Effects of High-frequency Diathermy Integrated into Suboccipital Release on Tenderness and Neck Mobility and Disability in People with Chronic Tension-type Headache

2017 ◽  
Vol 24 (2) ◽  
pp. 37-47 ◽  
Author(s):  
Hyoung-ryeol Lee ◽  
◽  
Jae-hun Shim ◽  
Duck-won Oh
Keyword(s):  
High Frequency ◽  
Tension Type Headache ◽  
Chronic Tension Type Headache ◽  
Type Headache ◽  
Neck Mobility

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.

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

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.

Exteroceptive Suppression of Temporalis Muscle Activity: Findings in Headache

Cephalalgia ◽  
1993 ◽  
Vol 13 (1) ◽  
pp. 11-14 ◽  
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.

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

2007 ◽  
Vol 23 (9) ◽  
pp. 786-792 ◽  
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

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

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0197381 ◽  
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

Chronic Tension-Type Headache in Children and Adolescents

Cephalalgia ◽  
2001 ◽  
Vol 21 (8) ◽  
pp. 830-836 ◽  
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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