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Effects of Thai traditional massage on pressure pain threshold and headache intensity in patients with chronic tension-type and migraine headaches.

Journal of alternative and complementary medicine (New York, N.Y.)
June 1, 2014
Uraiwan Chatchawan et al. (5 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effects of Thai traditional massage (TTM) on pressure pain threshold and headache intensity in patients with chronic tension-type and migraine headaches.

Results Summary

TTM significantly increased pressure pain threshold compared to sham ultrasound, with sustained effects at follow-up. Both groups showed reduced headache intensity, but no significant differences were found between TTM and sham ultrasound for this outcome.

Population

72 participants with chronic tension-type or migraine headaches for at least 3 months.

Effective Dosage

Nine sessions over 3 weeks.

Duration

3 weeks of treatment, with follow-ups at 3 and 9 weeks.

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Thai traditional massage (TTM)
increase
pressure pain threshold (PPT)
patients with chronic tension-type and migraine headaches
-
showed a significant increase
#1
Thai traditional massage (TTM)
increase
PPT
patients with chronic headaches
-
could increase
#2
Thai traditional massage (TTM)
decrease
headache intensity
patients with chronic headaches
-
reduce
#3
Thai traditional massage (TTM)
decrease
headache intensity
patients with chronic tension-type and migraine headaches
-
decreased significantly
#4
sham ultrasound
decrease
headache intensity
patients with chronic tension-type and migraine headaches
-
decreased significantly
#5
Abstract

OBJECTIVE: To investigate the effects of Thai traditional massage (TTM) on pressure pain threshold (PPT) and headache intensity in patients with chronic tension-type and migraine headaches. DESIGN: Randomized controlled trial of TTM compared with the sham ultrasound (nine sessions each) during a 3-week period. PARTICIPANTS: Seventy-two participants who had had a headache diagnosis for at least 3 months before the experiment was recruited. RESULTS: After the treatment and at 3 and 9 weeks of follow-up, the TTM group showed a significant increase in PPT (p<0.01) compared with the sham ultrasound group. PPT values at baseline, after 3 weeks of treatment, and at 3- and 9-week follow-up for the TTM group were 2.71 ± 1.22, 3.57 ± 1.41, 3.72 ± 1.46, and 3.42 ± 1.46 pounds/cm(2), respectively; values in the sham ultrasound group were 2.85 ± 1.20, 2.62 ± 1.07, 2.58 ± 1.05 and 2.63 ± 0.94 pounds/cm(2). In both groups, headache intensity decreased significantly (p<0.05) at every end point of the outcome measures, and there were no differences between the groups (p>0.05). CONCLUSIONS: TTM could increase PPT and reduce headache intensity, suggesting that this is a possible alternative treatment for chronic headaches.

Medical Subject Headings (MeSH)
AdultFemaleHumansMaleMassageMigraine DisordersPain MeasurementPain ThresholdTension-Type HeadacheYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations18
Citations/Year1.6
Relative Citation Ratio0.99
NIH Percentile49.8%
Research Impact Scores
APT Score0.50
Weight Score1.62
Normalized Score0.70
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