Biofeedback in headache: An overview of approaches and evidence
Open accessAbstract
Biofeedback-related approaches to headache therapy fall into two broad categories: general biofeedback techniques (often augmented by relaxation-based strategies) and methods linked more directly to the pathophysiology underlying headache. The use of general biofeedback-assisted relaxation techniques for headache has been evaluated extensively by expert panels and meta-analyses. Taken together, these reviews indicate that (1) various forms of biofeedback are effective for migraine and tension-type headache; (2) outcomes with biofeedback rival outcomes with medication therapy; (3) combining biofeedback with medication can enhance outcomes; and (4) despite efficacy in many patients, biofeedback fails to bring significant relief to a sizeable number of headache patients. Biofeedback methods that more directly target headache pathophysiology have focused chiefly on migraine. These headache-specific approaches include blood volume pulse biofeedback, which has considerable supportive evidence, and electroencephalographic feedback.
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- Authors
- Andrasik, F.
- Affiliations
- Florida Institute for Human and Machine Cognition (US)
- Corresponding author
- Andrasik, Frank
- ORCID
- Andrasik, Frank
- Venue
- Cleveland Clinic Journal of Medicine
- Publisher
- Cleveland Clinic Journal of Medicine
- Published
- 2010-07
- Volume
- 77
- Issue
- 7 suppl 3
- Pages
- S72-S76
- ISSN
- 0891-1150 (ISSN-L)
- 1939-2869
- OpenAlex
- W2038168459
- Cited by
- 90
- References
- 22
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 11 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 10 · 2016: 5 · 2015: 4 · 2014: 10 · 2013: 11 · 2012: 6
- FWCI
- 3.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cleveland Clinic Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- biofeedback, headache, migraine, tension-type headache, relaxation techniques, headache pathophysiology, pharmacotherapy, treatment efficacy
- MeSH terms
- Biofeedback, Psychology, Electromyography, Headache, Humans, Migraine Disorders, Relaxation Therapy, Treatment Outcome, Patient Preference
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