Diagnostics and Management of Pediatric Headache: An Exploratory Study among Dutch Physical Therapists

Diagnostics and Management of Pediatric Headache: An Exploratory Study among Dutch Physical Therapists

Physiotherapists are often part of a multidisciplinary treatment plan for children with headaches. The literature on physical therapeutic diagnostics and management of headaches is often focused on adults. To gain insight, identify knowledge gaps, and increase the evidence needed for clinical physic...

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Bibliographic Details
Published in:Children (Basel) Vol. 10; no. 7; p. 1135
Main Authors: Bot, Maria N, van der Meer, Hedwig A, Meurs de Vries, Marloes, Bronkhorst, Ewald M, Kalaykova, Stanimira I, Creugers, Nico H J
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 30-06-2023
MDPI
Subjects:
Analysis
Care and treatment
child
Children
diagnostics
Evidence-based medicine
Focus groups
Headache
Headaches
Health aspects
Migraine
orofacial
Pain
Pediatrics
Physical therapists
Physical therapy
Surveys
therapeutics
Therapeutics, Physiological
Netherlands
orofacial
diagnostics
pain
therapeutics
headache
child
temporomandibular disorders
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Summary:Physiotherapists are often part of a multidisciplinary treatment plan for children with headaches. The literature on physical therapeutic diagnostics and management of headaches is often focused on adults. To gain insight, identify knowledge gaps, and increase the evidence needed for clinical physical therapeutic practice with children with headaches, an exploratory method is warranted. The purpose of this study was to describe the views, beliefs, and experiences of physical therapists regarding diagnostics and treatment options for children with headaches. The method consisted of a survey and two peer consultation group meetings. A total of 195 individual surveys were returned and 31 out of 47 peer consultation groups participated. Most participants were specialized in pediatric physical therapy (93.3%). They use the 4P-factor model (predisposing, precipitating, perpetuating, and protective factors) as a guiding principle in the diagnostic and therapeutic process in children with headaches. This model helps to organize and to understand how a variety of factors interact in a biopsychosocial relationship. Pediatric physical therapists focus their treatments on factors interfering with movement and functional abilities of the child with headaches. Knowledge of how temporomandibular disfunction can relate to headaches is currently insufficient for pediatric physical therapists.
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ISSN:2227-9067
2227-9067
DOI:10.3390/children10071135