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Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial

Journal: International Journal of Osteopathic Medicine Date: 2016/12, 22Pages: 11-20. doi: Subito , type of study: randomized controlled trial

Full text    (https://www.sciencedirect.com/science/article/pii/S174606891630030X)

Keywords:

efficacy [14]
manual therapy [139]
tension-type headache [14]
depression [48]
anxiety [37]
spinal manipulation [74]
randomized controlled trial [710]

Abstract:

Introduction Tension-type headache (TTH) is a highly prevalent disorder with a significant socio-economic impact. The purpose of this study was to test the efficacy of three manual therapy treatments for reducing TTH-related anxiety and depression. Subjects and methods A clinical trial was conducted on 84 participants diagnosed with tension-type headache forming 4 groups: the first group received suboccipital soft tissue treatment (ST); the second group was treated with articulatory techniques (AT); the third group underwent a combination of both techniques (ST and AT), while the fourth group was the control group. Treatment sessions were administered over four weeks, with post-treatment assessment, and follow-up at one month. We conducted repeated measures analysis of covariance (RM-MANCOVA) to evaluate the effect of treatment on between and within-subject conditions and their interaction on reported depression and anxiety. Results All treatments resulted in a ‘moderate’ reduction of psychological symptoms associated with TTH (Cohen's f = .31 for anxiety trait; f = .35 for anxiety state and f = .35 for depression). However, their efficacy varied across treatments, TTH types and the elapsed time between measurements. Conclusion Treatments including an articulatory technique showed a greater efficacy than a soft tissue technique, or a combination of both, for the reduction of TTH-related anxiety and depression levels in these participants.


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