Restricted neck mobility in children with chronic tension type headache: a blinded, controlled study

Forward head posture (FHP) and neck mobility were objectively assessed in 25 patients with chronic tension-type headache (CTTH) and 25 healthy controls. Side-view pictures were taken in a sitting position to measure the craniovertebral angle. A cervical goniometer was employed to measure the range of all cervical motions. Patients with CTTH showed a smaller cranio-vertebral angle (45.3° ± 7.6°) than controls (54.1° ± 6.3°), thus presenting a greater FHP ( P < 0.001). Patients also had lesser neck mobility for all cervical movements, except for right lateral flexion ( P < 0.01). There was a positive correlation between the craniovertebral angle and neck mobility. Within the CTTH group, a negative correlation was found between the cranio-vertebral angle and headache frequency, but neck mobility did not correlate with headache parameters. Further research is needed to define a potential role of FHP and restricted neck mobility in the origin or maintenance of TTH.

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Efficacy of dynamic electric neurostimulation in adolescents with frequent episodic or chronic tension-type headache: results of a double-blind, randomized, placebo-controlled study

Pharmateca ◽

10.18565/pharmateca.2019.13.47-52 ◽

2019 ◽

Vol 13_2019 ◽

pp. 47-52

Author(s):

L.R. Akhmadeeva Akhmadeeva ◽

D.S. Valeeva Valeeva ◽

M.V. Naprienko Naprienko ◽

E.N. Akhmadeeva Akhmadeeva ◽

◽

...

Keyword(s):

Tension Type Headache ◽

Controlled Study ◽

Double Blind ◽

Chronic Tension Type Headache ◽

Type Headache

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Pressure pain threshold and needle acupuncture in chronic tension-type headache- a double-blind placebo-controlled study

Journal of Osteopathic Medicine ◽

10.1016/s1443-8461(01)80067-8 ◽

2001 ◽

Vol 4 (1) ◽

pp. 37

Keyword(s):

Pain Threshold ◽

Pressure Pain Threshold ◽

Tension Type Headache ◽

Controlled Study ◽

Double Blind ◽

Pressure Pain ◽

Double Blind Placebo ◽

Chronic Tension Type Headache ◽

Type Headache ◽

Needle Acupuncture

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Neck Mobility and Forward Head Posture are not Related to Headache Parameters in Chronic Tension-Type Headache

Cephalalgia ◽

10.1111/j.1468-2982.2006.01247.x ◽

2007 ◽

Vol 27 (2) ◽

pp. 158-164 ◽

Cited By ~ 17

Author(s):

C Fernández-de-las-Peñas ◽

C Alonso-Blanco ◽

ML Cuadrado ◽

JA Pareja

Keyword(s):

Physical Therapy ◽

Statistical Significance ◽

Tension Type Headache ◽

Forward Head Posture ◽

Chronic Tension Type Headache ◽

Head Posture ◽

Headache Intensity ◽

Headache Diary ◽

Type Headache ◽

Neck Mobility

The relationship between the changes in forward head posture (FHP), neck mobility and headache parameters was analysed in 25 patients with chronic tension-type headache (CTTH) undergoing a physical therapy programme. Side-view pictures were taken to measure the cranio-vertebral angle in the sitting and standing positions. A cervical goniometer was employed to measure the range of all cervical motions. A headache diary was kept to assess headache intensity, frequency and duration. All patients received six sessions of physical therapy over 3 weeks. Outcomes were assessed at baseline, after treatment and 1 month later. Neck mobility and headache parameters showed a significant improvement after the intervention, whereas posture changes did not reach statistical significance. No correlations were found between FHP, neck mobility and headache parameters at any stage. Changes in these outcomes throughout the study were not correlated either. FHP and neck mobility appear not to be related to headache intensity, duration or frequency in patients suffering from CTTH. Although patients showed a reduction in the range of motion in the neck, it is uncertain whether this is consistent with TTH.

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The influence of ictal cutaneous allodynia on the response to occipital transcutaneous electrical stimulation in chronic migraine and chronic tension-type headache: A randomized, sham-controlled study

Cephalalgia ◽

10.1177/0333102414544909 ◽

2014 ◽

Vol 35 (5) ◽

pp. 389-398 ◽

Cited By ~ 9

Author(s):

F Bono ◽

D Salvino ◽

MR Mazza ◽

M Curcio ◽

M Trimboli ◽

...

Keyword(s):

Electrical Stimulation ◽

Chronic Migraine ◽

Tension Type Headache ◽

Response To Treatment ◽

Controlled Study ◽

Transcutaneous Electrical Stimulation ◽

Chronic Tension Type Headache ◽

The Real ◽

Cutaneous Allodynia ◽

Type Headache

Objective The objective of this article is to determine whether cutaneous allodynia (CA) influences the response to treatment with occipital transcutaneous electrical stimulation (OTES) in chronic migraine (CM) and chronic tension-type headache (CTTH). Methods One hundred and sixty consecutive patients with CM or CTTH were randomized to be treated with real or sham OTES stimulation three times a day for two consecutive weeks. All patients completed the validated 12-item allodynia symptom checklist for assessing the presence and the severity of CA during headache attack. Primary end-point was change (≥50%) in number of monthly headache-free days. Results There was a significant difference in the percentage of responders in the real OTES compared with sham OTES group ( p <0.001). Importantly, there was not a significant change of monthly headache-free days in the allodynic patients with CM and CTTH treated both with real and sham OTES, while the number of headache-free days per month was significantly reduced in the real (86%) but not in the sham group (7%) of non-allodynic patients with CTTH and CM. Conclusions Severe CA is associated with decreased response to treatment with OTES in patients with CM and CTTH.

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