Tension-type headache and migraine (ICHD-3 criteria), with comorbid assessment of temporomandibular disorder and nocturnal bruxism Nervous System Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18–65 years 2. Neurologist-confirmed primary headache diagnosis of tension-type headache or migraine according to ICHD-3 criteria 3. Minimum 3 months of active headache history 4. At least 4 headache days per month
Exclusion criteria
Exclusion criteria: 1. Secondary headache aetiology 2. Prior occlusal splint use within 12 months 3. Active inflammatory or infectious disease 4. Acute temporomandibular joint inflammation requiring immediate surgical intervention 5. Pregnancy 6. Refusal of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Headache pain intensity measured using Numerical Rating Scale (NRS, 0–10) at Baseline, 2 weeks, 6 weeks, and 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Headache-related disability measured using Migraine Disability Assessment (MIDAS) score at Baseline, 2 weeks, 6 weeks, and 12 weeks;Headache frequency measured using Self-reported number of headache days per month at Baseline, 2 weeks, 6 weeks, and 12 weeks;Depression and anxiety symptoms measured using Patient Health Questionnaire-4 (PHQ-4) at Baseline, 2 weeks, 6 weeks, and 12 weeks;Generalised anxiety symptoms measured using Generalised Anxiety Disorder-7 (GAD-7) at Baseline, 2 weeks, 6 weeks, and 12 weeks;Pain localisation measured using Pain drawing (body/facial pain map) at Baseline, 2 weeks, 6 weeks, and 12 weeks;Pharmacological consumption measured using Self-reported analgesic and triptan use at Baseline, 2 weeks, 6 weeks, and 12 weeks | — |
Countries
Poland