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Muscle Strength in Shoulder and Neck Muscles in Tension Type Headache Patients. Effect of Specific Strength Training

Not Applicable
Completed
Conditions
Tension-Type Headache
Interventions
Other: Strength training
Other: Ergonomic and posture
Registration Number
NCT02984826
Lead Sponsor
Danish Headache Center
Brief Summary

Background:

Tension Type Headache (TTH) is highly frequent and is of great socio-economic importance. Andersen et al. 2008 has shown that maximal muscle strength is reduced in women with trapezius myalgia. It is shown that specific strength training leads to prolonged pain relief.

Aim:Test: To investigate the impact of TTH on shoulder, and neck muscle strength in patients with TTH compared to healthy controls.

Intervention: To investigate the effect of specific strength training on patients with TTH compared with control group, receiving training in ergonomics.

Method: Test part. 60 tension headache patients, 30 healthy. Muscle testing of neck and shoulder. Testing conducted by blinded research assistant.

Intervention group: 60 patients with tension headache randomly assigned to the intervention group or control group. Intervention with specific strength training program runs for 10 weeks. The control group will be trained in ergonomics. 3 months follow up.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  • Tension-type headache(TTH), inclusion criteria were age between 18 and 65 years and for patients a diagnosis of TTH ≥8 headache days per month, and ≤3 migraine days per month according to ICHD-II -criteria.
Exclusion Criteria
  • Exclusion criteria were medication overuse headache (ICHD-II), previous whiplash or head trauma, other major physical or neurological diseases, depression, other mental illness, or being unable to understand and speak Danish. The patients were tested for cervicogenic headache according to Jull, et al 2007, and were excluded if the test was positive.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Strength trainingStrength trainingIntervention with specific strength training program runs for 10 weeks.
Ergonomic and postureErgonomic and postureIntervention, the control group will be trained in ergonomics and posture.
Primary Outcome Measures
NameTimeMethod
Headache frequencyPrimary outcome headache frequency at (19-22 weeks)

Frequency was calculated and analyzed as days with headache pr. month. primary outcome at follow up.(19-22 weeks)

Headache DurationPrimary outcome duration of pain at (19-22 weeks)

The duration of the headache was registered in hours for each day with headache.

Secondary Outcome Measures
NameTimeMethod
Intensity of headacheIntensity of pain at (19-22 weeks)

The intensity was registered on a 0-10 Numeric Rating Scale (NRS) where 0 is no pain, and 10 is worst possible pain. It was calculated as intensity mean/week and a mean for 4 weeks were produced

Medication intakeMedication intake at (19-22 weeks)

Use of pain medicine was registered as days of medicine intake throughout the entire trial.

Trial Locations

Locations (1)

Danish Headache Center Rigshospitalet - Glostrup

🇩🇰

Glostrup, Denmark

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