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The role of osteopathic complementary treatment in high frequency paediatric headache: a randomised controlled study

Journal: Neurological Sciences Date: 2019/06, 40Pages: S231‐S232. doi: Subito , type of study: randomized controlled trial

Full text    (https://link.springer.com/article/10.1007/s10072-019-03957-6)

Keywords:

primary headache [3]
child [312]
children [228]
adolescent [52]
conference abstract [108]
pediatric [452]
prophylaxis [4]
OMT [2951]
osteopathic manipulative treatment [2973]
light touch therapy [1]
randomized clinical trial [26]

Abstract:

Background: The pathogenesis of high frequency headache in children is multifactorial and often needs a multidisciplinary approach that includes both pharmacologic and non‐pharmacologic therapies, such as biobehavioural management, agopuncture, osteopathic treatment. Osteopathic treatment results effective in some paediatric conditions, but in primary headache the possible efficacy is still unknown. The aim of this study is to evaluate the effectiveness of osteopathic manipulative therapy in supporting prophylactic medications in paediatric patients with high frequency headache. Methods: This is a randomized controlled double blind study in collaboration with BScuola Superiore Di Osteopatia Italiana and is still ongoing. We recruited patients who referred to the Headache Centre of Regina Margherita Hospital in Turin, aged 8‐18 years, with high‐frequency headache, in which prophylacticmedication for at least two months had failed. Patients were randomised into two groups: the Osteopathic Manipulative Therapy (OMTh) group and the Light Touch Therapy (LTTh) group. The LTTh retained the same areas used for osteopathic approach but avoided prolonged touch in any area of the body by moving the hands every few seconds and by flattening and softening the surface of the hands in order to minimize focal areas of force. Both treatment groups received 5 therapies: the first at baseline, the second after 1 week, the third after 3 weeks, and then 2 more treatments on a monthly basis. The outcome measures were: reduction on frequency of headache episodes (primary outcome), reduction of analgesic use, improvement of quality of life and adverse events caused by OMTh (secondary outcomes). These data were evaluated by headache diary and a quality of life questionnaire at baseline (T0), after 4 weeks (T1), at the last Osteopathic Manipulative Therapy or Light Touch Therapy (T2), at 3 months from baseline (T3). Results: The study started in April 2018 and we recruited eighteen patients, 15 females and 3 males (mean age: 12.9 years, range 8‐17). Seven of these had already completed the study with the last evaluation at T3; for 8 patients the treatments are ongoing and 3 patients interrupted the study due to poor compliance. Conclusions: Several studies have demonstrated the effectiveness of OMTh in high frequency tension‐type headache on adults but its role in paediatric headache is unknown. This is the first study conducted in paediatric age that evaluates the possible efficacy of OMTh on high frequency headache. The results are still partial and we need to recruit more patients to have a statistical significance.


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