Forward Head Posture and Neck Mobility in Chronic Tension-Type Headache

Cephalalgia ◽  
2006 ◽  
Vol 26 (3) ◽  
pp. 314-319 ◽  
Author(s):  
C Fernández-de-las-Peñas ◽  
C Alonso-Blanco ◽  
ML Cuadrado ◽  
JA Pareja
Keyword(s):  
Potential Role ◽  
Tension Type Headache ◽  
Forward Head Posture ◽  
Chronic Tension Type Headache ◽  
Head Posture ◽  
Group A ◽  
Type Headache ◽  
Craniovertebral Angle ◽  
Neck Mobility

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.

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

Cephalalgia ◽  
2007 ◽  
Vol 27 (2) ◽  
pp. 158-164 ◽  
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.

Differences in cervical musculoskeletal impairment between episodic and chronic tension-type headache

Cephalalgia ◽  
2010 ◽  
Vol 30 (12) ◽  
pp. 1514-1523 ◽  
Author(s):  
J-H Sohn ◽  
H-C Choi ◽  
S-M Lee ◽  
A-Y Jun
Keyword(s):  
Trigger Points ◽  
Tension Type Headache ◽  
Myofascial Trigger Points ◽  
Chronic Tension Type Headache ◽  
Head Posture ◽  
Upper Trapezius ◽  
Musculoskeletal Impairments ◽  
Study Population ◽  
Type Headache ◽  
Neck Mobility

Background: Tension-type headache (TTH) is a headache in which musculoskeletal impairments of the craniocervical region may play an important role in its pathogenesis. We investigated the presence of myofascial, postural and mechanical abnormalities in patients with frequent episodic and chronic tension-type headache (ETTH and CTTH, respectively). Methods: The study population consisted of 36 patients with ETTH, 23 with CTTH and 42 control subjects. Myofascial trigger points (MTrPs) were identified in the upper trapezius, sternocleidomastoid, temporalis and suboccipital muscles. Sagittal C7-tragus angle was measured to evaluate flexor head posture (FHP), and neck mobility was assessed using an inclinometer. Results: Only active MTrPs were significantly different between the ETTH and CTTH groups ( p < .001). Patients with CTTH showed a larger sagittal C7-tragus angle ( p = .011), that is, greater FHP and restricted neck mobility for both rotations compared to controls ( p < .001). Although active MTrPs were correlated with the frequency and duration of headache, no correlations were observed for FHP or neck mobility. Conclusion: Active MTrPs in the craniocervical region contribute to triggering or maintenance of TTH and posture or neck mobility may be a result of chronic headache.

Migraine and Glaucoma: an Epidemiologic Survey of French Ophthalmologists

Cephalalgia ◽  
1998 ◽  
Vol 18 (2) ◽  
pp. 74-76 ◽  
Author(s):  
A Pradalier ◽  
P Hamard ◽  
E Sellem ◽  
L Bringer
Keyword(s):  
Potential Role ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Epidemiologic Survey ◽  
Migraine Prevalence ◽  
Low Tension Glaucoma ◽  
Ihs Criteria ◽  
Type Headache ◽  
Low Tension

Glaucoma is a common ocular disorder; a high intraocular pressure is observed in the majority of glaucoma (HIOPG) cases, but some patients have low-tension glaucoma (LTG). In the literature, some works link LTG and migraine, which is speculative of a potential role of a vasospastic factor or diathesis common to migraine and LTG. Using a standardized questionnaire based on International Headache Society (IHS) criteria, we investigated 954 glaucoma patients; 320 (33.5%) described a headache (migraine or tension-type headache) and 240 (25.1%) presented the IHS criteria for migraine. Migraine prevalence was not significantly different between HIOPG and LTG patients (22.8% and 32%, respectively) in this study.

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.

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

2010 ◽  
Vol 11 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Daniel M. Fernández-Mayoralas ◽  
César Fernández-de-las-Peñas ◽  
Domingo Palacios-Ceña ◽  
Irene Cantarero-Villanueva ◽  
Carolina Fernández-Lao ◽  
...  
Keyword(s):  
Tension Type Headache ◽  
Controlled Study ◽  
Chronic Tension Type Headache ◽  
Type Headache ◽  
Neck Mobility
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