MANUAL THERAPY IN THE TREATMENT OF PRIMARY HEADACHES: A SYSTEMATIC REVIEW

Abstract

Introduction: Headache is listed as one of the most prevalent pain conditions, with significant socioeconomic impact that affects the quality of life. Among these, we highlight the tension-type headache (TTH) and migraine. Treatment ranges from pharmacotherapy to physical therapy, emphasizing manual therapy. Objective: to highlight key findings and results of manual therapy techniques in the treatment of primary headaches. Methods: A systematic literature review was conducted through research and original studies published in journals indexed in electronic databases PLoS, MEDLINE via PubMed, PEDro, Lilacs and SciELO, which contained analyzes related to the purpose of the study in question. To evaluate the methodological quality and statistical description, as well as the risk of bias of the selected physical therapy studies, the PEDro scale as well as the PRISMA checklist. Results: 1,205 articles were found, of which nine were selected. These, despite the variety of techniques and duration of the intervention, indicated a decrease in the frequency, intensity and use of analgesic medication, and elevation in pain threshold, endurance of flexor muscles active cervical. A methodological analysis of trials was available for 55,5% of those and with scores ?5 (PEDro scale). Conclusions: Manual therapy is show as an effective alternative in the treatment of primary headache.