Muscle Strength in Shoulder and Neck Muscles in Adult Tension Type Headache Patients, and the Effect of Specific Strength Training
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Danish Headache Center
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Headache frequency
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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.
Arms & Interventions
Strength training
Intervention with specific strength training program runs for 10 weeks.
Intervention: Strength training (Other)
Ergonomic and posture
Intervention, the control group will be trained in ergonomics and posture.
Intervention: Ergonomic and posture (Other)
Outcomes
Primary Outcomes
Headache frequency
Time Frame: Primary 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 Duration
Time Frame: Primary outcome duration of pain at (19-22 weeks)
The duration of the headache was registered in hours for each day with headache.
Secondary Outcomes
- Intensity of headache(Intensity of pain at (19-22 weeks))
- Medication intake(Medication intake at (19-22 weeks))
Investigators
Bjarne Kjeldgaard Madsen
physiotherapist phd student
Danish Headache Center
