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Title
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Effectiveness of hands-off therapy in the management of primary headache : a systematic review and meta-analysis
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Author
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Abstract
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| A number of hands-off therapies have been widely reported and are used in the management of headache. This systematic review and meta-analysis aimed to assess evidence supporting these therapies on selected headache outcomes. A systematic literature search for randomized clinical trials reporting on the effects of hands-off therapies for headache was performed in two electronic databases; PubMed and Web of Science (PROSPERO: CRD42018093559). Risk of bias was assessed using the Cochrane risk of bias tool. Meta-analysis was performed using Review Manager v5.4. Thirty-five studies, including 3,403 patients with migraine, tension-type or chronic headaches were included in the review. Methodological quality of the studies ranged from poor to good. Result-synthesis revealed moderate evidence for aerobic exercises, relaxation training and pain education for reducing pain intensity and disability. Other hands-off interventions were either weak or limited in evidence. Meta-analysis of 22 studies indicated that the effect of hands-off therapies significantly differed from one another for pain intensity, disability and quality of life (p < 0.05). Relaxation training, aerobic and active/stretching exercises had significant effect on pain intensity and disability (p < 0.05). To conclude, few hands-off therapies were effective on selected headache outcomes. Evidence to support other hands-off therapies is limited by paucity of studies. |
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Language
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English
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Source (journal)
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Evaluation and the health professions. - Beverly Hills, Calif.
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Publication
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Thousand oaks
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Sage publications inc
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2022
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ISSN
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0163-2787
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DOI
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10.1177/0163278720983408
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Volume/pages
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45
:2
(2022)
, p. 183-203
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ISI
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000609704300001
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Pubmed ID
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33406891
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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