Earticle

초록

영어

Purpose: This narrative review examined the physiological mechanisms and clinical effectiveness of manual therapy, exercise therapy, adjunctive modalities, multimodal programs, and neurofeedback interventions in adults with tension-type headaches (TTH). Methods: We systematically searched PubMed, DBpia, KISS, and Google Scholar for studies published between January 2015 and April 2025. Eligible studies included adult TTH populations, physiotherapeutic interventions, and clinical outcomes, such as headache intensity, frequency, disability, and quality of life. Four independent reviewers screened, evaluated, and extracted the data. Fourteen studies met the criteria and data were synthesized according to intervention category. Results: Randomized controlled trials and systematic reviews consistently demonstrated that manual therapy, such as suboccipital inhibition, joint mobilization, soft tissue mobilization, and neural techniques, reduced headache intensity and pressure pain sensitivity. Exercise therapy, including deep cervical flexor training and postural stabilization, decreased headache frequency and improved functional measures. Adjunctive and multimodal approaches (TENS, AVE, relaxation, and biofeedback) further supported reductions in the headache burden, with improvements in disability indices (HDI, HIT-6) and quality of life (SF-12/36). TENS demonstrated enhanced effects when combined with physiotherapy, whereas AVE facilitated β-band suppression, α-band enhancement, and autonomic stabilization (HRV, skin conductance, skin temperature). Infra-low-frequency neurofeedback resulted in session-wise reductions in headache probability (~8% per session, p<.001) and strengthened corticolimbic connectivity. Evidence quality varied because of heterogeneity and short follow-up durations. Conclusion: Physiotherapy for TTH is clinically effective, and multimodal strategies offer superior and sustained outcomes. Integrating peripheral regulation (manual or exercise therapy) with central modulation (neurofeedback) is a synergistic and theoretically grounded treatment strategy. Future studies should standardize neurofeedback protocols and incorporate long-term follow-up to reinforce the evidence for central–peripheral integrated management.

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구 방법
1. 연구 설계 및 검색 전략
2. 선정 및 제외기준
3. 자료 추출 및 질 평가
4. 자료 분석
Ⅲ. 결과
1. 연구 대상
2. 중재 유형
3. 주요 효과
4. 중재 비교
5. 종합 결과
Ⅳ. 논의
Ⅴ. 결론
참고문헌

키워드

저자

• YeonKi Choo [ 추연기 | Dept. of Rehabilitation Therapy, Guposungshim Hospital, Manager ]
• JinWoo Yoon [ 윤진우 | Dept. of Physical Therapy, Kyungnam College of Information & Technology, Student ]
• GeuRin Shin [ 신그린 | Dept. of Physical Therapy, Kyungnam College of Information & Technology, Student ]
• YoonYi Lee [ 이윤이 | Dept. of Physical Therapy, Kyungnam College of Information & Technology, Student ]
• KeonCheol Lee [ 이건철 | Dept. of Physical Therapy, Kyungnam College of Information & Technology, Professor ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  정형스포츠물리치료학회지 [Archives of Orthopedic and Sports Physical Therapy]

• 간기

  반년간

• pISSN

  1738-5946

• 수록기간

  2005~2025

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613