Skip to main content
Log in

A retrospective, follow-up study of biofeedback-assisted relaxation therapy in patients with posttraumatic headache

  • Published:
Biofeedback and Self-regulation Aims and scope Submit manuscript

Abstract

Although biofeedback in the treatment of migraine and tension-type headache has been widely researched, there is little research examining biofeedback therapy in posttraumatic headache (PTH). In this retrospective study, 40 subjects with PTH who had received biofeedback-assisted relaxation at our headache clinic were questioned at least 3 months following the completion of therapy. Subjects were queried about improvements in headache, increases in ability to relax and cope with pain, and overall benefits, lasting effectiveness, and continued use of biofeedback in daily life. Results indicate 53% reported at least moderate improvement in headaches; 80% reported at least moderate improvement in ability to relax and cope with pain; 93% found biofeedback helpful to some degree; 85% felt headache relief achieved through biofeedback had continued at least somewhat; and 95% stated they were continuing to use biofeedback skills in daily life. A correlation analysis revealed a negative relationship between response to biofeedback and increased chronicity of the disorder. In other words, the more chronic the disorder, the poorer the response to treatment. A stepwise regression analysis found that chronicity of the disorder and number of treatment sessions significantly affected response to treatment. Data suggest that biofeedback-assisted relaxation should at least be considered when planning treatment strategies for posttraumatic headache.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adler, C. S., & Adler, S. M. (1976). Biofeedback psychotherapy for the treatment of headaches: A 5-year follow-up.Headache, 16, 189–191.

    Google Scholar 

  • Adler, C. S., & Adler, S. M. (1985). Physiological feedback and psychotherapeutic intervention for migraine: A ten year follow-up. In O. Sjastaad, V. Pfaffenrath, & P. O. Lundberg (Eds.),Updating in headache (pp. 246–253). Heidelberg: Springer Verlag.

    Google Scholar 

  • Adler, C. S., Adler, S. M., & Packard, R. C. (1987). Psychological, use of biofeedback and other self-regulatory techniques. In C. S. Adler, S. M. Adler, & R. C. Packard (Eds.),Psychiatric aspects of headache, (pp. 349–368). Baltimore: Williams & Wilkins.

    Google Scholar 

  • Andrasik, F., & Blanchard, E. B. (1987). The biofeedback treatment of tension headache. In J. P. Hatch, J. G. Fisher, & J.D. Rugh (Eds.),Biofeedback: Studies in clinical efficacy (pp. 281–323). New York: Plenum.

    Google Scholar 

  • Andrasik, F., Blanchard, E. B., Neff, D. F., & Rodichok, L. D. (1984). Biofeedback and relaxation training for chronic headache: A controlled comparison of booster treatments and regular contacts for long-term maintenance.Journal of Consulting and Clinical Psychology, 54, 609–615.

    Google Scholar 

  • Bell, N. W., Abramowitz, S. I., Folkins, C. H., Spensley, J., & Hutchinson, G. L. (1983). Biofeedback, brief psychotherapy, and tension headache.Headache, 23, 162–173.

    Google Scholar 

  • Blanchard, E. B., & Andrasik F. (1987). Biofeedback treatment of vascular headache. In J. P. Hatch, J. G. Fisher, & J. D. Rugh (Eds.),Biofeedback: Studies in clinical efficacy (pp. 1–79). New York: Plenum.

    Google Scholar 

  • Blanchard, E. B., and Andrasik, F., Appelbaum, K. A., Evans, D. D., Jurish, S. E., Teders, S. J., Rodichok, L. D., & Barron, K. D. (1985). The efficacy and cost-effectiveness of minimal-therapist-contact, nondrug treatments of chronic migraine and tension headache.Headache, 25, 214–220.

    Google Scholar 

  • Blanchard, E. B., Andrasik, F., Neff, D. F., Arena, J. G., Ahles, T. A., Jurish, S. E., Pallmeyer, T. P., Saunders, N. L., Teders, S. J., Barron, K. D., & Rodichok, L. D. (1982a). Biofeedback and relaxation training with three kinds of headache: Treatment effects and their prediction.Journal of Consulting and Clinical Psychology, 50, 562–575.

    Google Scholar 

  • Blanchard, E. B., Andrasik, F., Neff, D. F., Jurish, S. E., & O'Keefe, D. M. (1981). Social validation of the headache diary.Behavior Therapy, 12, 711–715.

    Google Scholar 

  • Blanchard, E. B., Andrasik, F., Neff, D. F., Teders, S. J., Pallmeyer, T. P., Arena, J. G., Jurish, S. E., Saunders, N. L., Ahles, T. A., & Rodichok, L. D. (1982b). Sequential comparisons of relaxation training and biofeedback in the treatment of three kinds of chronic headache or, the machines may be necessary some of the time.Behaviour Research and Therapy, 20, 469–481.

    Google Scholar 

  • Brenner, C., Friedman, A. P., Merritt, H. H., & Denny-Brown, D. E. (1944). Post-traumatic headache.Journal of Neurosurgery, 1, 379–391.

    Google Scholar 

  • Brown, S. J., Fann, S. R., & Grant, I. (1994). Postconcussional disorder: Time to acknowledge a common source of neurobehavioral comorbidity.Journal of Neuropsychiatry and Clinical Neurosciences, 6, 15–22.

    Google Scholar 

  • Budzynski, T. H., Stoyva, J. M., & Adler, C. S. (1970). Feedback-induced muscle relaxation: Application to tension headache.Behavior Therapy and Experimental Psychology, 1, 205–211.

    Google Scholar 

  • Cahn, T., & Cram, J. R. (1980). Changing measurement instrument at follow-up: A potential source of error.Biofeedback and Self-Regulation, 5, 265–273.

    Google Scholar 

  • Diamond, S. (1979). Biofeedback and headache.Headache, 19, 180–184.

    Google Scholar 

  • Diamond, S., Medina, J., Diamond-Falk, J., & De Veno, T. (1979). The value of biofeedback in the treatment of chronic headache: A five-year retrospective study.Headache, 19, 90–96.

    Google Scholar 

  • Diamond, S., & Montrose, D. (1984). The value of biofeedback in the treatment of chronic headache: A four-year retrospective study.Headache, 24, 5–18.

    Google Scholar 

  • Duckro, P. N., Tait, R., Margolis, R. B., & Silversintz, S. (1985). Behavioral treatment of headache following occupational trauma.Headache, 25, 328–331.

    Google Scholar 

  • Elkind, A. H. (1992). Posttraumatic headache. In S. Diamond & D. J. Dalessio (Eds.),The practicing physician's approach to headache, (5th ed., pp. 146–161). Baltimore: Williams & Wilkins.

    Google Scholar 

  • Evans, R. W. (1992). Some observations on whiplash injuries.Neurologic Clinics, 10, 975–979.

    Google Scholar 

  • Evans, R. W. (1994). The postconcussion, syndrome: 130 years of controversy.Seminars in Neurology, 14, 32–39.

    Google Scholar 

  • Headache Classification Committee of the International Headache Society. (1988). Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain.Cephalagia 8 (Suppl 7), 1–96.

    Google Scholar 

  • Kraus, J. F., & Nourjah, P. (1988). The epidemiology of mild uncomplicated brain injury.Journal of Trauma, 28, 1637–1643.

    Google Scholar 

  • McGrady, A. V., Bernal, G. A., Fine, T., & Woerner, M. P. (1983). Posttraumatic head and neck pain: A multimodal treatment approach.Journal of Holistic Medicine, 5, 130–138.

    Google Scholar 

  • Medina, J. L. (1992). Efficacy of an individualized outpatient program in the treatment of chronic posttraumatic headache.Headache, 32, 180–183.

    Google Scholar 

  • Morgan, A. S. (1989). Traumatic brain injury: Improved functional recovery.Journal of the National Medical Association, 81, 1133–1137.

    Google Scholar 

  • Olson, P. R. (1988). A long-term, single-group follow-up study of biofeedback therapy with chronic medical and psychiatric patients.Biofeedback and Self Regulation, 13, 331–346.

    Google Scholar 

  • Packard, R. C., & Ham, L. P. (1993). Posttraumatic headache: Determining chronicity.Headache, 33, 133–134.

    Google Scholar 

  • Packard, R. C., & Ham, L. P. (1994). Posttraumatic headache.Journal of Neuropsychiatry and Clinical Neurosciences, 6, 229–236.

    Google Scholar 

  • Packard, R. C. (1993). Life stress, personality factors, and reactions to headache. In D. J. Dalessio & S. D. Silberstein (Eds.),Wolff's headache and other head pain (6th ed., pp. 462–482). New York: Oxford.

    Google Scholar 

  • Packard, R. C. (1992). Posttraumatic headache: Permanency and relationship to legal settlement.Headache, 32, 496–500.

    Google Scholar 

  • Packard, R. C. (1994). Posttraumatic headache.Seminars in Neurology, 14, 40–45.

    Google Scholar 

  • Schwartz, M. S. (1995). Headache: Selected issues and considerations in evaluation and treatment. In M. S. Schwartz & Associates,Biofeedback: A practitioner's guide (2nd ed., pp. 313–353). New York: Guilford.

    Google Scholar 

  • Speed, W. G. (1986). Post-traumatic headache. In S. Diamond & D. J. Dalessio (Eds.),The practicing physician's approach to headache (4th ed., pp. 113–119). Baltimore: Williams & Wilkins.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

We wish to express our appreciation to Sandra Tomlinson Becky Kinloch, and C. M. Bundrick for their assistance in this project.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ham, L.P., Packard, R.C. A retrospective, follow-up study of biofeedback-assisted relaxation therapy in patients with posttraumatic headache. Biofeedback and Self-Regulation 21, 93–104 (1996). https://doi.org/10.1007/BF02284689

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02284689

Key Words

Navigation