Effect of Acupuncture-like Electrical Stimulation on Chronic Tension-type Headache: A Randomized, Double-blinded, Placebo-controlled Trial

2007 ◽  
Vol 23 (4) ◽  
pp. 316-322 ◽  
Author(s):  
Kelun Wang ◽  
Peter Svensson ◽  
Lars Arendt-Nielsen
2013 ◽  
Vol 42 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Stuart Cathcart ◽  
Nicola Galatis ◽  
Maarten Immink ◽  
Michael Proeve ◽  
John Petkov

Background: Mindfulness-based therapy (MBT) has been demonstrated to be effective for reducing chronic pain symptoms; however, the use of MBT for Chronic Tension-Type Headache (CTH) exclusively has to date not been examined. Typically, MBT for chronic pain has involved an 8-week program based on Mindfulness Based Stress Reduction. Recent research suggests briefer mindfulness-based treatments may be effective for chronic pain. Aims: To conduct a pilot study into the efficacy of brief MBT for CTH. Method: We conducted a randomized controlled trial of a brief (6-session, 3-week) MBT for CTH. Results: Results indicated a significant decrease in headache frequency and an increase in the mindfulness facet of Observe in the treatment but not wait-list control group. Conclusion: Brief MBT may be an effective intervention for CTH.


Cephalalgia ◽  
2014 ◽  
Vol 35 (5) ◽  
pp. 389-398 ◽  
Author(s):  
F Bono ◽  
D Salvino ◽  
MR Mazza ◽  
M Curcio ◽  
M Trimboli ◽  
...  

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.


2019 ◽  
Vol 11 (5) ◽  
pp. 94
Author(s):  
Neha Sharma ◽  
PJ John ◽  
Chandra M Sharma ◽  
Ram Vaidya

OBJECTIVE: To evaluate the clinical efficacy of yoga therapy for Chronic Tension-Type Headache. METHOD: 68 patients diagnosed with chronic tension-type headache were included in 12- week yoga therapy program. All patients completed baseline assessments before starting the intervention and at 4, 8 and 12 weeks completing the yoga therapy. Headache frequency, duration, intensity and analgesics use were recorded through headache diaries. RESULT: Compared with baseline values, mean headache days reduced 51% after 4-week of intervention which continued to reduce by 78% by end of 12 weeks. Comparing from baseline, at 12-week, duration of each headache attack also significantly (P &lt; 0.0001) shortened as well as headache intensity (p &lt; 0.0001). Days with medication per four weeks at post intervention were lower than those at the baseline. CONCLUSION: The study provided preliminary evidence that yoga therapy can be clinically useful for chronic tension-type headache. Further randomised controlled trial is needed.


Cephalalgia ◽  
2010 ◽  
Vol 30 (7) ◽  
pp. 860-867 ◽  
Author(s):  
Kim Lindelof ◽  
Kerstin Jung ◽  
Jens Ellrich ◽  
Rigmor Jensen ◽  
Lars Bendtsen

Repetitive low-frequency electrical stimulation (LFS) induces pain inhibition in healthy volunteers and in animals, but it is unknown whether it has an analgesic effect in patients with headache. The aim of this study was to investigate if LFS could induce prolonged pain inhibition, called long-term depression (LTD), in patients with chronic tension-type headache (CTTH). Twenty CTTH patients and 20 healthy volunteers were exposed to 20 min LFS (1 Hz) to the forehead. LTD was measured as a decrease in pain response to electrical stimulation in a 1-h post-LFS period following LFS. The LFS induced a significant and stable inhibition of pain (LTD) both in patients with CTTH (post-LFS average decrease in pain rating: 19.6 ± 3.9%, all P < 0.005, Holm–Sidak) and in healthy controls (30.1 ± 5.0%, all P < 0.001, Holm–Sidak). During the LFS period, the pain ratings decreased consistently in both groups. In conclusion, a significant and stable pain inhibition (LTD) can be induced in CTTH patients by LFS.


Cephalalgia ◽  
1993 ◽  
Vol 13 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Thomas-Martin Wallasch ◽  
Hartmut Göbel

Exteroceptive suppression of temporalis muscle activity was proposed by Schoenen and co-workers in 1987 as a tool in headache diagnosis and research. Their finding of a decreased or abolished second silent period (ES2) in chronic tension-type headache sufferers has been confirmed by several independent laboratories during the last five years. Temporalis silent periods have also been studied in various other types of headaches. Their modulation by neuropsychological factors and pharmacological agents has also been investigated as well as their retest reliability. The pathophysiological concept of muscle contraction in tension-type headache has been challenged by studies using temporalis silent periods. The exterocepfive suppression of temporalis muscle activity points unequivocally towards a central pathogenetic mechanism, although it remains unclear whether the abnormalities of temporalis ES2 represent the primary dysfunction or a secondary phenomenon in chronic tension-type headache.


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