Advanced search

Search results      


Osteopathic Manipulative Treatment Efficacy in Mean HIT-6 Score Reduction in Tension-Type Headaches: A Meta-Analysis

Journal: Journal of Osteopathic Medicine Date: 2022/12, 122(12):Pages: A39. doi: Subito , type of study: Meta analysis

Full text    (https://www.degruyter.com/document/doi/10.1515/jom-2022-2000/html)

Keywords:

headache [131]
meta analysis [44]
OMT [3102]
osteopathic manipulative treatment [3124]

Abstract:

Statement of Significance: Tension type headaches (TTH) are the most diagnosed subgroup of headaches physicians encounter1. This is substantial as physicians attempt to improve quality of life (QOL) in TTH management. Osteopathic manipulative treatment (OMT) is becoming popular in management of TTH in an effort to use alternative treatments to improve QOL. Using the Headache Impact Test-6 (HIT-6), physicians can measure a patient’s general function with a numeric score ranging from 36 to 78, in several social situations. Research Methods: A meta-analysis of three randomized controlled trials (RCTs), found via extensive database search, was conducted with the Cochrane RevMan 5 software3 to determine the efficacy and safety of osteopathic manipulative medicine (OMT) in the reduction of mean Headache Impact Test-6 (HIT-6) scores in the management of tension-type headaches (TTH). The criteria for eligible literature were RCTs published after 2014 that assessed the change in mean HIT-6 scores post-treatment in previously diagnosed TTH patients. Exclusion criteria included: (1) TTH with concomitant systemic, structural, or psychological disorders; (2) history of prior head or neck trauma; (3) prior spinal surgery; (4) application of other treatments such as physical and pharmacologic therapies prior to study inclusion; (5) patients less than 18 years old; (6) pregnancy. A total of 361 participants were included. The analysis used both pre- and post-OMT mean HIT-6 scores. A random effect meta-analysis and forest plot were conducted with a p-value of 0.0009 with a confidence interval of 95%. Data Analysis/Results: The pre-OMT (control) mean HIT-6 scores ranged from 55.67 to 57.2 [SD 4.5 to 8.4] with a total of 156 participants. The post-OMT mean HIT-6 scores ranged from 44 to 57.3 [SD 5.1 to 8.62] with a total of 160 participants. There was a statistically significant decrease in mean HIT-6 scores of 4.40 points, in groups in which OMT techniques were applied compared to control groups. Conclusion: This meta-analysis reviews results from three RCTs and determines that OMT is efficacious in reducing post-treatment mean HIT-6 scores for patients with TTH. The evidence supports the use of OMT to manage TTH as it can improve QOL and measurable outcomes of patients that suffer from either episodic or chronic TTH.


Search results      

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_hgrkpmzqaydfuxcnwbtj



Supported by

OSTLIB recommends