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The effectiveness of exercises in comparison with manual treatments in chronic tension type headache

Phase 3
Recruiting
Conditions
chronic tension-type headache.
Chronic tension-type headache, intractable
G44.221
Registration Number
IRCT20220219054060N1
Lead Sponsor
Iran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
44
Inclusion Criteria

People with at least 2 of the 4 characteristics of bilateral headache, Non-pulsatile pain pressure, mild to moderate severity and no aggravation of pain by daily activities such as walking
People who have experienced the headache for at least 3 months
People who have the headache more than 15 days per month
People who have only one of the symptoms of photophobia, phonophobia or mild nausea
People with a craniovertebral angle less than 49 degrees
The dose and type of prophylactic medication have not changed in the last 3 months
People who do not intend to change the dose and type of prophylactic medication during the study period
Participants have completed at least the elementary level of education and have the ability to understand and read Persian to complete the questionnaire.
The headache can be accompanied by muscles tenderness around the head and neck

Exclusion Criteria

People with dizziness, severe nausea or vomiting due to the headache
People with episodic tension type headache or other primary and secondary headaches
Pain aggravated by movement of the head
?Abnormal changes in the radiographic image of cervical spine
Previous trauma to the cervical spine
Severe pain or significant limitation of the normal range of motion of the cervical spine
History of injection, surgery, severe disc protrusion, or neck or shoulder fracture that affects treatment
Joint stiffness, atherosclerosis or advanced osteoarthritis of the cervical spine
Neurological or vascular disorders such as epilepsy or Bow hunter’s syndrome
Absence of two consecutive sessions and more than treatment sessions
Consume more than 200 pieces of morphine or other strong analgesics per month
Pregnancy
Receive physiotherapy treatment for headache within 6 months before starting treatment
People who drink alcohol or have drug abuse
For whatever reason, the participant is reluctant to be touched by the therapist
Symptoms are severe and irritating
Underlying diseases (such as rheumatoid arthritis) or metabolic disorders (such as osteoporosis or soft tissue laxity in the treatment area) for which manual therapies are contraindacated
Score is more than 85 in the Spielberger Anxiety Trait Questionnaire

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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