TY - JOUR
T1 - Headache in children
T2 - Effectiveness of multidisciplinary treatment in a tertiary paediatric headache clinic
AU - Soee, Ann Britt L
AU - Skov, Liselotte
AU - Skovgaard, Lene Theil
AU - Thomsen, Lise L.
AU - Skovgaard, Lene Theil
PY - 2013/11
Y1 - 2013/11
N2 - Aim: The aim of this article is to evaluate the effectiveness of a specific multidisciplinary treatment programme for children with headache and to describe the concept and settings of the Children's Headache Clinic in Denmark. Method: All new patients were included and evaluations were conducted after six and 12 months. Pharmacological and non-pharmacological treatments were offered by a team of specialists (physicians, headache nurses, a physiotherapist and a psychologist). Patients: The subjects comprised 169 children (mean age 11.7 (range 4-17), 91 females, 78 males), 39% of whom suffered from chronic headache (≥15 days/month). All children were diagnosed according to the International Classification of Headache Disorders, second edition; 20% had migraine, 34% tension-type headache, 27% mixed headache, 4% medication- overuse headache, and 15% were diagnosed with other types of headaches. Results: Fifty per cent of the children had an improvement in headache frequency above 50% at six months. By the use of repeated measurement analysis, we found a significant decrease in headache frequency in all of the six headache groups, whereas the increase in quality of life (PedsQL™ 4.0) was significant for the group as a whole. Conclusion: Though preliminary, the results show a good outcome for multidisciplinary treatment programmes for children who suffer from frequent or chronic headache.
AB - Aim: The aim of this article is to evaluate the effectiveness of a specific multidisciplinary treatment programme for children with headache and to describe the concept and settings of the Children's Headache Clinic in Denmark. Method: All new patients were included and evaluations were conducted after six and 12 months. Pharmacological and non-pharmacological treatments were offered by a team of specialists (physicians, headache nurses, a physiotherapist and a psychologist). Patients: The subjects comprised 169 children (mean age 11.7 (range 4-17), 91 females, 78 males), 39% of whom suffered from chronic headache (≥15 days/month). All children were diagnosed according to the International Classification of Headache Disorders, second edition; 20% had migraine, 34% tension-type headache, 27% mixed headache, 4% medication- overuse headache, and 15% were diagnosed with other types of headaches. Results: Fifty per cent of the children had an improvement in headache frequency above 50% at six months. By the use of repeated measurement analysis, we found a significant decrease in headache frequency in all of the six headache groups, whereas the increase in quality of life (PedsQL™ 4.0) was significant for the group as a whole. Conclusion: Though preliminary, the results show a good outcome for multidisciplinary treatment programmes for children who suffer from frequent or chronic headache.
KW - children
KW - headache
KW - multidisciplinary treatment
KW - outcome
KW - PedsQL 4.0
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=84885740698&partnerID=8YFLogxK
U2 - 10.1177/0333102413490349
DO - 10.1177/0333102413490349
M3 - Journal article
C2 - 23847154
AN - SCOPUS:84885740698
SN - 0333-1024
VL - 33
SP - 1218
EP - 1228
JO - Cephalalgia
JF - Cephalalgia
IS - 15
ER -