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. 2019 Feb 7;24(2):103–114. doi: 10.1093/pch/pxy157

Table 4.

Summary of findings of relaxation training for paediatric headache

Outcome Measure used Number and design of studies Number of patients Quality of evidence (GRADE)a Comments
Headache Duration Duration in hours
Some studies used total duration and others a mean score.
5 RCTs N=462 (+) very low Unable to calculate estimate of effect due to measurement heterogeneity and incomplete reporting. Two of the five studies found benefit of relaxation training.
Headache Frequency Headache yes/no
Data collection ranged from weekly to 4×/day.
Some studies analyzed frequency and others used headache-free days.
7 RCTs N=571 (+) very low Unable to calculate estimate of effect due to measurement heterogeneity and incomplete reporting. Four of the seven studies found benefit of relaxation training.
Headache Intensity Pain scale, range 0–5 and 0–10
Some studies used peak intensity (highest reported score) and others a mean score.
6 RCTs N=553 (+) very low Unable to calculate estimate of effect due to measurement heterogeneity and incomplete reporting. Two of the six studies found benefit of relaxation training.

aSee Tables 1 and 5 for Risk of Bias of individual studies, and Quality of Evidence across outcomes.