Cefaleas primarias y terapias manuales: Referencias bibliográficas

• Autores: Gemma Victoria Espí López
• Localización: Medicina balear, ISSN-e 2255-0569, ISSN 1579-5853, Vol. 28, Nº. 1, 2013, págs. 21-27
• Idioma: español
• Títulos paralelos:
  • Primary headaches and manual pherapies use: Bibliographical references
• Enlaces
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• Resumen
  • español

    Objetivos.

    Revisar la situación actual de las terapias manuales y la fisioterapia en el tratamiento de las cefaleas primarias, espe- cialmente en la cefalea tensional y la migraña, su presencia en la investigación médica, relación con las terapias farmacológic as y relaciones entre cefaleas primarias, efectos adversos y ámbito laboral.

    Método.

    Se revisan las publicaciones médicas contenidas en Pub-Med sobre cefaleas primarias, sus diferentes tratamientos farmacológicos sintomáticos y preventivos, uso de la fisioterapia y aspectos laborales considerados de mayor interés.

    Resultados.

    En cefalea tensional y tratamiento fisioterápico se encontraron: 189 estudios sobre terapia física, 71 de terapia manual y 12 sobre manipulación vertebral. En migraña: 580 estudios con terapia física y 25 con manipulación vertebral. La cefalea crónica y la migraña registraron más estudios con tratamiento preventivo que sintomático. En aspectos laborales, existen: 132 estudios relacionados con discapacidad, 5 con factores de riesgo laboral, 8 con coste laboral y 15 con salud laboral. En migraña: 975 relacionados con discapacidad, 441 con deficiencia, 21 con factores de riesgo laboral, 29 con coste laboral y 34 con medicina del trabajo.

    Conclusiones.

    Predominan las investigaciones sobre migraña frente a cefalea tensional y en ambas casos se valoran las terapias de manipulación manual. En migraña y cefalea crónica predominan los estudios sobre tratamientos preventivos. En aspectos laborales, son escasos los estudios relacionados con coste y riesgo laboral tanto en cefalea tensional, como en migraña, por lo que parece recomendable profundizar en los aspectos de investigación que valoren la interrelación con el trabajo

  • English

    Objectives.

    To review the current situation of manual therapies and physiotherapy in the treatment of primary headaches, especially tension-type headache and migraine, and the presence of these therapies in medical research, their relationship with drug therapies and the connections between primary headaches, adverse effects and work environment.

    Method.

    A systematic review of medical publications on primary headaches, their different preventive and symptomatic drug treatments, the use of physiotherapy and work-related issues considered of greatest interest was carried out in Pub-Med.

    Results.

    Regarding tension-type headache and physiotherapy treatment, findings were as follows: 189 publications about physical therapy, 71 on manual therapy and 12 on spinal manipulation. As for migraine, there were 580 studies about physical therapy and 25 on spinal manipulation. Concerning chronic headache and migraine, there were more studies about preventive treatment than symptomatic treatment. Regarding work-related issues, there were 132 publications about disability, 5 on occupational risk factors, 8 about work-related expenses and 15 on occupational health. As for migraine: 975 about disability, 441 on handicap, 21 on occupational risk factors, 29 about work-related expenses and 34 on occupational medicine.

    Conclusions.

    There are more research publications on migraine than on tension-type headache, and in both cases manual manipulation therapies are assessed. Regarding migraine and chronic headache, studies about preventive treatments are predominant.

    On work-related issues, there are few studies related to occupational risk and work-related expenses, both on tension-type headache and on migraine. In conclusion, it seems reasonable to examine in greater detail those aspects of research assessing the interconnection with work environment.