Effectiveness of an Intensive Multidisciplinary Headache Treatment Program

Objective.— To investigate if the effectiveness of a 96‐hour multidisciplinary headache treatment program exceeds the effectiveness of a 20‐hour program and primary care. Background.— When dealing with chronic back pain, low‐intensity multidisciplinary treatment yields no significantly better result...

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Bibliographic Details
Published in:Headache 2009-07, Vol.49 (7), p.990-1000
Main Authors: Gunreben-Stempfle, Birgit, Grießinger, Norbert, Lang, Eberhard, Muehlhans, Barbara, Sittl, Reinhard, Ulrich, Kathrin
Format: Article
Language:English
Subjects:
Adult
Analysis of Variance
behavioral
Biological and medical sciences
Combined Modality Therapy - methods
Female
headache
Headache - classification
Headache - physiopathology
Headache - therapy
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Male
Medical sciences
Middle Aged
migraine
multidisciplinary
Nervous system (semeiology, syndromes)
Neurology
Pain Clinics
Pain Measurement
pain treatment
Primary Health Care - methods
Psychiatric Status Rating Scales
Retrospective Studies
Surveys and Questionnaires
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
Young Adult
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Summary:Objective.— To investigate if the effectiveness of a 96‐hour multidisciplinary headache treatment program exceeds the effectiveness of a 20‐hour program and primary care. Background.— When dealing with chronic back pain, low‐intensity multidisciplinary treatment yields no significantly better results than standard care and monodisciplinary therapy; however, high‐intensity treatment does. For multidisciplinary headache treatment, such comparisons are not yet available. In a previous study undertaken by our Pain Center, the outcome of a minimal multidisciplinary intervention model (20‐hour) did not exceed primary care. Methods.— Forty‐two patients suffering from frequent headaches (20 ± 9 headache days/month; range: 8‐30) were treated and evaluated in a 96‐hour group program. The results were compared with the outcomes of the previous study. Subjects who had undergone either the 20‐hour multidisciplinary program or the primary care were used as historical control groups. Findings.— A significant reduction in migraine days (P 
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2009.01448.x