自公元前近7000年以来,人们一直在研究和治疗头痛,因为它们具有重大的全球影响。目前的头痛治疗方式多种多样,目标多种多样,但药物是最常见的。因为传统的药物治疗有几个副作用,应考虑替代疗法,例如整骨疗法(OMT)。OMT可以协助管理各种健康状况,如腰痛,颈部疼痛,和头痛。本范围审查的目的是评估有关OMT模式在治疗诸如紧张型头痛(TTH)和偏头痛等头痛中的功效的最新发现。这项研究旨在作为范围审查,以收集有关OMT模式在头痛治疗中的功效的证据。按照PRISMA准则,我们使用4个数据库搜索2010-2022年间发表的文章,这些文章报道了使用OMT和手动治疗TTH和偏头痛.使用的数据库包括Embase、PubMed,Medline,和WebofScience。使用了以下关键词:治疗,治疗,头痛,偏头痛,颅骶骨,肌肉能量,肌筋膜释放,触发点,整骨疗法,和操纵。在删除重复项后,最初的搜索产生了473篇独特的文章。在根据纳入和排除标准进行筛选后,经过进一步分析,选择了15篇文章。分析了OMT和手动疗法在治疗TTH和偏头痛中的功效和/或有效性的数据报告。纳入的文章为随机对照研究(15篇中的13篇,86.6%),一项试点研究(15个中的一个,6.7%),和一个案例系列(15个中的一个,6.7%),分为TTH(15个中的9个,占60%)和偏头痛(15个中的6个,占40%)。所有文章在至少一项测量中都报告了头痛的显着改善。在所有分析的治疗方法中,确定了单技术干预措施(15个中的7个,47%)和多技术干预措施(15个中的8个,53%).在使用的技术中,肌筋膜释放是最常见的(15个中有9个,占60%)。所发表的文章提供了手动治疗的显着益处的证据。由于传统医学的局限性,OMT可用作头痛的替代或辅助疗法。证据表明它可以对头痛管理产生积极影响,但应增加随机对照试验和人群样本的数量以支持其建议.这证明了不同的整骨技术如何对TTH提供治疗效果,MH,以及潜在的其他类型的头痛。观察到对肌筋膜释放的偏好,这可能是由于对组织运动的生理效应的快速缓解。这项综述研究证明了OMT对减少头痛频率的益处,强度,TTH和偏头痛的持续时间。OMT已经证明是有益的,特别是对于寻求替代非药物和非侵入性治疗的患者。需要进一步的研究来评估不同OMT技术的效果,和不同的治疗组合,其他类型的头痛。
Headaches have been studied and treated since nearly 7,000 BC because of their significant global impact. Current headache treatment modalities are various and have a wide variety of targets, but medications are the most common. Since conventional medical treatments have several side effects, alternative remedies such as osteopathic manipulative treatment (OMT) should be considered. OMT can assist in the management of various health conditions, such as low back pain, neck pain, and headaches. The purpose of this scoping
review is to evaluate recent findings regarding the efficacy of OMT modalities in the management of headaches such as tension-type headaches (TTH) and migraines. This study was designed as a scoping
review to gather evidence on the efficacy of OMT modalities in the management of headaches. Following PRISMA guidelines, four databases were used to search for articles published between 2010 and 2022 that reported the use of OMT and manual therapy for TTH and migraines. Databases used include Embase, PubMed, Medline, and Web of Science. The following keywords were used: treatment, therapy, Headache, migraine, craniosacral, muscle energy, myofascial release, trigger point, osteopathic, and manipulation. The initial search yielded 473 unique articles after removing duplicates. After screening based on the inclusion and exclusion criteria, and after further analysis, 15 articles were selected. Data reports of OMT and manual therapy efficacy and/or effectiveness in treating TTH and migraine were analyzed. Articles included were randomized control studies (13 of 15, 86.6%), one pilot study (one of 15, 6.7%), and one case series (one of 15, 6.7%), which were divided into TTH (nine of 15, 60%) and Migraine Headaches (six of 15, 40%). All articles reported significant headache improvement in at least one measurement. Of all treatments analyzed, single technique interventions (seven of 15, 47%) and multiple technique interventions (eight of 15, 53%) were identified. Among the techniques used, Myofascial Release was the most common (nine of 15, 60%). The articles presented provide evidence of the significant benefits of manual therapy. Because of the limitations of traditional medicine, OMT can be used either as an alternative or adjuvant therapy for headaches. Evidence suggests the positive impact it can provide on headache management, but the number of randomized control trials and population samples should be increased to support its recommendation. This demonstrates how different osteopathic techniques can provide therapeutic effects on TTH, MH, and potentially other types of headaches. A preference for myofascial release was observed, which can be due to the fast relief from the physiologic effect on tissue movement. This
review study demonstrates the benefits OMT has on decreasing headache frequency, intensity, and duration in TTH and migraines. OMT has shown to be beneficial, especially for patients seeking alternative non-pharmaceutical and non-invasive treatments. Further studies are needed to evaluate the effects of different OMT techniques, and different combinations of treatments, on other types of headaches.