Tension-Type Headache
Conditions
Brief summary
it evaluates forward head posture (craniovertebral angle), resting scapular alignment (upward rotation, anterior tilt, protraction, depression), and dynamic scapular kinematics (upward rotation, anterior-posterior tilt) between tension-type headache and controls.
Detailed description
This study was conducted at the outpatient clinic, faculty of physical therapy, Sinai University, it evaluates forward head posture (craniovertebral angle), resting scapular alignment (upward rotation, anterior tilt, protraction, depression), and dynamic scapular kinematics (upward rotation, anterior-posterior tilt) between tension-type headache and controls.
Interventions
DIAGNOSTIC_TESTforward head posture , resting scapular alignment and dynamic scapular kinematics
forward head posture using the Smartphone application AI Posture Evaluation and Correction System (APECS), resting scapular alignment using a modified digital inclinometer and dynamic scapular kinematics using The digital inclinometer
Sponsors
Cairo University
Study design
Observational model
CASE_CONTROL
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Inclusion Criteria for TTH group: 1. Patients will be included if they meet the diagnostic criteria of the International Headache Society for Tension-Type Headache 2. Score of 8 in screening questionnaire of TTH 3. Patients' age ranges from 20 to 40 years 4. BMI will range from 18.5- 29.9 kg/m2 5. Chronic and frequent episodic Tension-Type Headache as duration of patient's symptoms is more than three months * Inclusion Criteria for the control group Asymptomatic tension-type headaches will be included if they are matched in age, gender, and BMI
Exclusion criteria
1. Abnormal neurological symptoms (cervical radiculopathy-motor manifestation) 2. Vertebrobasilar Insufficiency 3. Systemic diseases e.g., Multiple sclerosis 4. Diabetes and hypertension 5. History of head trauma 6. History of epileptic fits 7. History of previous head or neck surgery 8. History of Shoulder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| forward head posture (craniovertebral angle) | at baseline | forward head posture (craniovertebral angle) Using the Smartphone application AI Posture Evaluation and Correction System (APECS), CVA will be measured. Patients or subjects will stand on the right lateral view, while an adjustable tripod will hold the mobile phone (iPhone 11) camera at shoulder height, positioned 1.5 meters from the patient for standardization. craniovertebral angle (CVA) is measured in degrees (°). |
| resting scapular alignment | at baseline | resting scapular alignment (upward rotation, anterior tilt, protraction, depression) is assessed using a modified digital inclinometer and recorded in degrees (°). The subject's resting scapular alignment of protraction, upward rotation, anterior tilt, and depression in a standing posture. Markers will be positioned on the inferior angle of the scapula, the posterolateral side of the acromion, and the scapular spine's root before scapular position measurements |
| Dynamic scapular kinematics | at baseline | Dynamic scapular kinematics is assessed using digital inclinometer and recorded in degrees (°). The subject's scapular position will be measured during upward rotation, anterior tilt, and posterior tilt in a standing posture. Before the test, the landmarks will be determined before the measurement (scapula inferior angle, posterior lateral of the acromion, and scapula spine) and markers will be attached |
Countries
Egypt
Outcome results
None listed