Effect of Biofeedback Treatment on Sympathetic Function in Common Migraine and Tension-Type Headache

Cephalalgia ◽  
1993 ◽  
Vol 13 (3) ◽  
pp. 197-200 ◽  
Author(s):  
Licia Grazzi ◽  
Gennaro Bussone
Keyword(s):  
Behavioral Therapy ◽  
Plasma Catecholamines ◽  
Tension Headache ◽  
Tension Type Headache ◽  
Stress Indices ◽  
Electromyographic Biofeedback ◽  
Sympathetic Function ◽  
Behavioral Therapies ◽  
Biofeedback Treatment ◽  
Type Headache

Behavioral therapies such as biofeedback are commonly used to treat migraine and tension headache. Controlling sympathetic activity is effective for controlling the pain in both disturbances. A group of 26 common migraine patients and a group of 14 tension headache patients were treated by electromyographic biofeedback (EMG-BFB); blood samples were collected during the treatment (1st session; pre and post 10th session) and plasma catecholamines and cortisol measured to determine basal levels and changes induced by the behavioral therapy. The clinical efficacy of BFB treatment for tension headache and common migraine was confirmed. The basal values of the plasma stress indices were significantly different between the two groups, but did not change during treatment. The lack of correlation between the clinical improvement and the biological indices monitored indicates the need for further studies with standardized protocols in order to probe the mechanism of action of these effective behavioral therapies.

scholarly journals Acupuncture as a therapeutic option for tension-type headache: A Systematic Review

2021 ◽  
Author(s):  
Camila Puton, Caio de Almeida Lellis ◽  
Caio Reis Borges ◽  
Giovanna Garcia de Oliveira
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Relaxation Training ◽  
Randomized Clinical Trials ◽  
Therapeutic Option ◽  
Control Process ◽  
Tension Headache ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Type Headache

Introduction: Tension headache (TTS), the most common type of primary headache, is characterized by tightness pain, typically bilateral, lasting hours or days, significantly impairing daily activities. Objectives: To review the literature on the use of acupuncture in the management of TTS, evaluating its safety and efficacy. Design and setting: A systematic review conducted at the Pontifical Catholic University of Goiás. Methods: A systematic literature review was performed in the PubMed, EMBASE and Virtual Health Library databases, with the terms: “Tension-Type Headache AND Acupuncture”. Randomized studies and clinical trials published in the last 10 years were selected. Results: Two studies, one clinical trial and one randomized trial, concluded that combining acupuncture with another therapy involving movement, such as stretching, physical therapy techniques, or relaxation training, led to reduced pain intensity and improved quality of life in patients with TTS. In contrast, other randomized clinical trials concluded that relaxation training decreased the intensity, frequency of attacks, and adjunctive symptoms of headache (sleep and vitality) more than acupuncture. Finally, acupuncture was compared with the simulated control process in the prevention of TTS, but there were no statistically significant differences between the two groups evaluated. Conclusion: The literature indicated that the combination of acupuncture with other therapeutic options was safe and effective in the management and prevention of TTS. Studies with greater scientific rigor should be conducted for a better understanding of this therapeutic option.

scholarly journals Modern view on the problem of splint therapy in treatment of chronic tension type headache

2021 ◽  
Vol 38 (3) ◽  
pp. 61-67
Author(s):  
N. B. Astashina ◽  
N. L. Starikova ◽  
K. R. Valiakhmetova
Keyword(s):  
Health Status ◽  
Tension Headache ◽  
Tension Type Headache ◽  
Therapeutic Approaches ◽  
Chronic Tension Type Headache ◽  
Splint Therapy ◽  
Key Points ◽  
Conducting Research ◽  
Type Headache

The review presents the epidemiology of tension type headache. The key points of etiology, pathogenesis and clinical picture are described, modern therapeutic approaches to the treatment of chronic tension headache are considered. The data on the possibility of using prosthetic and splint therapy for correction of health status in patients with chronic tension type headache are presented. The necessity of conducting research aimed at determining the role of using occlusive splints and the significance of correcting occlusive relationships in chronic tension type headache is grounded.

Contingent Negative Variation in Childhood Migraine

Cephalalgia ◽  
1993 ◽  
Vol 13 (1) ◽  
pp. 42-43 ◽  
Author(s):  
Evelyn Besken ◽  
Raymund Pothmann ◽  
Gudrun Sartory
Keyword(s):  
Contingent Negative Variation ◽  
Intertrial Interval ◽  
Tension Headache ◽  
Tension Type Headache ◽  
Moderate Intensity ◽  
Button Press ◽  
Control Group ◽  
Childhood Migraine ◽  
Type Headache ◽  
Diagnostic Importance

Adult migraineurs without aura have an increased amplitude of the Contingent Negative Variation (CNV) between attacks. Given the potential diagnostic importance of this finding and the difficulties associated with diagnosing migraine in childhood it seemed important to assess CNV in children suffering from this disorder. Ninety-seven children aged between 8 and 14 years were recruited. Forty-two suffered from migraine, 34 from tension-type headache. Twenty-one healthy controls were also studied. CNV was recorded from Fz, Cz and Pz referenced to linked earlobes during 20 trials consisting of two tones of moderate intensity with an interstimulus interval (ISI) of 4 sec and an intertrial interval (ITI) of 10 to 14 sec. The second tone of each trial required a button press. EOG was recorded from the left eye. The 10 CNV responses with the least EOG artefact were selected and averaged. Children with migraine had a highly significantly more negative mean CNV amplitude at all three electrode sites than children with tension-type headache and also a more pronounced Post-Imperative-Negative-Variation (PINV). Migrainous children differed from controls only at Cz (ISI). There was also a highly significant increase of mean CNV amplitude and PINV at all three electrode sites in the control group compared to the tension headache group.

Tension-type headache as most frequent and often erroneous diagnosis

2020 ◽  
Vol 1 (11) ◽  
pp. 5-9
Author(s):  
E. G. Filatova ◽  
D. M. Merkulova
Keyword(s):  
Behavioral Therapy ◽  
Primary Headache ◽  
Preventive Therapy ◽  
Tension Type Headache ◽  
Level Of Evidence ◽  
Erroneous Diagnosis ◽  
Similar Phenotype ◽  
Acute Attacks ◽  
Type Headache ◽  
High Level

Tension-type headache (ТТН) is the most frequent and at the same time the most difficult to diagnose type of primary headache. The clinical features of TTH are nonspecific, and a similar phenotype can be observed in migraines with a relatively mild course, psychogenic headache, and secondary headaches. Often associated with a misdiagnosis is treatment failure. Three generally accepted approaches to therapy are presented in the article: behavioral therapy, acute treatment that have a high level of evidence on the basis of randomized controlled trials, as well as preventive therapy. The place of ketoprofen was determined, including various dosage forms of the drug – injectable, oral (tablets, powders, capsules), which allows it to be used to quickly and effectively relieve acute attacks of TTH.

Comparative Study with EMG, Pressure Algometry and Manual Palpation in Tension-Type Headache and Migraine

Cephalalgia ◽  
1994 ◽  
Vol 14 (6) ◽  
pp. 451-457 ◽  
Author(s):  
G Sandrini ◽  
F Antonaci ◽  
E Pucci ◽  
G Bono ◽  
G Nappi
Keyword(s):  
Mental Arithmetic ◽  
International Headache Society ◽  
Trapezius Muscle ◽  
Tension Headache ◽  
Tension Type Headache ◽  
Pressure Algometry ◽  
Manual Palpation ◽  
Type Headache ◽  
International Headache Society Classification ◽  
Headache Patients

According to International Headache Society classification criteria, the presence of pericranial muscle disorder in tension-type headache should be evaluated using one of the following methods: EMG, pressure algometry or manual palpation. The purpose of this study was to compare the results of these three methods in 15 patients with episodic tension-type headache, 29 with chronic tension-type headache and 22 presenting migraine without aura compared to those obtained in healthy individuals. Algometric and EMG recordings at the frontalis muscle during mental arithmetic were more impaired in episodic and chronic tension headache patients than in controls and migraine patients. Chronic tension headache patients were significantly impaired at the trapezius muscle in all three tests compared to controls. Our data indicate that when two or three tests were carried out the diagnostic capacity was significantly improved in comparison to only one test. Moreover, since a different pattern could be seen with pain and without pain, the existence of headache at the time of testing should be taken into consideration.

scholarly journals Botulinum Toxin Type A in the Prophylactic Treatment of Chronic Tension-Type Headache: A Multicentre, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study

Cephalalgia ◽  
2006 ◽  
Vol 26 (7) ◽  
pp. 790-800 ◽  
Author(s):  
SD Silberstein ◽  
H Göbel ◽  
R Jensen ◽  
AH Elkind ◽  
R DeGryse ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Primary Endpoint ◽  
Botulinum Toxin Type A ◽  
Tension Headache ◽  
Type A ◽  
Botulinum Toxin Type ◽  
Tension Type Headache ◽  
Chronic Tension Type Headache ◽  
Significant Difference ◽  
Type Headache

We studied the safety and efficacy of 0 U, 50 U, 100 U, 150 U (five sites), 86 Usub and 100 Usub (three sites) botulinum toxin type A (BoNTA; BOTOX®; Allergan, Inc., Irvine, CA, USA) for the prophylaxis of chronic tension-type headache (CTTH). Three hundred patients (62.3± female; mean age 42.6 years) enrolled. For the primary endpoint, the mean change from baseline in the number of TTH-free days per month, there was no statistically significant difference between placebo and four BoNTA groups, but a significant difference favouring placebo vs. BoNTA 150 was observed (4.5 vs. 2.8 tension headache-free days/month; P = 0.007). All treatment groups improved at day 60. Although efficacy was not demonstrated for the primary endpoint, at day 90, more patients in three BoNTA groups had ≥50± decrease in tension headache days than did placebo ( P ≤ 0.024). Most treatment-related adverse events were mild or moderate, and transient. BoNTA was safe and well-tolerated in the study.

scholarly journals The relationship between tension headache and screen exposure in children and adolescents

2021 ◽  
Author(s):  
Jullyane Lutterbach Erthal ◽  
Caroline Matos de Souza Franco Rêgo
Keyword(s):  
Children And Adolescents ◽  
Screen Time ◽  
Technological Development ◽  
Muscle Tension ◽  
Tension Headache ◽  
Tension Type Headache ◽  
Moderate Intensity ◽  
Primary Headaches ◽  
Healthy Habits ◽  
Type Headache

Background: Primary headaches are idiopathic or genetic conditions without a known secondary cause. Primary tension-type headache is characterized by bilateral, non-throbbing pain, of mild to moderate intensity. Nowadays, with greater exposure to electronics, a relationship was observed between screen time and increased tension headache among children and adolescents. Objective: Elucidate the association between tension-type headache and increased screen exposure among children and adolescents. Methods: A literature review was carried out after analyzing scientific articles from 2014 to 2020, on Scielo, UPTODATE and Pubmed, in Portuguese and English. Results: With technological development and behavioural changes, the use of electronics has grown among children and adolescents. However, its overuse causes consequences such as a sedentary lifestyle, stress, reduced socialization and complaints of headache. In children, the most prevalent primary headaches are tension-type and migraine. The tension-type headache is characterized by bilateral location, in pressure, with photophobia or phonophobia, without nausea or vomiting. The hypothesis that best explains the association between tension headache and screen exposure is that consecutive periods of electronic activities cause sustained muscle tension and pain. Furthermore, there is an influence of genetic factors, diet and psychological stress. Therefore, it is necessary to raise awareness of the importance of an approach to avoid triggers for headache in children, such as controlling screen time and maintaining healthy habits. Conclusions: The correlation between excessive screen time and headache is substantial and admits an educational performance by health professionals to avoid harmful consequences to growth.

scholarly journals Use of Laser Acupuncture in Chronic Tensional Headache: Randomized Clinical Trial

2021 ◽  
Vol 23 (2) ◽  
pp. 141-144
Author(s):  
Rafaela Gulhak Moretto ◽  
Thais Schemberger Favarin ◽  
Morgana Neves ◽  
Paula Renata Olegini Vasconcellos ◽  
Gladson Ricardo Flor Bertolini
Keyword(s):  
Impact Test ◽  
Intervention Group ◽  
Tension Headache ◽  
Pain Scale ◽  
Tension Type Headache ◽  
Laser Acupuncture ◽  
Control Group ◽  
Acupuncture Points ◽  
Type Headache ◽  
Headache Impact

AbstractSince tension headache, besides being highly prevalent, has a deleterious effect on daily activities, the search for therapeutic resources is interesting. Thus, the objective of this study was to verify the effect of laser acupuncture in individuals with chronic tensional headache. The sample consisted of 14 volunteers with chronic tensional headache, separated into a control group (placebo) and an intervention group (laser acupuncture, 660nm, 10 J/cm²), in both groups the pen was positioned for 20 seconds in each of the six acupuncture points. There were three therapies on alternate days, and at the end there was previous evaluation by both the Visual Analog Pain Scale and the Headache Impact Test questionnaire. In both forms of evaluation there were significant differences in the comparison between evaluations, with reduction of values (p<0.001), but without differences between groups or interaction (p>0.05). It was concluded that the acupuncture laser showed no greater effectiveness than the placebo. Keywords: Tension-Type Headache. Acupuncture Points. Meridians. Resumo Visto que a cefaleia tensional, além de apresentar alta prevalência, tem um efeito deletério sobre as atividades diárias, apresenta-se interessante a busca por recursos terapêuticos. Desta forma, o objetivo deste estudo foi verificar o efeito do laser acupuntura em indivíduos com cefaleia tensional crônica. A amostra foi composta por 14 voluntários, com cefaleia tensional crônica, separados em grupo controle (placebo) e grupo intervenção (laser acupuntura, 660nm, 10 J/cm²), em ambos os grupos a caneta foi posicionada por 20 segundos em cada um dos seis pontos de acupuntura. Foram três terapias em dias alternados, sendo que houve avaliação prévia e ao final delas tanto pela Escala Visual Analógica de Dor quanto pelo questionário Headache Impact Test. Em ambas as formas de avaliação houve diferenças significativas na comparação entre avaliações, com redução dos valores (p<0,001), porém sem diferenças entre os grupos ou interação (p>0,05). Conclui-se que o laser acupuntura não mostrou eficácia superior ao placebo. Palavras-chave: Cefaleia do Tipo Tensional. Pontos de Acupuntura. Meridianos.

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