Performance of the Craniocervical Flexion Test, Forward Head Posture, and Headache Clinical Parameters in Patients With Chronic Tension-Type Headache: A Pilot Study

2007 ◽  
Vol 37 (2) ◽  
pp. 33-39 ◽  
Author(s):  
César Fernändez-De-Las-Peñas ◽  
Marta Pérez-De-Heredia ◽  
Alberto Molero-Sànchez ◽  
Juan Carlos Miangolarra-Page
Cephalalgia ◽  
2006 ◽  
Vol 26 (3) ◽  
pp. 314-319 ◽  
Author(s):  
C Fernández-de-las-Peñas ◽  
C Alonso-Blanco ◽  
ML Cuadrado ◽  
JA Pareja

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.


Cephalalgia ◽  
2007 ◽  
Vol 27 (2) ◽  
pp. 158-164 ◽  
Author(s):  
C Fernández-de-las-Peñas ◽  
C Alonso-Blanco ◽  
ML Cuadrado ◽  
JA Pareja

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.


2019 ◽  
Vol 119 (10) ◽  
pp. 682
Author(s):  
Manuela Deodato ◽  
Franco Guolo ◽  
Antonella Monticco ◽  
Mauro Fornari ◽  
Paolo Manganotti ◽  
...  

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.


2008 ◽  
Vol 12 (7) ◽  
pp. 886-894 ◽  
Author(s):  
Cecilia Peñacoba-Puente ◽  
César Fernández-de-las-Peñas ◽  
Jose L. González-Gutierrez ◽  
Juan C. Miangolarra-Page ◽  
Juan A. Pareja

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