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Effect Of Extracorporeal Shockwave Therapy on Tension-Type Headache in Adolescent Females

Not Applicable
Completed
Conditions
Tension-Type Headache
Interventions
Device: Extracorporeal Shockwave Therapy
Registration Number
NCT06482736
Lead Sponsor
October 6 University
Brief Summary

Chronic headaches in adolescents can have consequences such as absence from school, inability to maintain social activities, and additional disorders such as anxiety, depression, problems sleeping, and reduced quality of life to investigates the efficacy shock wave diathermy on tension headaches in adolescent females

Detailed Description

The prevalence of headaches increases with age, with a prevalence of 82% during adolescence. Extracorporeal Shockwave Therapy could reduce the pain of myofascial pain syndrome by pain signal alteration, promoting angiogenesis and increasing perfusion in ischemic tissues induced by sensitization of nociceptors and muscle ischemia

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
40
Inclusion Criteria
  • Suffering from chronic tension headache (headaches occur 15 or more days a month for at least three months).
  • Their age will range from 15 to 18 years.
  • Having a sedentary lifestyle (A weekly physical activity of < 600 MET-minutes/ week in the international physical activity questionnaire)
  • Having regular menstruation (28 to 34 days).
Exclusion Criteria
  • Using oral contraceptives or
  • any hormonal treatment in the previous six months.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Study groupExtracorporeal Shockwave Therapyreceive Extracorporeal Shockwave Therapy and the same exercise program as group A, three sessions per week for 12 weeks (3 menstrual cycles).
Control groupExtracorporeal Shockwave Therapyreceive exercise program for 20-30 min which include include cervical ROM to warm up,cool down, and stretching of cervical, upper thoracic spine (trapezius,levator scapula, sternocleidomastoid) and strengthening exercises (cervical isometric,concentric conctration of deep flexor muscles) each exercise consist of three sets of five to ten repetitions will be performed with 30-60S rest period between sets
Primary Outcome Measures
NameTimeMethod
Headache impact test questionnaireThe treatment was carried out for 4 weeks, 2x a week, lasting 45 to 60 minutes each session.

The evaluation took place before and after 8 treatment visits using the positional inhibition technique. The treatment was carried out for 4 weeks, 2x a week, lasting 45 to 60 minutes each session.

Electromyography (EMG) for neck musclesThe evaluation took place before and after 8 treatment visits using the positional inhibition technique. The treatment was carried out for 4 weeks, 2x a week, lasting 45 to 60 minutes each session.

Measure muscle activity pre and post treatmentupper trapezius, levator scapula, sternocleidomastoid, splenius head and neck bilaterally

digital algometerThe evaluation took place before and after 8 treatment visits using the positional inhibition technique. The treatment was carried out for 4 weeks, 2x a week, lasting 45 to 60 minutes each session.

Measure pain intensity pre and post treatment which tested the pain points of the muscles: upper trapezius, levator scapula, sternocleidomastoid, splenius head and neck bilaterally.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kerolous Ishak Shehata Kelini

🇪🇬

Cairo, Egypt

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