TY  - JOUR
A1  - Schiller, Jörg
A1  - Karst, Matthias
A1  - Kellner, Tim
A1  - Zheng, Wen
A1  - Niederer, Daniel
A1  - Vogt, Lutz
A1  - Eckhardt, Isabelle
A1  - Beißner, Florian
A1  - Korallus, Christoph
A1  - Sturm, Christian
A1  - Egen, Christoph
A1  - Gutenbrunner, Christoph
A1  - Fink, Matthias Georg
T1  - Combination of acupuncture and medical training therapy on tension type headache: results of a randomised controlled pilot study
T2  - Cephalalgia
N2  - Objectives: The aim of this study was to compare the effects of acupuncture and medical training therapy alone and in combination with those of usual care on the pain sensation of patients with frequent episodic and chronic tension-type headache.
Design: This was a prospective single-centre randomised controlled trial with four balanced treatment arms. The allocation was carried out by pre-generated randomisation lists in the ratio 1:1:1:1 with different permutation block sizes.
Setting: The study was undertaken in the outpatient clinic of Rehabilitation Medicine of the Hannover Medical School.
Participants and interventions: Ninety-six adult patients with tension-type headache were included and randomised into usual care (n = 24), acupuncture (n = 24), medical training (n = 24), and combination of acupuncture and medical training (n = 24). One patient was excluded from analysis because of withdrawing her/his consent, leaving 95 patients for intention to treat analysis. Each therapy arm consisted of 6 weeks of treatment with 12 interventions. Follow-up was at 3 and 6 months.
Main outcome measures: Pain intensity (average, maximum and minimum), frequency of headache, responder rate (50% frequency reduction), duration of headache and use of headache medication.
Clinical results: The combination of acupuncture and medical training therapy significantly reduced mean pain intensity compared to usual care (mean = −38%, standard deviation = 25%, p = 0.012). Comparable reductions were observed for maximal pain intensity (−25%, standard deviation = 20%, 0.014) and for minimal pain intensity (−35%, standard deviation = 31%, 0.03). In contrast, neither acupuncture nor medical training therapy differed significantly from usual care. No between-group differences were found in headache frequency, mean duration of headache episodes, and pain medication intake. At 3 months, the majority of all patients showed a reduction of at least 50% in headache frequency. At 6 months, significantly higher responder rates were found in all intervention groups compared to usual care.
Conclusions: In contrast to monotherapy, only the combination of acupuncture and medical training therapy was significantly superior in reduction of pain intensity compared to usual care.
KW  - tension type headache
KW  - acupuncture
KW  - medical training
KW  - exercise therapy
KW  - traditional Chinese medicine
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/61440
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-614400
SN  - 1468-2982
VL  - 41.2021
IS  - 8
SP  - 879
EP  - 893
PB  - Blackwell Science
CY  - Oxford
ER  -