지난 30여 년 동안, 행동 중재(예, 이완 훈련, 바이오피드백, 인지 행동 치료, 스트레스 관리 훈련)는 재발성 두통을 관리하는데 필수적 도구로 여겨져 왔다. 메타 분석에 의하면, EMG 바이오피드백은 긴장형 두통 환자를 치료하는데 증거 기반 치료이며 또한 표준적인 처치로 받아들여져 왔다. 그럼에도 불구하고, 긴장형 두통에 영향을 미치는 행동 요인과 긴장형 두통에 대한 행동 중재에 관하여 알아야 할 것이 많이 남아 있다. 이 개관에서는 긴장형 두통의 원인과 EMG 바이오피드백
치료 효능의 기제에 관하여 쟁점별로 살펴보고, 최근 출간된 EMG 바이오피드백을 위한 치료 지침에 관하여 논의하였으며, 또한 앞으로의 연구 방향에 관해서도 논의하였다.
In the past more than three decades, behavioral intervention(eg, relaxation training, biofeedback, cognitive-behavior therapy, or stress-management training) has been necessarily essential tool for recurrent headache management. Meta-analytic literature reviews of behavioral interventions have consistently shown EMG biofeedback treatment to be evidence-based and standard approaches for tension-type headache. Nevertheless, much remains to be learned about the behavioral factors influencing tension-type headache and behavioral approaches to tension-type headache intervention. In this article, mechanisms of tension-type headache cause and EMG biofeedback treatment efficacy, guidelines for trials of EMG biofeedback treatment, and future directions in behavioral headache research were reviewed.
In the past more than three decades, behavioral intervention(eg, relaxation training, biofeedback, cognitive-behavior therapy, or stress-management training) has been necessarily essential tool for recurrent headache management. Meta-analytic literature reviews of behavioral interventions have consistently shown EMG biofeedback treatment to be evidence-based and standard approaches for tension-type headache. Nevertheless, much remains to be learned about the behavioral factors influencing tension-type headache and behavioral approaches to tension-type headache intervention. In this article, mechanisms of tension-type headache cause and EMG biofeedback treatment efficacy, guidelines for trials of EMG biofeedback treatment, and future directions in behavioral headache research were reviewed.
