Headache Disorders Clinical Trial
Official title:
Effectiveness of Osteopathic Manipulative Therapy in Paediatric Patients, With High Frequency Headache.
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.
Headache is one of the most common medical complaints in childhood, with migraine and
tension-type headaches (TTHs) being the most frequent diseases. The prevalence of
tension-type headache (TTH) varies from 10% to 25% in school children and adolescents.
Therefore a range varying from 0,1% to 5,9% of this population presents chronic tension-type
headache, occuring at least 15 days on a monthly basis.
The tension-type headache is most likely multifactorial. In children, a connection seems
possible between tension-type headache and psychosocial stress, psychiatric disorders,
muscular stress, or oromandibular dysfunction.
The treatment of tension-type headache covers a systemic approach that includes both
pharmacologic and nonpharmacologic therapies, such as biobehavioural management, and patient
and family education regarding lifestyle modifications to develop and/or maintain healthy
habits. Efficacy of these therapies is still unclear. Complementary therapies could be a good
support to pharmacologic treatment. Osteopathic treatment results effective in some
paediatric conditions, but in primary headache the possible efficacy is still unknown.
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