Objective: We aimed to assess the effectiveness of conservative treatments in children with tension-type headaches (TTH). Method: We searched Medline, Embase and the Cochrane Library and performed reference checking. Two independent authors assessed trial quality and extracted data. Analysis was carried out according to type of intervention. Results: In total we included 11 trials (427 TTH patients, age between 7-18 years) in this review. None of the studies were considered to be of high quality. Eight studies evaluated the effectiveness of relaxation training. Four studies included a waiting list or no treatment control group and in one study a placebo was used. Conclusion: We found conflicting evidence about the effectiveness of relaxation therapy when compared with no treatment or other treatments, with Relative Risks varying from 1.4 (0.6-3.2) to 10.6 (1.6-71.3). With regard to all other interventions evaluated (such as biofeedback, cognitive therapy or flupirtin) no evidence is found for or against their effectiveness.

Controlled trial, Pediatric, Systematic review, Tension-type headache
dx.doi.org/10.1007/s00415-005-0940-7, hdl.handle.net/1765/62715
Journal of Neurology: official journal of the European Neurological Society
Department of General Practice

Verhagen, A.P, Damen, L, Berger, M.Y, Passchier, J, Merlijn, V.P.B.M, & Koes, B.W. (2005). Conservative treatments of children with episodic tension-type headache: A systematic review. Journal of Neurology: official journal of the European Neurological Society (Vol. 252, pp. 1147–1154). doi:10.1007/s00415-005-0940-7