6533b7d2fe1ef96bd125e9b2
RESEARCH PRODUCT
Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial
Francisco Miguel Martínez-arnauGemma Victoria Espí-lópezLaura López-buenoM. Teófila Vicente-herreroLucas Monzanisubject
030222 orthopedicsmedicine.medical_specialtybusiness.industryRepeated measures designSpinal manipulationClinical trial03 medical and health sciences0302 clinical medicineComplementary and alternative medicinePhysical therapyMedicineAnxietyIn patientManual therapymedicine.symptombusiness030217 neurology & neurosurgeryDepression (differential diagnoses)Articulatory Techniquedescription
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. Clinical Trials.gov Identifier NCT02170259.
year | journal | country | edition | language |
---|---|---|---|---|
2016-12-01 | International Journal of Osteopathic Medicine |