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Behavioral Treatments for Post-Traumatic Headache.

Abstract Post-traumatic headache (PTH) is a common headache type after traumatic brain injury (TBI). There are no FDA approved medications for PTH, and it is unknown how medications can affect the brain's ability to recover from TBI. Thus, we sought to examine the biopsychosocial factors that influence PTH and the non-pharmacologic treatments studied for headache treatment. We also sought to determine if there is literature examining whether the non-pharmacologic treatments influence the biopsychosocial factors. The non-pharmacologic treatments assessed included cognitive behavioral therapy (CBT), biofeedback, progressive muscle relaxation therapy (PMR), acupuncture, and physical therapy (PT).
PMID
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Authors

Mayor MeshTerms
Keywords

Behavioral treatment

Biofeedback

Cognitive behavioral therapy

Post-traumatic headache

Relaxation therapy

Traumatic brain injury

Journal Title current pain and headache reports
Publication Year Start




PMID- 28283812
OWN - NLM
STAT- MEDLINE
DA  - 20170311
DCOM- 20170317
LR  - 20170317
IS  - 1534-3081 (Electronic)
IS  - 1534-3081 (Linking)
VI  - 21
IP  - 5
DP  - 2017 May
TI  - Behavioral Treatments for Post-Traumatic Headache.
PG  - 22
LID - 10.1007/s11916-017-0624-x [doi]
AB  - PURPOSE OF REVIEW: Post-traumatic headache (PTH) is a common headache type after 
      traumatic brain injury (TBI). There are no FDA approved medications for PTH, and 
      it is unknown how medications can affect the brain's ability to recover from TBI.
      Thus, we sought to examine the biopsychosocial factors that influence PTH and the
      non-pharmacologic treatments studied for headache treatment. We also sought to
      determine if there is literature examining whether the non-pharmacologic
      treatments influence the biopsychosocial factors. The non-pharmacologic
      treatments assessed included cognitive behavioral therapy (CBT), biofeedback,
      progressive muscle relaxation therapy (PMR), acupuncture, and physical therapy
      (PT). RECENT FINDINGS: Factors associated with prognosis in PTH may include the
      following: severity of TBI, stress, post-traumatic stress disorder, other
      psychiatric comorbidities, sociocultural and psychosocial factors, litigation,
      base rate misattribution, expectation as etiology, and chronic pain. There are
      few high quality studies on the non-pharmacologic treatments for PTH. Thermal and
      EMG biofeedback appear to have been examined the most followed by CBT. Studies
      did not have secondary outcomes examining the psychosocial factors related to
      PTH. Most of the behavioral studies involved a multi-modality intervention
      limiting the ability to assess the individual non-pharmacologic interventions we 
      sought to study. There were very few randomized clinical trials evaluating the
      efficacy of non-pharmacologic interventions. Therefore, future research, which
      considers the noted biopsychosocial factors, is needed in the field to determine 
      if these interventions reduce PTH.
FAU - Fraser, Felicia
AU  - Fraser F
AD  - Rusk Rehabilitation, NYU Langone Medical Center, New York City, USA.
FAU - Matsuzawa, Yuka
AU  - Matsuzawa Y
AD  - Rusk Rehabilitation, NYU Langone Medical Center, New York City, USA.
FAU - Lee, Yuen Shan Christine
AU  - Lee YS
AD  - Rusk Rehabilitation, NYU Langone Medical Center, New York City, USA.
FAU - Minen, Mia
AU  - Minen M
AD  - Department of Neurology, NYU Langone Medical Center, 240 East 38th Street 20th
      floor, NY, NY, 10016, USA. minenmd@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Pain Headache Rep
JT  - Current pain and headache reports
JID - 100970666
SB  - IM
MH  - Acupuncture Therapy/methods
MH  - Biofeedback, Psychology/methods
MH  - Cognitive Therapy/methods
MH  - Humans
MH  - Physical Therapy Modalities
MH  - Post-Traumatic Headache/*therapy
OTO - NOTNLM
OT  - Behavioral treatment
OT  - Biofeedback
OT  - Cognitive behavioral therapy
OT  - Post-traumatic headache
OT  - Relaxation therapy
OT  - Traumatic brain injury
EDAT- 2017/03/12 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/03/12 06:00
AID - 10.1007/s11916-017-0624-x [doi]
AID - 10.1007/s11916-017-0624-x [pii]
PST - ppublish
SO  - Curr Pain Headache Rep. 2017 May;21(5):22. doi: 10.1007/s11916-017-0624-x.

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