Tension-type Headache Clinical Trial
— MTvsFR-TTHOfficial title:
Effectiveness of a Global Manual Therapy Protocol vs Exercises With Foam Rolling for Tension Headache
Verified date | February 2020 |
Source | University of Valencia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Tension headache (CT) is the most frequent problem within the group of headaches, with a
prevalence of 30-78% of the population throughout its life. Regarding this pathology,
treatment with manual therapy has been studied a lot, observing the benefits of different
techniques separately in elements such as disability, impact or depression.
The "Foam Rolling" (FR) is an element widely used in sport that has been studied its
applications in terms of hip and knee flexibility after application in muscles such as the
quadriceps or hamstrings.
In this study the investigators recruited randomized subjects in three groups, one of
exercises with RF, another of a protocol of manual therapy (TM) techniques and one control
(CTR) with a placebo treatment. There will be 4 treatments, 1 per week, and the data will be
collected in 3 moments, pre-treatment, post-treatment and one month after treatment.
The investigators will evaluate aspects such as the average pain of headaches, the impact,
disability, quality of life, self-satisfaction and pain at the pressure of painful points of
the trapezius and suboccipital muscles.
Status | Completed |
Enrollment | 38 |
Est. completion date | December 15, 2018 |
Est. primary completion date | November 15, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 55 Years |
Eligibility |
Inclusion Criteria: - Be between 20 and 55 years old. - CT medical diagnosis. - Evolution of, at least, 3 months of the CT. - Suffer, at least, 1 crisis a week. - Meet, at least, 2 of the following IHS criteria: - Bilateral location. - Pressure pain, not pulsating pain. - Having a mild-moderate pain intensity. - Pain that is not aggravated by physical activity. - Minimum duration of 30 'of the TC. - Accompanied by some associated symptom: or Photophobia. or Fonofobia. or mild nausea. Exclusion Criteria: - Have less than 20 years or more than 55. - Cervical trauma. - Musculoskeletal problems that may be aggravated by movement. - Klein test positive. - Contraindications to receive manual therapy. - Musculoskeletal problems that may give another type of headache. - Problems of dizziness. |
Country | Name | City | State |
---|---|---|---|
Spain | Faculty of Physiotherapy | Valencia | |
Spain | Gemma V Espí López | Valencia |
Lead Sponsor | Collaborator |
---|---|
University of Valencia |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Intensity of pain | Visual Analog Scale. The participants are asked to mark the intensity of pain from 1 to 10, with 1 being almost non-existent and 10 being the worst pain imaginable. | 8 weeks | |
Secondary | Disability headache | Headache Disability Index (HDI). Questionnaire developed by G.P. Jacobson et al. to quantify the impact of disability due to headache in daily life. The objective is to identify the difficulties that the patient experiences due to headaches. It consists of two questions: 1) intensity of pain (mild, moderate and severe), and 2) frequency (once a month, more than 1 and less than 4 times a month, and once a week). In addition, it includes 25 items with two subscales, one emotional (13 items) and another functional (12 items) with three possible answers ("no" 0 points, "sometimes" 2 points, "yes" 4 points). The maximum score is 100 points, with 0 "no disability" and 100 "maximum disability". | 8 weeks | |
Secondary | Impact of headache | Headache Impact Test (HIT-6). Published by Ware et al. To measure the impact of headache. The score is calculated as follows: never (6 points), few times (8 points), sometimes (10 points), very often (11 points) and always (13 points). With a total of 49 or less points is considered "little or no impact", between 50-55 "some impact", between 56-59 "significant impact" and 60 or more "very severe impact". | 8 weeks | |
Secondary | Pressure pain threshold | Algometer. To assess the pain threshold at the pressure of the different muscles, a mechanical pressure algometer (Wagner Instruments FDK 20) will be used. The pressure pain threshold is the minimum pressure that is needed to cause pain or discomfort at a certain point. In obtaining the result, the average of the 3 scores obtained from each point was made. The reliability of this procedure is high in healthy subjects [BCI = 0.91 (95% confidence interval: 0.82-0.97)] 28.31. In patients with TMD, reliability is moderate (ICC = 0.64) | 8 weeks | |
Secondary | Cervical range movment | Goniometry. The range of joint movement of the neck is measured by the use of a goniometer. Flexion, extension, lateral tilt and cervical rotation are assessed. To be able to perform the measurement, the patient is asked to remain in a sitting position keeping his back at 90 degrees and his head in a neutral position. The physiotherapist instructs the patients to perform the previously explained movements, until reaching the maximum range of movement or in the presence of pain. We proceed to evaluate mobility in the 3 planes: sagittal plane, frontal plane and transverse plane. 3 measurements of each movement are made, and the final measurement obtained is the average of each previous result. | 8 weeks | |
Secondary | Body satisfaction | Body satisfaction questionnaire. It contains 10 positive and 10 negative adjectives about the participant's body sensation with alternative answers ranging from 1 = Excellent to 5 = Poor. Each question is scored independently. | 8 weeks | |
Secondary | Health Status | SF-36 questionnaire. It consists of 36 items with the following scales: Physical function (items 3a, 3b, 3c, 3d, 3e, 3f, 3g, 3h, 3i, 3j), Physical role (items 4a, 4b, 4c, 4d), Corporal pain ( items 7, 8), General Health (items 1, 11a, 11b, 11c, 11d), Vitality (items 9a, 9e, 9g, 9i), Social function (items 6, 10), Emotional role (items 5a, 5b, 5c) and Mental Health (items 9b, 9c, 9d, 9f, 9h). Includes an item on the change in the general health status with respect to the previous year (item 2). To calculate the score, we must first homogenize the address of the answers by re-coding the items that require it, so that "the higher the score, the better the health condition", then the calculation of the sum of the items of each scale and, finally, the linear transformation of raw scores on a scale of 0 (worst health status for that dimension) to 100 (the best health status). | 8 weeks |
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