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Table 19 Preventive non-pharmacological treatments for tension-type headache

From: Italian guidelines for primary headaches: 2012 revised version

Treatment

Level of evidence

Scientific strength of evidence

Clinical effectiveness

Adverse events

Level of recommendation

References

Biofeedback

A

++

++

I

[408, 413, 431]

Cognitive-behavioural treatment

+

IV

[416, 435, 437, 452]

Strategic short-term psychotherapy

+

IV

[417]

Chiropractic osteopathy

C

+

+

III

[418, 419]

Physiotherapy

C

+

+

III

[419, 427, 453458]

Acupuncture

A

++

+

Rare

II

[452]

Transcutaneous electrical nerve stimulation (TENS)

?

IV

[422]

Physical activity

?

IV

[421]

Pranotherapy

?

IV

[459]

Orthodontic and gnathological techniques

C

+

+

IV

[414, 422, 449, 460]