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  • Title: The Trager approach in the treatment of chronic headache: a pilot study.
    Author: Foster KA, Liskin J, Cen S, Abbott A, Armisen V, Globe D, Knox L, Mitchell M, Shtir C, Azen S.
    Journal: Altern Ther Health Med; 2004; 10(5):40-6. PubMed ID: 15478785.
    Abstract:
    CONTEXT: Although the traditional treatment of headache has been pharmacological, there have been many attempts to treat headaches with other methods with mixed levels of success. OBJECTIVE: To obtain preliminary data on the efficacy of the Trager approach in the treatment of chronic headache. DESIGN: Small-scale randomized controlled clinical trial. SETTING: University-based clinic. PATIENTS: Thirty-three volunteers with a self-reported history of chronic headache with at least one headache per week for at least 6 months. INTERVENTIONS: Medication only control group, medication and attention control group, and medication and Trager treatment group. MAIN OUTCOME MEASURES: Self-reported frequency, duration, and intensity of headache, medication usage and headache quality of life (HQOL) obtained at baseline and after a 6-week treatment period. RESULTS: Analyses of variance demonstrated significant improvement in HQOL for the Trager and attention control groups, and reduction in medication usage for the Trager group (P < 0.05). Within-group analyses revealed that participants randomized to Trager demonstrated a significant decrease in the frequency of headaches (P = 0.045), improvement in HQOL (P = 0.045), and a 44% decrease in medication usage (P = 0.03). Participants randomized to the attention control group demonstrated a significant improvement in HQOL (P = 0.035) and a 19% decrease in medication usage (P = 0.15). Participants randomized to the no-treatment control group revealed a significant increase in headache duration (P = 0.025) and intensity (P = 0.025), and a declination in HQOL (P = 0.035). CONCLUSIONS: The Trager approach decreased headache frequency and medication usage. Trager and physician attention improved HQOL. A larger, multi-site study is recommended.
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