Tension-Type Headache
Conditions
Keywords
Massage, Trigger point
Brief summary
Patients with IHS criteria of chronic tension headache , considering inclusion and exclusion criteria, enrolled to this study. They will be randomized to intervention or control group by block randomization method, then treat by standard drug( nortriptyline 10 mg daily) or trigger point massage. They report severity, frequency, duration of headaches and number of analgesic drugs in diary during week 1 and week 4. Then data based on dairy will be analysis.
Interventions
Massage the trigger points in 8 different points for 1 min in circle direction and 3 times a day.
Sponsors
Study design
Intervention model description
Case and control group
Eligibility
Inclusion criteria
1. Chronic tension type headache according to IHS criteria 2. Finding painful trigger point in physical examination 3. no contraindication for massage 4. no prophylactic treatment 5. written inform consent
Exclusion criteria
1. Dementia or severe cognitive impairment 2. Under Treatment with drugs with prophylactic effect 3. History of RA or Cervicocephalic fracture or other skeletal deformity 4. Other complementary treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Headache severity change | Mean Visual Analogue Scale sore change in week 4 from the baseline | By Visual Analogue Scale score,from 0 that indicate no pain to 10 that indicate severe pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Headache frequency change | Change in number of attacks in week 4 from the base line | Number of attacks in week |
| Headache duration change | Change in Time duration in week 4 from the baseline | Time duration ( in minutes)of attacks in week |
| Number of analgesic change | Change in Number of analgesic drugs used in week 4 from the baseline | Number of analgesic drugs used during a week |