Minimal clinically important change on the Headache Impact Test-6 questionnaire in patients with chronic tension-type headache

Background: Migraines are a broad spectrum of disorders classified by the type of aura with some requiring attentive treatment. Vasoconstrictors, including triptans, should be avoided in the acute phase of migraines with brainstem aura, in hemiplegic migraine, and in retinal migraine. This study investigated the characteristics and burden of these migraines. Methods: Medical charts of 278 Japanese pediatric patients with migraines were retrospectively reviewed. Migraine burden of migraines with brainstem aura, hemiplegic migraines, and retinal migraine was assessed using the Headache Impact Test-6™ (HIT-6) and the Pediatric Migraine Disability Assessment scale (PedMIDAS). Results: Of 278 patients screened, 12 (4.3%) patients with migraines with brainstem aura (n = 5), hemiplegic migraines (n = 2), and retinal migraine (n = 5) were enrolled in the study. All patients had migraine with/without typical aura, whereas some patients had coexisting migraine with another type of headache (chronic tension-type headache in 3 patients, and 1 each with frequent episodic tension-type headache, headache owing to medication overuse, and chronic migraine). Migraines with brainstem aura, hemiplegic migraines, and retinal migraine patients with coexisting headaches had higher HIT-6 or PedMIDAS scores, whereas migraines with brainstem aura, hemiplegic migraines, and retinal migraine patients without coexisting headache did not show high HIT-6 or PedMIDAS scores. Conclusion: All migraines with brainstem aura, hemiplegic migraines, and retinal migraine patients experienced migraine with or without typical aura, and some patients having other coexisting headaches also had high PedMIDAS and HIT-6 scores. PedMIDAS and HIT-6 should not be considered diagnostic indicators of migraines with brainstem aura, hemiplegic migraines, or retinal migraine. In clinical practice for headaches in children, careful history taking and proactive assessment of the aura are needed for accurate diagnosis of migraines with brainstem aura, hemiplegic migraines, and retinal migraine.

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

Journal of Health Sciences ◽

10.17921/2447-8938.2021v23n2p141-144 ◽

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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Development of persistent headache following stroke: A 3-year follow-up

Cephalalgia ◽

10.1177/0333102414545894 ◽

2014 ◽

Vol 35 (5) ◽

pp. 399-409 ◽

Cited By ~ 16

Author(s):

Anne P Hansen ◽

Ninna S Marcussen ◽

Henriette Klit ◽

Helge Kasch ◽

Troels S Jensen ◽

...

Keyword(s):

Impact Test ◽

Medication Overuse ◽

Medication Use ◽

Tension Type Headache ◽

Type Headache ◽

A Prospective Study ◽

Persistent Headache ◽

Headache Impact ◽

Clear Description

Background Headache following stroke has been described in previous studies with an incidence of 23%–54%, but a clear description of headache developing after stroke onset is still lacking. The aim of this study was to determine the incidence and characteristics of persistent novel headache after stroke and to describe the use of medication, including dipyridamole. Methods As a follow-up to a prospective study, a standardized questionnaire about characteristics of novel headache and medication use was sent out to surviving patients three years after their stroke. Results The questionnaire was sent to 256 patients and returned by 222, of whom 12% (26/222) of patients reported persistent novel headache. Dipyridamole had no significant influence on the incidence. Stroke-attributed headache according to predefined criteria was reported in 7.2% (16/222) of patients, with tension-type-like headache in 50.0%, migraine-like in 31.3% and medication overuse in 6.25% of patients. More than half of patients experienced moderate to severe pain and had a score of 55 or above on the Headache Impact Test-6 scale. Conclusion Novel headache after stroke affects one in 10 patients and seems to be unrelated to dipyridamole use. Persistent headache attributed to stroke is similar to tension-type headache for half of patients.

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Alcohol use problems in migraine and tension-type headache

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20130186 ◽

2014 ◽

Vol 72 (1) ◽

pp. 24-27 ◽

Cited By ~ 5

Author(s):

Renan B. Domingues ◽

Simone A. Domingues ◽

Cássio B. Lacerda ◽

Tarnara V.C. Machado ◽

Halina Duarte ◽

...

Keyword(s):

Alcohol Use ◽

Impact Test ◽

Alcohol Use Disorders ◽

Inverse Correlation ◽

Tension Type Headache ◽

Identification Test ◽

Audit Score ◽

Type Headache ◽

Headache Impact ◽

Headache Patients

Objective: The aim of this study was to assess alcohol use problems in patients with migraine and tension-type headache. Method: We evaluated 81 patients with migraine and 62 patients with tension-type headache. The identification of alcohol consumption problems was carried out with Alcohol Use Disorders Identification Test (AUDIT). Alcohol use problem was defined as an AUDIT score of 8 or above. The headache impact was calculated with headache impact test (HIT-6). Results: The proportions of alcohol use problem among patients with migraine and tension-type headache were 5.2% and 16.1%, respectively (P=0.044). The headache impact was significantly higher with migraine than with tension-type headache (P<0.0001). There was an inverse correlation between headache impact and AUDIT (P=0.043). Conclusions: Our results suggest that migraine patients are less prone to alcohol use problems than tension-type headache patients. One of the possible reasons is that migraine is associated with greater impact than tension-type headache.

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Tension-Type Headache, Chronic Tension-Type Headache, and Other Chronic Headache Types

Essentials of Pain Medicine and Regional Anesthesia ◽

10.1016/b978-0-443-06651-1.50040-x ◽

2005 ◽

pp. 289-292

Author(s):

J ROZENTAL

Keyword(s):

Chronic Headache ◽

Tension Type Headache ◽

Chronic Tension Type Headache ◽

Type Headache

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Exteroceptive Suppression of Temporalis Muscle Activity: Findings in Headache

Cephalalgia ◽

10.1046/j.1468-2982.1993.1301011.x ◽

1993 ◽

Vol 13 (1) ◽

pp. 11-14 ◽

Cited By ~ 16

Author(s):

Thomas-Martin Wallasch ◽

Hartmut Göbel

Keyword(s):

Muscle Activity ◽

Silent Period ◽

Tension Type Headache ◽

Temporalis Muscle ◽

Pharmacological Agents ◽

Chronic Tension Type Headache ◽

Exteroceptive Suppression ◽

Headache Diagnosis ◽

Secondary Phenomenon ◽

Type Headache

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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The Local and Referred Pain From Myofascial Trigger Points in the Temporalis Muscle Contributes to Pain Profile in Chronic Tension-type Headache

Clinical Journal of Pain ◽

10.1097/ajp.0b013e318153496a ◽

2007 ◽

Vol 23 (9) ◽

pp. 786-792 ◽

Cited By ~ 68

Author(s):

César Fernández-de-las-Peñas ◽

Hong-You Ge ◽

Lars Arendt-Nielsen ◽

Maria Luz Cuadrado ◽

Juan A. Pareja

Keyword(s):

Trigger Points ◽

Tension Type Headache ◽

Referred Pain ◽

Temporalis Muscle ◽

Myofascial Trigger Points ◽

Chronic Tension Type Headache ◽

Type Headache

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Variables associated with sleep quality in chronic tension-type headache: A cross-sectional and longitudinal design

PLoS ONE ◽

10.1371/journal.pone.0197381 ◽

2018 ◽

Vol 13 (5) ◽

pp. e0197381 ◽

Cited By ~ 1

Author(s):

Elena Benito-González ◽

Maria Palacios-Ceña ◽

Juan J. Fernández-Muñoz ◽

Matteo Castaldo ◽

Kelun Wang ◽

...

Keyword(s):

Sleep Quality ◽

Longitudinal Design ◽

Tension Type Headache ◽

Cross Sectional ◽

Chronic Tension Type Headache ◽

Type Headache

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Chronic Tension-Type Headache in Children and Adolescents

Cephalalgia ◽

10.1046/j.0333-1024.2001.00275.x ◽

2001 ◽

Vol 21 (8) ◽

pp. 830-836 ◽

Cited By ~ 41

Author(s):

Ishaq Abu-Arafeh

Keyword(s):

Children And Adolescents ◽

Clinical Features ◽

Chronic Daily Headache ◽

Adult Population ◽

Tension Type Headache ◽

Stressful Events ◽

Chronic Tension Type Headache ◽

Daily Headache ◽

Ihs Criteria ◽

Type Headache

In this study, the causes, predisposing factors and clinical features of chronic daily headache in children and adolescents were studied within the population of patients attending a specialist headache. The International Headache Society's (IHS) criteria for the diagnosis of chronic tension type headache (CTTH) were assessed for their applicability in the paediatric age group. Over a period of three years, demographic and clinical data were collected prospectively on all children who attended the clinic and suffered from daily attacks of headache. One hundred and fifteen children and adolescents (32% of all clinic population) had chronic daily headache, of whom 93 patients (81%) fulfilled the IHS criteria for the diagnosis of CTTH. They were between 3-15 years of age (mean: 11.1, SD: 2.3) and their female to male ratio was 1.2: 1. Around one third of the patients also suffered from migraine (mainly migraine without aura). The headache was described as mild in 60.9%, moderate 36.5% and severe 2.6%. Headache was located at the forehead in 53% or over the whole of the head in 29.6%. Pain was described as ‘just sore’ or dull by 73.9%. During attacks of headache, at least half the patients reported light intolerance, noise intolerance, anorexia or nausea. Thirty-two percent of patients had at least one underlying chronic disease that may have contributed to the pathogenesis of the CTTH. Eleven percent had serious stressful events related to family illnesses and in four patients headaches were triggered by family bereavement. Fourteen percent were investigated with neuroimaging and 22% were referred for clinical psychology assessment and management. In conclusion, CTTH is a common cause of headache in children attending a specialist headache clinic. The clinical features closely match those of adult population and the IHS criteria for the diagnosis of CTTH can be adapted for use in children. Predisposing stressful risk factors, physical or emotional, are present in a large proportion.

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Chronic Tension-Type Headache

CNS Drugs ◽

10.2165/00023210-199504020-00002 ◽

1995 ◽

Vol 4 (2) ◽

pp. 90-98 ◽

Cited By ~ 1

Author(s):

Alessandro S. Zagami

Keyword(s):

Tension Type Headache ◽

Chronic Tension Type Headache ◽

Type Headache

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