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1、EuropeanJournalofNeurology2010,17:1318–1325doi:10.1111/j.1468-1331.2010.03070.xEFNSGUIDELINES/CMEARTICLEEFNSguidelineonthetreatmentoftension-typeheadache–ReportofanEFNStaskforceabcdefL.Bendtsen,S.Evers,M.Linde,D.D.Mitsikostas,G.SandriniandJ.SchoenenabDepartmentofNeurology,DanishHea
2、dacheCentre,GlostrupHospital,UniversityofCopenhagen,Copenhagen,Denmark;DepartmentofcNeurology,UniversityofMu¨nster,Mu¨nster,Germany;InstituteofNeuroscienceandPhysiology,TheSahlgrenskaAcademy,UniversityofGothenburg,SwedenandNorwegianNationalHeadacheCentre,St.OlavsHospital,TrondheimN
3、orwayandDepartmentofNeuroscience,dNorwegianUniversityofScienceandTechnology,Trondheim,Norway;DepartmentofNeurology,HeadacheClinic,AthensNavalHospital,eAthens,Greece;UniversityCentreforAdaptiveDisordersandHeadache,IRCCSC.MondinoInstituteofNeurologyFoundation,UniversityfofPavia,Pavia
4、Italy;andDepartmentofNeurology,HeadacheResearchUnit,UniversityofLie`ge,Lie`ge,BelgiumKeywords:Background:Tension-typeheadache(TTH)isthemostprevalentheadachetypeandantidepressants,guideline,iscausingahighdegreeofdisability.TreatmentoffrequentTTHisoftendifficult.prophylaxis,tension-typ
5、eObjectives:Togiveevidence-basedorexpertrecommendationsforthedifferenttreat-headache,treatmentmentproceduresinTTHbasedonaliteraturesearchandtheconsensusofanexpertpanel.Methods:AllavailablemedicalreferencesystemswerescreenedfortherangeofReceived9February2010clinicalstudiesonTTH.Thefin
6、dingsinthesestudieswereevaluatedaccordingtotheAccepted26March2010recommendationsoftheEFNSresultinginlevelA,BorCrecommendationsandgoodpracticepoints.Recommendations:Non-drugmanagementshouldalwaysbeconsideredalthoughthescientificbasisislimited.Information,reassuranceandidentificationof
7、triggerfactorsmayberewarding.Electromyography(EMG)biofeedbackhasadocumentedeffectinTTH,whilstcognitive-behaviouraltherapyandrelaxationtrainingmostlikelyareeffective.PhysicaltherapyandacupuncturemaybevaluableoptionsforpatientswithfrequentTTH,butthereisnorobustscientificevidenceforefficac
8、y.Simpleanalgesicsandnon-s
