chronic tension-type headache. Chronic tension-type headache, intractable
Conditions
Interventions
Intervention 1: Intervention group 1: deep neck flexor exercises with pressure biofeedback combined with placebo myofascial release of suboccipital muscles. Intervention 2: Intervention group 2:sub-oc
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: People with at least 2 of the 4 characteristics of bilateral headache, Non-pulsatile pain pressure, mild to moderate severity and no aggravation of pain by daily activities such as walking People who have experienced the headache for at least 3 months People who have the headache more than 15 days per month People who have only one of the symptoms of photophobia, phonophobia or mild nausea People with a craniovertebral angle less than 49 degrees The dose and type of prophylactic medication have not changed in the last 3 months People who do not intend to change the dose and type of prophylactic medication during the study period Participants have completed at least the elementary level of education and have the ability to understand and read Persian to complete the questionnaire. The headache can be accompanied by muscles tenderness around the head and neck
Exclusion criteria
Exclusion criteria: People with dizziness, severe nausea or vomiting due to the headache People with episodic tension type headache or other primary and secondary headaches Pain aggravated by movement of the head ?Abnormal changes in the radiographic image of cervical spine Previous trauma to the cervical spine Severe pain or significant limitation of the normal range of motion of the cervical spine History of injection, surgery, severe disc protrusion, or neck or shoulder fracture that affects treatment Joint stiffness, atherosclerosis or advanced osteoarthritis of the cervical spine Neurological or vascular disorders such as epilepsy or Bow hunter’s syndrome Absence of two consecutive sessions and more than treatment sessions Consume more than 200 pieces of morphine or other strong analgesics per month Pregnancy Receive physiotherapy treatment for headache within 6 months before starting treatment People who drink alcohol or have drug abuse For whatever reason, the participant is reluctant to be touched by the therapist Symptoms are severe and irritating Underlying diseases (such as rheumatoid arthritis) or metabolic disorders (such as osteoporosis or soft tissue laxity in the treatment area) for which manual therapies are contraindacated Score is more than 85 in the Spielberger Anxiety Trait Questionnaire
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The average severity of headache during the last 1 month. Timepoint: Pain intensity will be measured at the beginning of the study (before the intervention), after the end of 12 sessions of treatment and 6 weeks after the end of the intervention. Method of measurement: Visual Analogue Scale.;The severity of forward head posture. Timepoint: Measurement of the forward head posture will be performed at the beginning of the study (before the start of the intervention), after the end of 12 sessions of treatment and 6 weeks after the end of the intervention. Method of measurement: Craniovertebral angle: The angle between the horizon line and the line connecting the tragus of the ear to the spinous process of the seventh cervical vertebra. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of the headache. Timepoint: The duration of headache will be measured at the beginning of the study (before the intervention), after the end of 12 sessions of treatment, and 6 weeks after the end of the intervention. Method of measurement: The average number of hours that a person has the headache in a month.;?Frequency of the headache. Timepoint: The frequency of headaches will be measured at the beginning of the study (before the intervention), after the end of 12 sessions of treatment and 6 weeks after the end of the intervention. Method of measurement: The number of days in the month when a person has a headache.;Disability. Timepoint: Disability will be assessed at the beginning of the study (before the intervention), after the end of 12 sessions of treatment, and 6 weeks after the end of the intervention. Method of measurement: Persian version of the Henry Ford Hospital Headache Disability Inventory questionnaire.;Quality of life. Timepoint: Quality of life will be assessed at the beginning of the study (before the intervention), after the end of 12 sessions of treatment, and 6 weeks after the end of the intervention. Method of measurement: Persian version of Headache Impact Test questionnaire -6.;Pressure Pain Threshold of suboccipital muscles. Timepoint: The pressure Pain Threshold of suboccipital muscles will be assessed at the beginning of the study (before the intervention), after the end of 12 sessions of treatment, and 6 weeks after the end of the intervention. Method of measurement: Algometer device in the lower part of the occipital bone and outside the upper head of the upper trapezius muscle on both sides. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMobina Ahmadi
Iran University of Medical Sciences
Outcome results
None listed