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An individually tailored behavioral medicine treatment in physical therapy for tension-type headache – two experimental case studies

Authors Söderlund A, Lagerlöf H

Received 6 September 2016

Accepted for publication 4 October 2016

Published 23 November 2016 Volume 2016:9 Pages 1089—1099

DOI https://doi.org/10.2147/JPR.S121609

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Enrica Santarcangelo


Anne Söderlund,1 Helena Lagerlöf2

1Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, 2Fysiokliniken Västra Aros AB, Västerås, Sweden

Aim: The aim of this study was to describe and evaluate the effect of an individually tailored behavioral medicine treatment in physical therapy, based on a functional behavioral analysis (FBA), for tension-type headache (TTH).
Patients and methods: Two case studies with A1-A2-B-A3 design of two patients with TTH was conducted. Outcome variables were headache frequency, headache index (mean intensity), consumption of analgesics, self-efficacy in headache management (Headache Management Self-efficacy Scale [HMSE]), disability, and perceived loss of happiness for ­activities with family and friends.
Results: The results showed that headache frequency and headache index decreased for one of the patients. Self-efficacy in headache management increased markedly for both patients.
Conclusion: A behavioral medicine treatment in physical therapy based on an FBA can be a way for physical therapists to handle patients with TTH. Future investigations should focus on large group studies with longer observation periods.

Keywords: headache index, self-efficacy, loss of happiness, functional behavioral analysis

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