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Ensayo controlado aleatorizado2013

Specific music therapy techniques in the treatment of primary headache disorders in adolescents: a randomized attention-placebo-controlled trial

Koenig J, Oelkers-Ax R, Kaess M, Parzer P, Lenzen C, Hillecke TK, Resch F

The journal of pain · 13 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Universität Heidelberg

Según 1 financiador declarado.

Publicación

Publicado
2013-07-19 · J Pain · vol. 14 · número 10 · págs. 1196–1207
Editorial
Elsevier BV
Citado
39 citas · más que el 83% de estudios similares · 1.7× el promedio de su campo
Referencias
68 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Migraine and Headache Studies · Music Therapy and Health · Temporomandibular Joint Disorders
Palabras clave
music therapy, primary headache, migraine, tension-type headache, adolescents, headache frequency, headache severity, non-pharmacological treatment, treatment efficacy
MeSH
humans, treatment outcome, music therapy, medical records, follow-up studies, prospective studies, affective symptoms, patient compliance, attention, mental disorders, child behavior disorders, neuropsychological tests, adolescent, child, female, male, headache disorders, primary, relaxation therapy

7 autores

  • Julian Koenig🇩🇪 · autor de correspondenciaSRH University of Applied Sciences Heidelberg
  • Rieke Oelkers‐Ax🇩🇪Heidelberg University
  • Michael Kaess🇩🇪Heidelberg University
  • Peter Parzer🇩🇪Heidelberg University
  • Christoph Lenzen🇩🇪Heidelberg University
  • Thomas Karl Hillecke🇩🇪SRH University of Applied Sciences Heidelberg
  • Franz Resch🇩🇪Heidelberg University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Unlabelled

Migraine and tension-type headache have a high prevalence in children and adolescents. In addition to common pharmacologic and nonpharmacologic interventions, music therapy has been shown to be efficient in the prophylaxis of pediatric migraine. This study aimed to assess the efficacy of specific music therapy techniques in the treatment of adolescents with primary headache (tension-type headache and migraine). A prospective, randomized, attention-placebo-controlled parallel group trial was conducted. Following an 8-week baseline, patients were randomized to either music therapy (n = 40) or a rhythm pedagogic program (n = 38) designed as an "attention placebo" over 6 sessions within 8 weeks. Reduction of both headache frequency and intensity after treatment (8-week postline) as well as 6 months after treatment were taken as the efficacy variables. Treatments were delivered in equal dose and frequency by the same group of therapists. Data analysis of subjects completing the protocol showed that neither treatment was superior to the other at any point of measurement (posttreatment and follow-up). Intention-to-treat analysis revealed no impact of drop-out on these results. Both groups showed a moderate mean reduction of headache frequency posttreatment of about 20%, but only small numbers of responders (50% frequency reduction). Follow-up data showed no significant deteriorations or improvements.

Perspective

This article presents a randomized placebo-controlled trial on music therapy in the treatment of adolescents with frequent primary headache. Music therapy is not superior to an attention placebo within this study. These results draw attention to the need of providing adequate controls within therapeutic trials in the treatment of pain.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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