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Therapeutic Patient Education as Part of the Physiotherapy Management of Adults with Headache: A Scoping Review

  • Non-pharmacologic Aspects of Pain, Migraine, and Headache (D Buse, Section Editor)
  • Published:
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Abstract

Purpose of Review

Physiotherapy interventions for headache mostly include exercise and manual therapy. Yet, the complex nature of headache, sometimes characterized by symptoms of facilitated central pain mechanisms, demands an individualized approach in which therapeutic patient education could be supportive. This scoping review aimed to summarize the position of therapeutic patient education within the physiotherapy management of adults with headache. PubMed, EMBASE, Web of Science, and Scopus were searched. The search-query comprised terminology relating to “headache”, “education”, and “physiotherapy”. Eligibility criteria were: adults with headache, interventions including education within the domain of physiotherapy, reviews, clinical trials, cohort, case report, case–control studies.

Recent Findings

Eleven publications were included from the 281 retrieved publications. These publications were clinical trials (n = 4), reviews (n = 4), case-reports (n = 2), and a guideline (n = 1). Type of headaches studied were migraine (n = 3), post-traumatic headache (n = 2), tension-type headache (n = 2), cervicogenic headache (n = 1), primary headaches (n = 1), chronic daily headache (n = 1), and mixed migraine-cervicogenic headache (n = 1). Education seems an umbrella-term for postural education, lifestyle advice, and pain education. Three themes emerged across the publications: handling headache triggers (migraine, post-traumatic headache), promoting active lifestyle (post-traumatic headache, chronic daily headache, migraine), evaluating posture (post-traumatic headache, chronic daily headache, tension-type headache, cervicogenic headache). All publications recommended education in the management of headache. Only one (of the 11 included) publication described the educational program and determined its efficacy.

Summary

Based on this scoping review, therapeutic patient education seems supported within physiotherapy management of headache. However, it is unclear how such education is tailored to the specific needs of the individual, the headache subtype, or when it should be added to physiotherapy management of headache.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. de Almeida TG, Lima Florencio L, Ferreira Pinheiro C, Dach F, Fernández-de-Las-Peñas C, Bevilaqua-Grossi D. Effects of combining manual therapy, neck muscle exercises, and therapeutic pain neuroscience education in patients with migraine: a study protocol for a randomized clinical trial. BMC Neurol. 2021;21(1):249.

    Article  Google Scholar 

  2. • Meise R, Carvalho GF, Thiel C, Luedtke K. Additional effects of pain neuroscience education combined with physiotherapy on the headache frequency of adult patients with migraine: a randomized controlled trial. Cephalalgia. 2023;43(2):3331024221144781. An important RCT focusing on education within the field of headache rehabilitation.

    Article  PubMed  Google Scholar 

  3. Di Antonio S, Castaldo M, Ponzano M, Bovis F, Torelli P, Finocchi C, et al. Disability, burden, and symptoms related to sensitization in migraine patients associate with headache frequency. Scand J Pain. 2021;21(4):766–77.

    Article  PubMed  Google Scholar 

  4. Martin PR, Reece J, Callan M, et al. Behavioral management of the triggers of recurrent headache: a randomized controlled trial. Behav Res Ther. 2014;61:1–11.

    Article  PubMed  Google Scholar 

  5. Onan D, Younis S, Wellsgatnik WD, Farham F, Andruškevičius S, Abashidze A, et al. Debate: differences and similarities between tension-type headache and migraine. J Headache Pain. 2023;24(1):92.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(3 Suppl):S2-s15.

    Article  PubMed  Google Scholar 

  7. van Griensven H, Schmid A, Trendafilova T, Low M. Central sensitization in musculoskeletal pain: lost in translation? J Orthop Sports Phys Ther. 2020;50(11):592–6.

    Article  PubMed  Google Scholar 

  8. Arendt-Nielsen L, Morlion B, Perrot S, Dahan A, Dickenson A, Kress HG, et al. Assessment and manifestation of central sensitisation across different chronic pain conditions. Eur J Pain. 2018;22(2):216–41.

    Article  CAS  PubMed  Google Scholar 

  9. Nijs J, Meeus M, Van Oosterwijck J, Ickmans K, Moorkens G, Hans G, et al. In the mind or in the brain? Scientific evidence for central sensitisation in chronic fatigue syndrome. Eur J Clin Invest. 2012;42(2):203–12.

    Article  PubMed  Google Scholar 

  10. Nijs J, Van Houdenhove B, Oostendorp RA. Recognition of central sensitization in patients with musculoskeletal pain: application of pain neurophysiology in manual therapy practice. Man Ther. 2010;15(2):135–41.

    Article  PubMed  Google Scholar 

  11. Staud R. Evidence for shared pain mechanisms in osteoarthritis, low back pain, and fibromyalgia. Curr Rheumatol Rep. 2011;13(6):513–20.

    Article  PubMed  Google Scholar 

  12. Andreou AP, Edvinsson L. Mechanisms of migraine as a chronic evolutive condition. J Headache Pain. 2019;20(1):117.

    Article  PubMed  PubMed Central  Google Scholar 

  13. de Tommaso M, Sciruicchio V. Migraine and central sensitization: clinical features, main comorbidities and therapeutic perspectives. Curr Rheumatol Rev. 2016;12(2):113–26.

    Article  PubMed  Google Scholar 

  14. Ashina S, Mitsikostas DD, Lee MJ, Yamani N, Wang SJ, Messina R, et al. Tension-type headache Nat Rev Dis Primers. 2021;7(1):24.

    Article  PubMed  Google Scholar 

  15. Nijs J, Leysen L, Vanlauwe J, Logghe T, Ickmans K, Polli A, et al. Treatment of central sensitization in patients with chronic pain: time for change? Expert Opin Pharmacother. 2019;20(16):1961–70.

    Article  PubMed  Google Scholar 

  16. Liebert A, Rebbeck T, Elias S, Hawkins D, Adams R. Musculoskeletal physiotherapistsʼ perceptions of non-responsiveness to treatment for cervicogenic headache. Physiother Theory Pract. 2013;29(8):616–29.

    Article  PubMed  Google Scholar 

  17. Moloney N, Hall T, Doody C. Sensory hyperalgesia is characteristic of nonspecific arm pain: a comparison with cervical radiculopathy and pain-free controls. Clin J Pain. 2013;29(11):948–56.

    Article  PubMed  Google Scholar 

  18. van Wilgen CP, Konopka KH, Keizer D, Zwerver J, Dekker R. Do patients with chronic patellar tendinopathy have an altered somatosensory profile? A Quantitative Sensory Testing (QST) study. Scand J Med Sci Sports. 2013;23(2):149–55.

    Article  PubMed  Google Scholar 

  19. Wijma AJ, van Wilgen CP, Meeus M, Nijs J. Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: the first step in pain neuroscience education. Physiother Theory Pract. 2016;32(5):368–84.

    Article  PubMed  Google Scholar 

  20. Malfliet A, Kregel J, Coppieters I, De Pauw R, Meeus M, Roussel N, et al. Effect of pain neuroscience education combined with cognition-targeted motor control training on chronic spinal pain: a randomized clinical trial. JAMA Neurol. 2018;75(7):808–17.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Yarnitsky D. Role of endogenous pain modulation in chronic pain mechanisms and treatment. Pain. 2015;156(Suppl 1):S24-s31.

    Article  PubMed  Google Scholar 

  22. Dhondt E, Danneels L, Van Oosterwijck S, Palmans T, Rijckaert J, Van Oosterwijck J. The influence of physical activity on the nociceptive flexion reflex in healthy people. Eur J Pain. 2021;25(4):774–89.

    Article  PubMed  Google Scholar 

  23. De Felice M, Ossipov MH. Cortical and subcortical modulation of pain. Pain Manag. 2016;6(2):111–20.

    Article  PubMed  Google Scholar 

  24. Louw A, Diener I, Butler DS, Puentedura EJ. The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Arch Phys Med Rehabil. 2011;92(12):2041–56.

    Article  PubMed  Google Scholar 

  25. Nijs J, Paul van Wilgen C, Van Oosterwijck J, van Ittersum M, Meeus M. How to explain central sensitization to patiens with ʽunexplainedʼ chronic musculoskeletal pain: practice guidelines. Man Ther. 2011;16(5):413–8.

    Article  PubMed  Google Scholar 

  26. Moseley L. Combined physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother. 2002;48(4):297–302.

    Article  PubMed  Google Scholar 

  27. Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: a systematic review of the literature. Physiother Theory Pract. 2016;32(5):332–55.

    Article  PubMed  Google Scholar 

  28. Lluch Girbés E, Meeus M, Baert I, Nijs J. Balancing, “hands-on” with “hands-off” physical therapy interventions for the treatment of central sensitization pain in osteoarthritis. Man Ther. 2015;20(2):349–52.

    Article  PubMed  Google Scholar 

  29. Bobinski F, Ferreira TAA, Córdova MM, Dombrowski PA, da Cunha C, Santo C, et al. Role of brainstem serotonin in analgesia produced by low-intensity exercise on neuropathic pain after sciatic nerve injury in mice. Pain. 2015;156(12):2595–606.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Sluka KA, O’Donnell JM, Danielson J, Rasmussen LA. Regular physical activity prevents development of chronic pain and activation of central neurons. J Appl Physiol (1985). 2013;114(6):725–33.

    Article  CAS  PubMed  Google Scholar 

  31. Stagg NJ, Mata HP, Ibrahim MM, Henriksen EJ, Porreca F, Vanderah TW, et al. Regular exercise reverses sensory hypersensitivity in a rat neuropathic pain model: role of endogenous opioids. Anesthesiology. 2011;114(4):940–8.

    Article  CAS  PubMed  Google Scholar 

  32. Benatto MT, Bevilaqua-Grossi D, Carvalho GF, Bragatto MM, Pinheiro CF, Straceri Lodovichi S, et al. Kinesiophobia is associated with migraine. Pain Med. 2019;20(4):846–51.

    Article  PubMed  Google Scholar 

  33. Kristoffersen ES, Lundqvist C, Russell MB. Illness perception in people with primary and secondary chronic headache in the general population. J Psychosom Res. 2019;116:83–92.

    Article  PubMed  Google Scholar 

  34. Turner DP, Houle TT. Influences on headache trigger beliefs and perceptions. Cephalalgia. 2018;38(9):1545–53.

    Article  PubMed  Google Scholar 

  35. Pinheiro CF, Bevilaqua-Grossi D, Florencio LL, Bragatto MM, Benatto MT, Dach F, et al. Is kinesiophobia related to fear of falling, dizziness disability, and migraine disability in patients with migraine? Physiother Theory Pract. 2022;38(13):2727–35.

    Article  PubMed  Google Scholar 

  36. Kim S, Bae DW, Park SG, Park JW. The impact of pain-related emotions on migraine. Sci Rep. 2021;11(1):577.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Demont A, Lafrance S, Gaska C, Kechichian A, Bourmaud A, Desmeules F. Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: a systematic review and meta-analyses. Pm r. 2022.

  38. Luedtke K, Allers A, Schulte LH, May A. Efficacy of interventions used by physiotherapists for patients with headache and migraine-systematic review and meta-analysis. Cephalalgia. 2016;36(5):474–92.

    Article  PubMed  Google Scholar 

  39. Jung A, Eschke RC, Struss J, Taucher W, Luedtke K. Effectiveness of physiotherapy interventions on headache intensity, frequency, duration and quality of life of patients with tension-type headache. A systematic review and network meta-analysis. Cephalalgia. 2022;42(9):944–65.

    Article  PubMed  Google Scholar 

  40. Mingels S, Dankaerts W, van Etten L, Bruckers L, Granitzer M. Exploring multidimensional characteristics in cervicogenic headache: relations between pain processing, lifestyle, and psychosocial factors. Brain and Behavior. 2021;11(10): e2339.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Mingels S, Dankaerts W, Bruckers L, Granitzer M. Inter-individual variability in mechanical pain sensation in patients with cervicogenic headache: an explorative study. Sci Rep. 2022;12(1):20635.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Côté P, Yu H, Shearer HM, Randhawa K, Wong JJ, Mior S, et al. Non-pharmacological management of persistent headaches associated with neck pain: a clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration. Eur J Pain. 2019;23(6):1051–70.

    Article  PubMed  Google Scholar 

  43. • De Pauw R, Dewitte V, de Hertogh W, Cnockaert E, Chys M, Cagnie B. Consensus among musculoskeletal experts for the management of patients with headache by physiotherapists? A delphi study Musculoskelet Sci Pract. 2021;52: 102325. This study provides expert information on the current management of headache within the field of physiotherapy.

    Article  PubMed  Google Scholar 

  44. Hiller A, Guillemin M, Delany C. Exploring healthcare communication models in private physiotherapy practice. Patient Educ Couns. 2015;98(10):1222–8.

    Article  PubMed  Google Scholar 

  45. Wijma AJ, Bletterman AN, Clark JR, Vervoort S, Beetsma A, Keizer D, et al. Patient-centeredness in physiotherapy: what does it entail? A systematic review of qualitative studies. Physiother Theory Pract. 2017;33(11):825–40.

    Article  PubMed  Google Scholar 

  46. Ahlsen B, Nilsen AB. Getting in touch: communication in physical therapy practice and the multiple functions of language. Front Rehabil Sci. 2022;3: 882099.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Chimenti RL, Frey-Law LA, Sluka KA. A mechanism-based approach to physical therapist management of pain. Phys Ther. 2018;98(5):302–14.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Yu H, Côté P, Southerst D, Wong JJ, Varatharajan S, Shearer HM, et al. Does structured patient education improve the recovery and clinical outcomes of patients with neck pain? A systematic review from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Spine J. 2016;16(12):1524–40.

    Article  PubMed  Google Scholar 

  49. Arksey HOML. Scoping studies: towards a methodological framework. J Sociol Res Method. 2005;8:19–32.

    Article  Google Scholar 

  50. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.

    Article  PubMed  Google Scholar 

  51. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Beier D, Callesen HE, Carlsen LN, Birkefoss K, Tomasdottir H, Wurtzen H, et al. Manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education in migraine treatment. A systematic review and meta-analysis CEPHALALGIA. 2022;42(1):63–72.

    PubMed  Google Scholar 

  53. Beltran-Alacreu H, Lopez-de-Uralde-Villanueva I, La Touche R. Multimodal physiotherapy based on a biobehavioral approach as a treatment for chronic tension-type headache: a case report. Anesth Pain Med. 2015;5(6): e32697.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Carvalho GF, Schwarz A, Szikszay TM, Adamczyk WM, Bevilaqua-Grossi D, Luedtke K. Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice. Braz J Phys Ther. 2020;24(4):306–17.

    Article  PubMed  Google Scholar 

  55. Gaul C, Visscher CM, Bhola R, Sorbi MJ, Galli F, Rasmussen AV, et al. Team players against headache: multidisciplinary treatment of primary headaches and medication overuse headache. JOURNAL OF HEADACHE AND PAIN. 2011;12(5):511–9.

    Article  Google Scholar 

  56. Hammill JM, Cook TM, Rosecrance JC. Effectiveness of a physical therapy regimen in the treatment of tension-type headache. Headache. 1996;36(3):149–53.

    Article  CAS  PubMed  Google Scholar 

  57. Persson AL, van der Pals M, Carlsson CP. Clinical evaluation of individualised multimodal physiotherapy and acupuncture treatment for patients with chronic daily headache. Physical Therapy Reviews. 2015;20(4):255–61.

    Article  Google Scholar 

  58. Rytter HM, Westenbaek K, Henriksen H, Christiansen P, Humle F. Specialized interdisciplinary rehabilitation reduces persistent post-concussive symptoms: a randomized clinical trial. Brain Inj. 2019;33(3):266–81.

    Article  PubMed  Google Scholar 

  59. Satpute K, Bedekar N, Hall T. Headache symptom modification: the relevance of appropriate manual therapy assessment and management of a patient with features of migraine and cervicogenic headache - a case report. J Man Manip Ther. 2020;28(3):181–8.

    Article  PubMed  Google Scholar 

  60. Watanabe TK, Bell KR, Walker WC, Schomer K. Systematic review of interventions for post-traumatic headache. PM and R. 2012;4(2):129–40.

    Article  PubMed  Google Scholar 

  61. Xiao H, Liu H, Peng BG, Ma K, Huang D, Liu XG, et al. Expert panelʼs guideline on cervicogenic headache: the Chinese Association for the Study of Pain recommendation. World Journal of Clinical Cases. 2021;9(9):2027–36.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Scholten-Peeters GG, Neeleman-van der Steen CW, van der Windt DA, Hendriks EJ, Verhagen AP, Oostendorp RA. Education by general practitioners or education and exercises by physiotherapists for patients with whiplash-associated disorders? A randomized clinical trial. Spine (Phila Pa 1976). 2006;31(7):723–31.

    Article  PubMed  Google Scholar 

  63. Mongini F, Ciccone G, Rota E, Ferrero L, Ugolini A, Evangelista A, et al. Effectiveness of an educational and physical programme in reducing headache, neck and shoulder pain: a workplace controlled trial. Cephalalgia. 2008;28(5):541–52.

    Article  CAS  PubMed  Google Scholar 

  64. May A, Schulte LH. Chronic migraine: risk factors, mechanisms and treatment. Nat Rev Neurol. 2016;12(8):455–64.

    Article  CAS  PubMed  Google Scholar 

  65. Torres-Ferrús M, Ursitti F, Alpuente A, Brunello F, Chiappino D, de Vries T, et al. From transformation to chronification of migraine: pathophysiological and clinical aspects. J Headache Pain. 2020;21(1):42.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Medina JL. Efficacy of an individualized outpatient program in the treatment of chronic post-traumatic headache. Headache. 1992;32(4):180–3.

    Article  CAS  PubMed  Google Scholar 

  67. Sjögren T, Nissinen KJ, Järvenpää SK, Ojanen MT, Vanharanta H, Mälkiä EA. Effects of a workplace physical exercise intervention on the intensity of headache and neck and shoulder symptoms and upper extremity muscular strength of office workers: a cluster randomized controlled cross-over trial. Pain. 2005;116(1–2):119–28.

    Article  PubMed  Google Scholar 

  68. Kindelan-Calvo P, Gil-Martínez A, Paris-Alemany A, Pardo-Montero J, Muñoz-García D, Angulo-Díaz-Parreño S, et al. Effectiveness of therapeutic patient education for adults with migraine. A systematic review and meta-analysis of randomized controlled trials. Pain Med. 2014;15(9):1619–36.

    Article  PubMed  Google Scholar 

  69. Bhombal ST, Usman A, Ghufran M. Effectiveness of behavioural management on migraine in adult patients visiting family practice clinics: a randomized controlled trial. J Pak Med Assoc. 2014;64(8):900–6.

    PubMed  Google Scholar 

  70. Bromberg J, Wood ME, Black RA, Surette DA, Zacharoff KL, Chiauzzi EJ. A randomized trial of a web-based intervention to improve migraine self-management and coping. Headache. 2012;52(2):244–61.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Cady RK, Martin VT, Géraud G, Rodgers A, Zhang Y, Ho AP, et al. Rizatriptan 10-mg ODT for early treatment of migraine and impact of migraine education on treatment response. Headache. 2009;49(5):687–96.

    Article  PubMed  Google Scholar 

  72. Mahmoudzadeh Zarandi F, Raiesifar A, Ebadi A. The effect of Oremʼs self-care model on quality of life in patients with migraine: a randomized clinical trial. Acta Med Iran. 2016;54(3):159–64.

    PubMed  Google Scholar 

  73. Odawara M, Hashizume M, Yoshiuchi K, Tsuboi K. Real-time assessment of the effect of biofeedback therapy with migraine: a pilot study. Int J Behav Med. 2015;22(6):748–54.

    Article  PubMed  Google Scholar 

  74. Krøll LS, Callesen HE, Carlsen LN, Birkefoss K, Beier D, Christensen HW, et al. Manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education for patients with tension-type headache. A systematic review and meta-analysis. J Headache Pain. 2021;22(1):96.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Gross A, Forget M, St George K, Fraser MMH, Graham N, Perry L, et al. Patient education for neck pain. Cochrane Database Syst Rev. 2012(3).

  76. d'Ivernois J-F, Gagnayre R, Assal J-P, Golay A, Libion F, Deccache A. Evaluation of therapeutic patient education. 2006.

  77. Haines T, Gross A, Burnie SJ, Goldsmith CH, Perry L. Patient education for neck pain with or without radiculopathy. Cochrane Database Syst Rev. 2009(1).

  78. Frosch DL, Kaplan RM. Shared decision making in clinical medicine: past research and future directions. Am J Prev Med. 1999;17(4):285–94.

    Article  CAS  PubMed  Google Scholar 

  79. Hoving C, Visser A, Mullen PD, van den Borne B. A history of patient education by health professionals in Europe and North America: from authority to shared decision making education. Patient Educ Couns. 2010;78(3):275–81.

    Article  PubMed  Google Scholar 

  80. Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26(1):1–7.

    Article  PubMed  Google Scholar 

  81. Ricci L, Villegente J, Loyal D, Ayav C, Kivits J, Rat AC. Tailored patient therapeutic educational interventions: a patient-centred communication model. Health Expect. 2022;25(1):276–89.

    Article  PubMed  Google Scholar 

  82. Meng K, Musekamp G, Schuler M, Seekatz B, Glatz J, Karger G, et al. The impact of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation. Patient Educ Couns. 2016;99(7):1190–7.

    Article  PubMed  Google Scholar 

  83. Hawkins RP, Kreuter M, Resnicow K, Fishbein M, Dijkstra A. Understanding tailoring in communicating about health. Health Educ Res. 2008;23(3):454–66.

    Article  PubMed  Google Scholar 

  84. de Haes H, Bensing J. Endpoints in medical communication research, proposing a framework of functions and outcomes. Patient Educ Couns. 2009;74(3):287–94.

    Article  PubMed  Google Scholar 

  85. Health HAS. https://www.has-sante.fr/: High Authority for Health; 2023.

  86. Luedtke K, Carvalho G, Szikszay T. Musculoskeletal dysfunctions and physiotherapy treatment strategies in patients with migraine. Musculoskeletal Science and Practice. 2023:102805.

  87. Minen M, Shome A, Halpern A, Tishler L, Brennan KC, Loder E, et al. A migraine management training program for primary care providers: an overview of a survey and pilot study findings, lessons learned, and considerations for further research. Headache. 2016;56(4):725–40.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Fernández-de-Las-Peñas C, Florencio LL, Plaza-Manzano G, Arias-Buría JL. Clinical reasoning behind non-pharmacological interventions for the management of headaches: a narrative literature review. Int J Environ Res Public Health. 2020;17(11).

  89. Fernández-de-Las-Peñas C, Cuadrado ML. Physical therapy for headaches. Cephalalgia. 2016;36(12):1134–42.

    Article  PubMed  Google Scholar 

  90. Fernández-de-Las-Peñas C, Courtney CA. Clinical reasoning for manual therapy management of tension type and cervicogenic headache. J Man Manip Ther. 2014;22(1):45–51.

    Article  Google Scholar 

  91. Cho S-J, Chu MK. Risk factors of chronic daily headache or chronic migraine. Curr Pain Headache Rep. 2014;19(1):465.

    Article  Google Scholar 

  92. Xu J, Kong F, Buse DC. Predictors of episodic migraine transformation to chronic migraine: a systematic review and meta-analysis of observational cohort studies. Cephalalgia. 2020;40(5):503–16.

    Article  PubMed  Google Scholar 

  93. Lipton RB, Buse DC, Nahas SJ, Tietjen GE, Martin VT, Löf E, et al. Risk factors for migraine disease progression: a narrative review for a patient-centered approach. J Neurol. 2023;270(12):5692–710.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Goadsby PJ. Migraine: diagnosis and management. Intern Med J. 2003;33(9–10):436–42.

    Article  CAS  PubMed  Google Scholar 

  95. Moseley GL, Butler DS. Fifteen years of explaining pain: the past, present, and future. J Pain. 2015;16(9):807–13.

    Article  PubMed  Google Scholar 

  96. O’Keeffe M, O’Sullivan P, Purtill H, Bargary N, O’Sullivan K. Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). Br J Sports Med. 2020;54(13):782–9.

    Article  PubMed  Google Scholar 

  97. de Tommaso M, Federici A, Franco G, Ricci K, Lorenzo M, Delussi M, et al. Suggestion and pain in migraine: a study by laser evoked potentials. CNS Neurol Disord Drug Targets. 2012;11(2):110–26.

    Article  PubMed  Google Scholar 

  98. Buchgreitz L, Egsgaard LL, Jensen R, Arendt-Nielsen L, Bendtsen L. Abnormal pain processing in chronic tension-type headache: a high-density EEG brain mapping study. Brain. 2008;131(Pt 12):3232–8.

    Article  CAS  PubMed  Google Scholar 

  99. Vibe Fersum K, Smith A, Kvåle A, Skouen JS, O’Sullivan P. Cognitive functional therapy in patients with non-specific chronic low back pain-a randomized controlled trial 3-year follow-up. Eur J Pain. 2019;23(8):1416–24.

    Article  PubMed  Google Scholar 

  100. Eigenbrodt AK, Ashina H, Khan S, Diener HC, Mitsikostas DD, Sinclair AJ, et al. Diagnosis and management of migraine in ten steps. Nat Rev Neurol. 2021;17(8):501–14.

    Article  PubMed  PubMed Central  Google Scholar 

  101. • Tolentino GD, Florencio LL, Pinheiro CF, Dach F, Fernandez-de-las-Penas C, Bevilaqua-Grossi D. Effects of combining manual therapy, neck muscle exercises, and therapeutic pain neuroscience education in patients with migraine: a study protocol for a randomized clinical trial. BMC NEUROLOGY. 2021;21(1). Promising study with a multimodal focus within the field of physiotherapy.

  102. Conway D, Ladlow P, Ferreira J, Mani-Babu S, Bennett AN. Cognitive functional therapy (CFT)-based rehabilitation improves clinical outcomes in UK military personnel with persistent low back pain. BMJ Mil Health. 2020;166(5):336–41.

    Article  PubMed  Google Scholar 

  103. Kent P, Haines T, O’Sullivan P, Smith A, Campbell A, Schutze R, et al. Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial. Lancet. 2023;401(10391):1866–77.

    Article  PubMed  Google Scholar 

  104. Seng EK, Martin PR, Houle TT. Lifestyle factors and migraine. Lancet Neurol. 2022;21(10):911–21.

    Article  PubMed  Google Scholar 

  105. Turner DP, Lebowitz AD, Chtay I, Houle TT. Headache Triggers as Surprise. Headache. 2019;59(4):495–508.

    Article  PubMed  PubMed Central  Google Scholar 

  106. Peris F, Donoghue S, Torres F, Mian A, Wöber C. Towards improved migraine management: determining potential trigger factors in individual patients. Cephalalgia. 2016;37(5):452–63.

    Article  PubMed  Google Scholar 

  107. Zebenholzer K, Frantal S, Pablik E, Lieba-Samal D, Salhofer-Polanyi S, Wöber-Bingöl C, et al. Reliability of assessing lifestyle and trigger factors in patients with migraine–findings from the PAMINA study. Eur J Neurol. 2016;23(1):120–6.

    Article  CAS  PubMed  Google Scholar 

  108. Topp J, Westenhöfer J, Scholl I, Hahlweg P. Shared decision-making in physical therapy: a cross-sectional study on physiotherapistsʼ knowledge, attitudes and self-reported use. Patient Educ Couns. 2018;101(2):346–51.

    Article  PubMed  Google Scholar 

  109. Dierckx K, Deveugele M, Roosen P, Devisch I. Implementation of shared decision making in physical therapy: observed level of involvement and patient preference. Phys Ther. 2013;93(10):1321–30.

    Article  PubMed  Google Scholar 

  110. Caneiro JP, Roos EM, Barton CJ, O’Sullivan K, Kent P, Lin I, et al. It is time to move beyond ‘body region silos’ to manage musculoskeletal pain: five actions to change clinical practice. Br J Sports Med. 2020;54(8):438–9.

    Article  CAS  PubMed  Google Scholar 

  111. Khalil H, Peters MDJ, McInerney PA, Godfrey CM, Alexander L, Evans C, et al. The role of scoping reviews in reducing research waste. J Clin Epidemiol. 2022;152:30–5.

    Article  PubMed  Google Scholar 

  112. Repiso-Guardeño A, Moreno-Morales N, Armenta-Pendón MA, Rodríguez-Martínez MDC, Pino-Lozano R, Armenta-Peinado JA. Physical therapy in tension-type headache: a systematic review of randomized controlled trials. Int J Environ Res Public Health. 2023;20(5).

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Funding

Dr. Sarah Mingels is supported by the University of Leuven (PDMt1/22/016). The sponsor has no role in composing the study design, collection, management, analysis, and interpretation of data, writing of the report, or the decision to submit the report for publication.

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Authors and Affiliations

  1. Musculoskeletal Research Unit, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, Leuven University, Tervuursevest, 101, 3001, Leuven, Belgium

    Sarah Mingels & Wim Dankaerts

  2. Faculty of Rehabilitation Sciences and Physiotherapy, REVAL Rehabilitation Research Centre, Hasselt University, Hasselt, Belgium

    Sarah Mingels & Marita Granitzer

  3. Department of Physiotherapy, Pain and Exercise Research, Universität Zu Lübeck, Lübeck, Germany

    Kerstin Luedtke

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  1. Sarah Mingels
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  2. Marita Granitzer
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  3. Kerstin Luedtke
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  4. Wim Dankaerts
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SM drafted the manuscript. WD, MG, and KL provided essential comments on the structure, spelling, and content of the manuscript. All authors read and approved the manuscript.

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Correspondence to Sarah Mingels.

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Mingels, S., Granitzer, M., Luedtke, K. et al. Therapeutic Patient Education as Part of the Physiotherapy Management of Adults with Headache: A Scoping Review. Curr Pain Headache Rep (2024). https://doi.org/10.1007/s11916-024-01253-3

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