scale | Post treatment | 1.27 | 0.65 to 1.88 | p < 0.001 | |
1 month | 1.29 | 0.68 to1.91 | p < 0.001 | ||||
Headache frequency | Personal diary | Post treatment | 1.17 | 0.57 to 1.78 | p < 0.001 | ||
1 month | 1.11 | 0.51 to 1.71 | p < 0.001 | ||||
Combined treatment of both | Pain intensity | Visual Analogical Scale | Post treatment | 2.26 | 1.54 to 2.98 | p < 0.001 | |
1 month | 2.18 | 1.47 to 2.89 | p < 0.001 | ||||
Headache frequency | Personal diary | Post treatment | 1.50 | 0.86 to2.14 | p < 0.001 | ||
1 month | 1.61 | 0.97 to 2.26 | p < 0.001 | ||||
Georgoudis et al. [92] | Microwaves and myofascial release combined with acupuncture | Pain intensity | Visual Analogical Scale | Post treatment | 0.61 | 0.01 to 1.21 | p < 0.05 |
Pérez-Llanes et al. [93] | Combined treatment with suboccipital muscle inhibition and interferential current | Intensity of pain | Numeric Rating Scale | 4 weeks | 1.13 | - | p = 0.18 |
Schiller et al. [94] (*) | Acupuncture | Pain intensity | Verbal Rating Scale | 3 months | 0.83 | - | p = 0.24 |
6 months | 0.44 | - | - | ||||
Frequency of headache | Personal diary (days/month) | 3 months | 0.14 | - | - | ||
6 months | 0.33 | - | p = 0.01 | ||||
Duration of headache | Personal diary (hours/month) | 3 months | 0.14 | - | - | ||
6 months | 0.14 | - | - | ||||
Medical training therapy | Pain intensity | Verbal Rating Scale | 3 months | 0.33 | - | p = 0.67 | |
6 months | 0.88 | - | - | ||||
Frequency of headache | Personal diary (days/month) | 3 months | 0.69 | - | - | ||
6 months | 0.14 | - | p = 0.01 | ||||
Duration of headache | Personal diary (hours/month) | 3 months | 0.25 | - | - | ||
6 months | 0.01 | - | - | ||||
Combination of acupuncture and medical training | Pain intensity | Verbal Rating Scale | 3 months | 1.25 | - | p = 0.012 | |
6 months | 0.29 | - | - | ||||
Frequency of headache | Personal diary (days/month) | 3 months | 0.37 | - | - | ||
6 months | 0.03 | - | p = 0.04 | ||||
Duration of headache | Personal diary (hours/month) | 3 months | 0.05 | - | - | ||
6 months | 0.34 | - | - | ||||
Corum et al. [95] | High-velocity low-amplitude (HVLA) manipulation | Headache frequency | Personal diary (days/2-week) | Post treatment | 1.58 | - | p < 0.05 |
3 months | 1.32 | - | p < 0.05 | ||||
Pain intensity | Visual Analogue Scale | Post treatment | 2.77 | - | p < 0.05 | ||
3 months | 1.99 | - | p < 0.05 | ||||
Suboccipital inhibition | Headache frequency | Personal diary (days/2-week) | Post treatment | 0.64 | - | p < 0.05 | |
3 months | 0.48 | - | p < 0.05 | ||||
Pain intensity | Visual Analogue Scale | Post treatment | 1.07 | - | p < 0.05 | ||
3 months | 0.6 | - | p < 0.05 | ||||
Gopichandran et al. [96] | Progressive muscle relaxation (PMR) and deep breathing exercises | Pain intensity | Wong-Baker Faces Pain Scale | 4 weeks | 1.7 | - | p < 0.001 |
8 weeks | 2.27 | - | p < 0.001 | ||||
12 weeks | 2.99 | - | p < 0.001 | ||||
Runa et al. [97] | Moxibustion at temples combined with Deanxit | Pain intensity | Visual Analogue Score | Post treatment | 8.35 | - | p < 0.05 |
Frequency of tension type headache | Interview | Post treatment | 1.81 | - | p < 0.05 | ||
Duration of tension type headache | Interview | Post treatment | 2.83 | - | p < 0.05 |
(*) Data after 3 and 6 months, comparing them with control group.