Thompson Alison P, Thompson David S, Jou Hsing, Vohra Sunita
Faculty of Nursing, University of Alberta, Edmonton, Alberta.
School of Nursing, Lakehead University, Thunder Bay, Ontario.
Paediatr Child Health. 2019 May;24(2):103-114. doi: 10.1093/pch/pxy157. Epub 2019 Feb 7.
The objective of this review was to assess the evidence on relaxation training for management of paediatric headaches. Our methodology was a rapid review of English-language peer reviewed published literature focused on studies evaluating relaxation training as a primary or adjunct management option for headache in a paediatric population (0 to 18 years of age). Seven studies involving 571 children were included in the review. The quality of evidence was very low using GRADE criteria. Headache frequency, duration, and intensity were the primary outcomes in the included studies. Results for the effects of relaxation training for paediatric headache are inconsistent. Four of the seven studies reported decreased headache frequency, two of the five studies reported decreased headache duration, and two of the six studies reported decreased headache intensity following relaxation training. No adverse events were reported. The current state of the evidence for relaxation training for management of paediatric headache is both inconsistent and of very low quality. High-quality research evaluating the effects of relaxation training for paediatric headaches is required to advance the field.
本综述的目的是评估关于放松训练用于治疗儿童头痛的证据。我们的方法是快速回顾英文同行评审的已发表文献，重点关注评估放松训练作为儿科人群（0至18岁）头痛的主要或辅助治疗选择的研究。该综述纳入了7项涉及571名儿童的研究。使用GRADE标准，证据质量非常低。头痛频率、持续时间和强度是纳入研究的主要结局。放松训练对儿童头痛的影响结果不一致。7项研究中有4项报告头痛频率降低，5项研究中有2项报告头痛持续时间缩短，6项研究中有2项报告放松训练后头痛强度降低。未报告不良事件。目前关于放松训练治疗儿童头痛的证据状况既不一致且质量极低。需要高质量的研究来评估放松训练对儿童头痛的影响，以推动该领域的发展。
