Table 4 Similarities and differences in treatment responses between TTH and migraine for non-pharmacological approaches
From: Debate: differences and similarities between tension-type headache and migraine
TTH | Migraine | |
|---|---|---|
Acupuncture | Medication use ↓ | Headache intensity ↓ (Epis., Chr.) Headache days ↓ (Epis., Chr.) |
Aerobic Exercise | Headache duration ↓ Disability ↓ Quality of Life ↑ Psychological well-being ↑ | Headache intensity ↓ (8–12 weeks) Headache frequency ↓ Headache duration ↓ (8–12 weeks) Medication use v (12 weeks) Disability ↓ Quality of Life ↑ Psychological well-being ↑ |
Strengthening Exercise | Headache intensity ↓ (3 weeks-3 months) | Headache frequency ↓ |
Cranio-cervical Exercises | Headache duration ↓ (6 weeks) Medication use ↓ (6 weeks) | Disability ↓ Neck Muscle performance ↑ |
Stretching Exercise | Headache frequency ↓ (6 weeks) | Headache frequency ↓ |
Trigger Point Therapy | Headache intensity ↓ | Not clear |
Manuel Therapy | Monthly headache days ↓ Headache duration ↓ | Quality of Life ↑ |
Spinal Manipulative Treatment | Headache intensity ↓ (6 weeks) (Chr.) Headache frequency ↓ (6 weeks) (Chr.) Medication use ↓ (6 weeks) (Chr.) Functional well-being ↑ (Chr.) | Headache intensity ↓ Migraine days ↓ |
Mixed Physical Therapy | Headache intensity ↓ (TENS, Massage, Coldpack) Muscle sensitivity ↓ (TENS, Massage, Coldpack) Headache intensity ↓ (Physical therapy + Craniocervical exercises) Headache frequency ↓ (Physical therapy + Craniocervical exercises) | Headache frequency ↓ (Diaphragm training + Cervical mobilization + Massage + Myofascial release + Trigger Point + Passive stretch + Medications) |
Headache duration ↓ (Physical therapy + Craniocervical exercises) | ||
Neuromodulation Treatment | Headache intensity ↓ Quality of Life ↑ | Monthly headache days ↓ Headache duration ↓ Medication use ↓ |
Psychological Treatment | Headache frequency ↓ Disability ↓ | Headache intensity ↓ Headache duration ↓ Disability ↓ Quality of Life ↑ |
Biofeedback | Headache frequency ↓ | Headache frequency ↓ |
Diet | Low-fat diet | Low-fat diet |