The effectiveness of deep neck flexor exercises in comparison with myofascial release of suboccipital muscle on pain and forward head posture in people with chronic tension type headache and forward head posture

Iran University of Medical Sciences0 个研究点目标入组 44 人开始时间: 待定最近更新: 2022年5月2日

适应症

试验速览

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•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

•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
•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

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