Effectiveness of Osteopathic Manipulative Therapy in Paediatric Patients, With High Frequency Headache.
Effectiveness of Osteopathic Manipulative Therapy in Paediatric Patients, With High Frequency Headache.
The aim of this study is to evaluate the effectiveness of osteopathic manipulative therapy,
 in supporting prophylactic medications in paediatric patients, with high frequency headache.
Headache is one of the most common medical complaints in childhood, with migraine and
 tension-type headaches (TTHs) being the most frequent diseases. The prevalence of
 tension-type headache (TTH) varies from 10% to 25% in school children and adolescents.
 Therefore a range varying from 0,1% to 5,9% of this population presents chronic tension-type
 headache, occuring at least 15 days on a monthly basis.

 The tension-type headache is most likely multifactorial. In children, a connection seems
 possible between tension-type headache and psychosocial stress, psychiatric disorders,
 muscular stress, or oromandibular dysfunction.

 The treatment of tension-type headache covers a systemic approach that includes both
 pharmacologic and nonpharmacologic therapies, such as biobehavioural management, and patient
 and family education regarding lifestyle modifications to develop and/or maintain healthy
 habits. Efficacy of these therapies is still unclear. Complementary therapies could be a good
 support to pharmacologic treatment. Osteopathic treatment results effective in some
 paediatric conditions, but in primary headache the possible efficacy is still unknown.
Inclusion Criteria:

 -  Diagnosis of primary high-frequency headache attacks.

 -  No reduction or inconsistent reduction of attacks after two months of prophylactic
 treatment.

 Exclusion Criteria:

 Secondary headache.