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Progressive muscle relaxation and restricted environmental stimulation therapy for chronic tension headache: a pilot study
Wallbaum AB, Rzewnicki R, Steele H, Suedfeld P
International Journal of Psychosomatics 1991;38(1-4):33-39
clinical trial
2/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Thirty-one patients suffering from chronic tension headache participated in one of four procedures, each of which comprised two one-and-one-half hour sessions per week for 4 weeks. The conditions were: chamber/control (both weekly sessions lying on a bed in a dimly-lit room), and three active treatment procedures: chamber/tank, one session as above, the other floating in a dark, silent REST tank; chamber/relaxation, one as above, one doing progressive muscle relaxation exercises; and tank/relaxation, one session floating and one doing progressive muscle relaxation. By 6 months after the end of treatment, complete data had been obtained from 20 subjects. There was a significant overall decrease in headache reports; the active treatment groups collapsed improved significantly more than the control group. At the 6-month followup, the treatment groups showed continuing improvement (57% over end of treatment for the Tank-Relaxation group and a mean of 25% for the other two), whereas the control group had deteriorated by 34% since end of treatment. Clinical improvements were comparable to those of more time- and effort-consuming relaxation therapies, and confirm the usefulness of REST as a long-lasting and versatile treatment in behavioral health.

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