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Hayward, Amber A. (Amber Ann) 1963 Carleton University Dissertation Psychology. "The Efficacy of response-based imagery strategies in the treatment of chronic migraine/tension headache." Ottawa.:, 1989.
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Grier, Finlay. "The Reduction of Tension Headache Using EMG Biofeedback and Locus of Control as Predictors." Thesis, University of North Texas, 1989. https://digital.library.unt.edu/ark:/67531/metadc332051/.
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This study investigates the status of biofeedback treatment and locus of control (LOC) affiliation on the reduction of tension headache. Three LOC groups designated as internals, powerful-other externals and chance externals (using Wallston and Wallston's, 1978, Multidimensional Health Locus of Control Scale) were administered an eight week electromyogram (EMG) frontalis muscle biofeedback training program using an Autogen 1700 biofeedback unit. Subjects were 12 female and four male undergraduate students who had a history of tension headache. Results indicated no significant difference in frontalis muscle tension between the beginning and end of sessions in either a biofeedback or self-control condition for any of the LOC groups. Further, there was no significant difference among LOC groups in ability to reduce muscle tension in either the training or self-control condition. Finally, neither biofeedback training nor LOC groups were significant predictors of headache reduction. Extreme within-group variability and small sample size affected study findings and these and other implications for future research are discussed.
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Stensland, Michael D. "Modeling treatment outcome improving clinical meaning through the use of a nonlinear growth curve model /." Ohio : Ohio University, 2004. http://www.ohiolink.edu/etd/view.cgi?ohiou1088533469.
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Lagerlöf, Helena. "An individually tailored behavioural medicine treatment in physiotherapy for tension-type headache : A single case study of three patients." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-27952.
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Bakgrund och syfte: Huvudvärk av spänningstyp (HST) är vanligt förekommande. Det finns oklarheter avseende både dess patofysiologi och olika behandlingars effekt. Syftet med denna studie var att beskriva och utvärdera effekten av en individuellt anpassad beteendemedicinsk behandling i fysioterapi för patienter med HST. Metod: En single-case studie med A1-A2-B-A3-design av tre patienter med HST genomfördes. Utfallsvariabler var huvudvärksfrekvens (antal dagar med huvudvärk), huvudvärksindex (medelintensitet), konsumtion av smärtlindrande medicin, tro på sin förmåga avseende kontroll av huvudvärken, samt upplevd påverkan av huvudvärken på funktion i vardagsaktiviteter och på glädje i aktiviteter med familj och vänner. Resultat: Tro på sin förmåga avseende kontroll av huvudvärken ökade markant för 2 av 3 patienter. Huvudvärksfrekvens och huvudvärksindex minskade markant för en av patienterna. En av patienterna svarade först inte alls på behandlingen, men blev mycket bättre inför den sista uppföljningen avseende huvudvärksindex och funktion och glädje i aktiviteter. Diskussion och konklusion: Ett beteendemedicinskt förhållningssätt i behandling som grundar sig på funktionell beteendeanalys kan vara ett sätt att som fysioterapeut hantera patienter med HST. HST är en vid diagnosgrupp och det verkar då logiskt att behandlingen bör anpassas individuellt för att få bästa effekt.Background and aim: Tension-type headache (TTH) is common. There are uncertainties regarding both the pathophysiology and the effect of treatments. The aim of this study was to describe and evaluate the effect of an individually tailored behavioural medicine treatment in physiotherapy, based on a functional behavioural analysis. Method: A single-case study with A1-A2-B-A3-design of three patients with TTH was performed. Outcome variables were headache frequency (days with headache), headache index (mean intensity), consumption of analgesics, headache management self-efficacy (HMSE), disability and feelings of loss of happiness in activities with family and friends. Results: HMSE increased markedly for 2 of 3 patients. Headache frequency and headache index decreased for one of the patients. One of the tree patients did not first respond to treatment but was much better before the last follow-up regarding headache index, disability and loss of happiness. Discussion and conclusion: A behavioural medicine treatment in physiotherapy based on a functional behavioural analysis can be a way for physiotherapists to handle patients with TTH. Since the diagnosis TTH is heterogenic it seems logical that the treatment should be individually tailored.
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Stensland, Michael D. "Modeling Treatment Outcome: Improving Clinical Meaning Through the Use of Nonlinear Growth Curve Models." Ohio University / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1088533469.
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Fonseca, Thales Frederico Ribeiro. "O significado das vivências e percepções de pacientes com cefaleia tipo tensional crônica em tratamento osteopático." Universidade Federal de Roraima, 2013. http://www.bdtd.ufrr.br/tde_busca/arquivo.php?codArquivo=215.
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Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorA Cefaleia Tipo Tensional Crônica é uma das formas mais comuns de cefaleia primária. Aproximadamente 90% da população mundial experimentaram ou vão experimentar alguma forma desse mal no decorrer da vida, o que lhes pode ocasionar desfavoráveis mudanças físicas, psicológicas e sociais. Na atualidade, a doença vem sendo discutida pelos profissionais da fisioterapia a partir das próprias vivências do sujeito de maneira a dar um maior valor ao trabalho humanizado, permitindo ampliar as perspectivas de tratamento. Portanto, o presente estudo visa compreender o significado da vivência dos pacientes com CTTC em terapia osteopática. Trata-se de uma pesquisa de caráter qualitativa exploratória com base na análise fenomenológica proposta por Husserl e interpretada por Bello, cujo propósito é compreender o ser humano na sua totalidade, nas dimensões física, psíquica e espiritual. As entrevistas foram realizadas no período de novembro de 2012 a fevereiro de 2013, no hospital de Boa Vista; participaram oito pacientes diagnosticados com CTTC, na faixa etária de 20 a 60 anos. Desse grupo, foram utilizadas duas entrevistas narrativas para a análise do material discursivo: a primeira antes, e a segunda após o tratamento osteopático. Os resultados permitiram estabelecer cinco núcleos tipológicos: Corpo e Medicalização, atos de julgamento e escolha terapêutica, Atos perceptivos sobre as limitações no trabalho frente à CTTC, Relações interpessoais e rede de apoio, A experiência logo após o atendimento osteopático inicial para a CTTC. Os resultados estudados nos pacientes com CTTC mostraram apreensão, insegurança com os efeitos colaterais dos medicamentos e aguçada percepção corpórea. Além disso, percebeu-se que os pacientes desenvolveram estratégias peculiares de enfrentamento da dor de cabeça, tais como: recolher-se a um ambiente, com ausência de luminosidade, e som após resfriar-se seja em um banho ou utilizando compressas na nuca ou cabeça, com o objetivo de poder dormir melhor, como também percebem que, após o atendimento osteopático, melhoraram nos sintomas de dor, humor, fadiga, recuperação das capacidades físicas e cognitivas e alívio da tensão muscular.
The Chronic Tension Type Headache is one of the most common forms of primary headache. Approximately 90% of the world population have experienced or will experience some form of this illness later in life, whatever they may cause adverse physical, psychological and social. At present, the disease has been discussed by practitioners of physical therapy from their own experiences of the subject in order to give greater value to the humanizing work, allowing broaden perspectives treatment. Therefore, this study aims to understand the meaning of the experience of patients with chronic TTH in osteopathic therapy. This is an exploratory qualitative research study based on the phenomenological analysis proposed by Husserl and played by Bello, whose purpose is to understand the human being in its entirety, in the physical, mental and spiritual. The interviews were conducted from November 2012 to February 2013, in the hospital of Boa Vista; attended eight patients diagnosed with chronic TTH, aged 20-60 years. Of this group, two narrative interviews were used for the analysis of discursive material, the first before and the second after the osteopathic treatment. The results allowed the five central typological: Body and medicalization, acts of judgment and choice of therapy, Acts perceptive about the limitations on the work front CTTC, interpersonal relationships and support network, experience soon after the initial osteopathic care for CTTC. The outcomes in patients with chronic TTH showed apprehension, uncertainty about the side effects of medicines and keen insight body. Moreover, it was noticed that patients developed strategies for coping with the peculiar headache, such as retreat to an environment, with the absence of light and sound after it cooled either in a bath or compresses using the neck or head, in order to be able to sleep better, but also realize that after the osteopathic care, improved symptoms of pain, mood, fatigue, recovery of physical and cognitive abilities and relieve muscle tension.
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Garli, Jane. "MediYoga som behandling vid migrän : En pilotstudie." Thesis, Umeå universitet, Avdelningen för fysioterapi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-175515.
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Introduction: Migraine is a chronic neurological disease, partly hereditery. One non-pharmacological alternative treatment is yoga, whose effects have been investigated in a few scientific studies. No one has in a scientific studie investigated the effect of medical yoga for patients with migraine. Aim: The primary aim was to investigate if medical yoga in combination with pharmcological treatment could have an effect on headache frequency, intensity, and/or duration for patients with episodic and chronic migraine. Method: A pilot study, with SSED-design, with seven patients. Everyone had different long baselines before intervention. The intervention was a period of sex weeks of medical yoga. A headache diary with frequency, intensity and duration was conducted throughout the study period. Results: For two patients (patient two and six) the number of days with migraine reduced, effectsize (ES) 0,50 and 0,39 respectively. For four the freguence increased. The experience of pain decreased for two patients, increased for three and unchanged for one. The duration of migraine is reduced for one patient (patient seven) and increased for five. Some are improved in secondary outcome measures. Conclusion: At present, the intervention can possibly be used for patients who are similar to the individuals who had effect of the intervention and are interested in medical yoga as a self-care, but further studies are needed, as well as larger studies to be able to generalize to the migraine group.Introduktion: Migrän är en kronisk neurologisk sjukdom, delvis ärftlig. En icke farmakologisk alternativ behandling är yoga, vars effekter har undersökts i några få vetenskapliga studier, men ingen har i en vetenskaplig studie undersökt effekten av MediYoga för patienter med migrän. Syfte: Primärt syfte var att undersöka om MediYoga i tillägg till farmakologisk behandling kunde ha effekt på huvudvärksfrekvens, intensitet och/eller duration hos patienter med episodisk och kronisk migrän. Metod: Pilotstudie med SSED-upplägg, och multipel baslinjedesign med totalt sju patienter. Alla hade olika långa baslinjer innan intervention. Interventionen var sex veckors Mediyoga. Huvudvärksdagbok med frekvens, intensitet och duration fördes under hela studietiden. Rultat: För två patienter (patient två och sex) minskade antalet dagar med migrän, effektstorlek (ES) 0,50 respektive 0,39. För fyra ökade frekvensen. Upplevelsen av smärta minskade för två patienter, och ökade för tre samt oförändrad för en. Durationen av migrän minskade för en patient (patient sju) och ökade för fem. Några förbättrades i sekundära utfallsmått. Slutsats: I dagsläget kan interventionen möjligen nyttjas för enstaka patienter som liknar de individer som haft effekt av interventionen och är intresserade av MediYoga som egenvård, men det behövs ytterligare, samt större studier för att kunna generalisera till gruppen migräniker.
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Espí, López Gemma Victoria. "Eficacia del Tratamiento de la Cefalea Tensional Mediante Terapia Articulatoria y de Tejido Blando Subocccipital." Doctoral thesis, Universidad de Murcia, 2010. http://hdl.handle.net/10803/10872.
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La cefalea tensional tiene una elevada prevalencia, con repercusión en el ámbito laboral y social de los sujetos que la padecen. Considerando estudios previos, el objetivo de esta investigación es evaluar la eficacia de dos tratamientos con terapia manual en pacientes con cefalea tensional.Se ha llevado a cabo un estudio a doble ciego, aleatorio, con 84 pacientes (81% mujeres) diagnosticados de cefalea tensional, con edad media de 39,76 años (DT=11,38), distribuidos en 4 grupos (tres de tratamiento y un grupo de control placebo). Los tratamientos incluyen terapia manual con: 1) inhibición del tejido blando suboccipital; 2) articulatoria occipucio-atlas-axis; 3) la combinación de ambas. Se aplicaron 4 sesiones, con periodicidad semanal, y seguimiento a los 15 y a los 30 días. La evaluación antes y después el tratamiento y en los seguimientos abarcó: valoración de la movilidad cervical (goniómetro cervical CROM), ansiedad (STAI-E/R), depresión (Inventario de Beck), calidad de vida (SF-12), impacto del dolor (HIT-6), percepción del dolor (Cuestionario del dolor McGill), discapacidad por el dolor (HDI) e intensidad del dolor (EVA). La frecuencia del dolor, ingesta de fármacos sintomáticos, horas de sueño y factores asociados, se evaluaron mediante un autorregistro. Los resultados han mostrado que el tratamiento con inhibición ha mejorado significativamente en depresión, impacto, discapacidad y percepción por dolor (p=0,001 a p=0,01), y en la flexión suboccipital y cervical (p=0,02 y p=0,03). Tanto el tratamiento articulatorio como el combinado, han mejorado en ansiedad, depresión, e impacto discapacidad, percepción e intensidad del dolor (p=0,000 a p=0,02); y en flexión y extensión suboccipital (p=0,003 a p=0,04). El tratamiento articulatorio mejora también en las rotaciones cervicales derecha (p=0,007) e izquierda (p=0,03).En conclusión, tanto el tratamiento articulatorio como el combinado son eficaces para los pacientes con cefaleas en la mayor parte de las evaluaciones realizadas. El tratamiento con inhibición, aunque con resultados inferiores, también ha sido positivo respecto a diferentes ámbitos de la cefalea.The tension-type headache has a high prevalence, with impact on the working and social life of the subjects who suffer from this condition. Considering previous studies, the aim of the present research is to evaluate the effectiveness of two manual therapy techniques in patients suffering from tension-type headache.A randomised double-blind study has been carried out, with 84 patients (81% women) diagnosed with tension-type headache, mean age of 39,76 years (SD=11,38), divided into 4 groups (three treatment groups and one placebo control group). The treatments include manual therapy with: 1) suboccipital soft-tissue inhibition technique; 2) occiput-atlas-axis articulatory technique; 3) the combination of both. Four sessions were applied, with a weekly periodicity, plus two follow-up sessions 15 and 30 days after. The evaluation before and after the treatment and in the follow-up sessions included: measurement of cervical range of motion (cervical goniometer), assessment of anxiety (STAI-E/R), depression (Beck depression inventory), quality of life (SF-12), impact of pain (HIT-6), pain perception (McGill pain questionnaire), headache disability (HDI) and pain intensity (VAS). The frequency of pain, intake of symptomatic medication, hours of sleep and associated factors were evaluated by means of a self-assessment register. The results have showed that the treatment with soft-tissue inhibition resulted in a significant improvement in depression, impact, disability and pain perception (p=0,001 to p=0,01), and in suboccipital and cervical flexion (p=0,02 and p=0,03). Both the articulatory technique and the combined treatment showed significant improvement in anxiety, depression, impact, disability, pain perception and pain intensity (p=0,000 to p=0,02); and in suboccipital flexion and extension (p=0,003 to p=0,04). The articulatory technique also improves in cervical rotations to the right (p=0,007) and left (p=0,03).In conclusion, both the articulatory technique and the combined treatment are effective for patients with headache in the majority of the evaluations carried out. The treatment with soft-tissue inhibition, although having inferior results, has also proved to have positive effects on different spheres of headache.
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Fhal, Jonathan. "Eficácia da manipulação articular cervical em adultos com cefaleia tipo tensão: uma revisão de bibliográfica." Bachelor's thesis, [s.n.], 2018. http://hdl.handle.net/10284/6744.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em FisioterapiaObjectivo: Analisar a eficácia da manipulação articular cervical em adultos nas deficiências induzidas pelas cefaleias do tipo tensão episódica e crónica. Metodologia: pesquisa computorizada nas bases de dados Pubmed/Medline, CINAHL, Web of Science e PEDro para identificar estudos randomizados controlados que analisassem a eficácia do tratamento seguindo os critérios de inclusão definidos para o estudo. Resultados: nesta revisão foram incluídos 5 artigos envolvendo 424 pacientes, com qualidade metodológica de 6.4 na escala de PEDro. Conclusão: a manipulação articular parece eficaz para diminuir as deficiências induzidas pelas cefaleias tipo tensão em adultos. Os resultados são melhores quando este técnica é combinada com inibição muscular dos músculos suboccipitais.
Objective: To analyze the efficacy of cervical joint manipulation in adults in the deficiencies induced by episodic and chronic tension-type headache. Methodology: Computerized search in the Pubmed/Medline, CINAHL, Web of Science e PEDro databases to identify randomized controlled trials that analyzed the efficacy of treatment following the inclusion criteria defined for the study. Results: 5 articles were included in this review involving 424 patients, with a methodological quality of 6.4 on the PEDro scale. Conclusion: cervical joint manipulation seems effective to reduce deficiencies induced by tension-type headaches in adults. The results are best when this technique is combined with muscle suboccipital inhibition.
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Maimela, Nomathamsanqa Resegofetse. "The efficacy of lacticum acidum homaccord in the treatment of chronic tension-type headaches." Thesis, 2015. http://hdl.handle.net/10210/14026.
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M.Tech. (Homoeopathy)Chronic tension-type headaches (CTTHs) affect 30-40% of the population and account for a number of absences from, and decreased performances at, work and school as well as recreational activities. CTTHs typically occur at least 15 times a month or at least every second day, and present as an achey or tight sensation that is felt around the head. The pain may last from 30 minutes to several days and varies in intensity. Conventional treatment is palliative, consisting of analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs), which may produce adverse effects and analgesic rebound headaches. Lacticum acidum 30CH is a homoeopathic remedy that has been shown to have potential benefits in the treatment of CTTHs. Homaccords are the preparation of one remedy in multiple increasing potencies in a single vehicle. There has been no research done to date on Lacticum acidum Homaccord in the treatment of CTTHs. The aim of this study was to determine the efficacy of Lacticum acidum Homaccord in the treatment of CTTHs, using the modified Headache Diary and the Headache Disability Inventory. The study was a randomised, double-blind, placebo-controlled matched pair study which took place at the Homoeopathic Health Centre at the University of Johannesburg (UJ) Doornfontein campus, over a period of four weeks. A randomised sample of 34 male and female participants between the ages of 18 and 45 years who suffered from CTTHs were recruited by means of purposive sampling via advertisements placed on the UJ campus. At the initial consultation (day 0), prospective participants were requested to sign the Participant Information and Consent Form. The participants were then requested to complete the Screening Questionnaire to assess their eligibility for participating in the study. Participants’ meeting the diagnostic criteria for CTTHs, and those whose symptoms matched at least eight out of the twelve Lacticum acidum headache-related symptoms, were eligible to participate in the study. Participants’ were placed into matched pairs, according to gender and age. Participants in both groups received one 30 mL bottle of their respectively dispensed and labelled medication. On days 1-28 the participant was requested to complete the modified Headache Diary at the end of each day and to take 5 pillules of the medication in the morning and in the evening of each day. The first follow-up visit occurred on day 14; here participants completed the Headache Disability Inventory; the completed headache diaries were exchanged with new ones, a physical examination with vital signs was conducted and an additional bottle of medication was given. The second and final follow-up vi visit occurred on day 28, where the participant completed the Headache Disability Inventory, and a physical examination with vital signs was conducted. The average duration (time), intensity, frequency of headaches, and medication use was recorded on a daily basis and the level of perceived disability from CTTHs was measured weekly. This was conducted by completing the modified Headache Diary and the Headache Disability Inventory respectively. The data from the study was evaluated and analysed using frequencies and descriptive tests, cross tabulations, the Shapiro Wilk test, the Mann-Whitney test, and the Friedman and Wilcoxon signed ranks tests ...
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Donkin, Robert David. "The relative effectiveness of adjustments and traction in the treatment of tension-type headaches." Thesis, 1998. http://hdl.handle.net/10321/2075.
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A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 1998.Headaches are very common in today's society and of all presenting types of headaches, tension - type headaches are the most common. At a neurologic outpatient clinic 40% of 1152 of all patients referred had tension-type headache (Lance et al. 1965). The purpose of this study was to determine if manual traction is an effective adjunct to the chiropractic treatment (the adjustment) of tension - type headaches, and to determine if the adjustment alone or the adjustment and manual traction have an effect on tension - type headaches. It was hypothesised that the combination of manual traction and adjustments would be more effective than adjustments alone. The study was a randomised, uncontrolled clinical trial conducted at the Technikon Natal Chiropractic Day Clinic. Thirty patients, presenting with tension - type headaches, were selected for the study and randomly allocated to two groups of fifteen each. Patients in Group A received adjustmen~s and Group B r~eived adjustments and manual traction as treatment. The subjective findings of the patients were recorded by means of the Short - form McGill Pain Questionnaire, the CMCC Neck Disability Index, the Numerical Pain Rating Scale 101 and the Headache Diary. The first three questionnaire were completed by the patients \xE1t the beginning of the first, fifth, final and follow up consultations. The Headache Diary, on the other hand, was completed on a daily basis by the patients for the period of the study. Objective findings consisted of the six cervical ranges of motion obtained by means of the Cervical Range of Motion Instrument (CROM).
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Forsyth, Juliette Faye. "The relationship of myofascial trigger points of the pericranial musculature and episodic tension-type headache." Thesis, 2007. http://hdl.handle.net/10321/1895.
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Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Durban University of Technology, 2007The purpose of this study was to determine the relationship between Myofascial Pain Syndrome (MPS) of the pericranial musculature and the clinical presentation of episodic tension-type headache (ETTH). It set out to determine the extent to which MPS is related to the nature of the ETTH. ETTH is a very prevalent disorder, common to individuals in their third decade, and particularly females. Current literature suggests a multi-factorial aetiology, combining psychological and neuromusculoskeletal mechanisms, to name a few. Due to the many facets of this disorder, it has, for a long time, provided a challenge to the practitioner with regard to patient treatment and management. MPS is a condition that may affect any number of muscles, resulting in motor, sensory and autonomic symptoms. MPS of the pericranial muscles, namely the upper Trapezius, Sternocleidomastoid, Temporalis and Suboccipital muscles, produces a referred pain pattern similar to the pain pattern experienced during an ETTH. The literature states that the pain produced by MPS has been somewhat overlooked and it was thus necessary to further investigate the myofascial component of ETTH. This study was a quantitative, pilot, non-intervention, clinical assessment study, which required forty participants residing in the province of Kwa-Zulu Natal suffering from ETTH. The clinical assessment included a case history and physical and cervical examinations. The participants were requested to complete a headache diary over a period of 14 days. Following this, they returned to the Chiropractic Day Clinic for a second consultation. Data was collected at both consultations and the participant was offered one free treatment. The headache diary and Numerical Pain Rating Scale provided the subjective measurements, while the algometer and Myofascial Diagnostic Scale were used to gather the objective measurements.
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De, Busser Nikki Lauren. "The relative effectiveness of chiropractic manipulation in conjunction with soft tissue treatment, as compared with soft tissue treatment alone, in the management of tension-type headaches in children." Thesis, 2001. http://hdl.handle.net/10321/2108.
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A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2001.Episodic tension-type is a highly prevalent condition with a significant functional impact at home and school (Schwartz et al. 1998). In children as in adults, it is the most common form of headache that a chiropractor will encounter in clinical practice (Davies 2000). The purpose of this study was to investigate the relative effectiveness of chiropractic manipulation in conjunction with soft tissue treatment, as compared with soft tissue treatment alone, in the management of Episodic tension-type headache in children and adolescents. It was hypothesised that manipulation in conjunction with soft tissue treatment would provide a significant long-term benefit in comparison to soft tissue treatment alone. This study was performed as a clinical trial conducted at the Technikon Natal Chiropractic Day Clinic. Thirty children between the ages of eight to eighteen presenting with Episodic tension-type headache were selected to participate in the study and were randomly allocated into two equal groups. Patients in both groups were treated six times over a period of three weeks and were monitored with respect to their headache using a headache diary for one week prior to and one week following the course of treatment. A final assessment was performed once the patients had completed the headache diary for the second time. Both groups received a ten minute massage of the cervical and upper thoracic musculature, while patients in group A received chiropractic manipulation of the cervical and upper thoracic spine as well.
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Thomson, Deborah Anne. "A clinical trial to investigate the relative effectiveness of acetaminophen with caffeine as opposed to cervical manipulation in the treatment of tension-type headache." Thesis, 2000. http://hdl.handle.net/10321/2820.
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A dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic at Technikon Natal, 2002.Tension-type headache is generally accepted as the most common form of headache and has been shown to have a great impact on work and social activities (Shwartz et al. 1998). Tension-type headache occurs in 39% of people who suffer from headache symptoms with a higher incidence among females, and a peak in the 25-44 year old age group (Wong et al. 1995). The purpose of this study was to investigate the relative effectiveness of 1000mg acetaminophen (paracetamol) combined with 130mg caffeine as opposed to cervical manipulation as a treatment for tension-type headache.
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Angus, Antony Keith. "A study of the efficacy of manipulation as opposed to cryotherapy and manipulation in the treatment of tension-type headache." Thesis, 1997. http://hdl.handle.net/10321/2891.
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A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, Technikon Natal, 1997.The purpose of this investigation, was to determine what role cryotherapy plays in conjunction with manipulation headaches.
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Legoete, Kgosietsile. "The relative effectiveness of cervical spine manipulation and a nonsteroidal anti-inflammatory drug (Ibuprofen) in the treatment of episodic tension-type headaches." Thesis, 2010. http://hdl.handle.net/10321/523.
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Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic, Durban University of Technology, 2010.The 1 year overall prevalence of Episodic Tension-Type Headache (ETTH) is 38.3%; with lifetime prevalence at 46% for TTH. Little literature exists to support the effectiveness of spinal manipulation in the treatment of ETTH. Therefore aim of this study was to determine the relative effectiveness of cervical spine manipulation and a Nonsteroidal Anti-inflammatory drug (NSAID) (Ibuprofen®) in the treatment of ETTH. Method: This study was a prospective randomised clinical trial with two intervention groups (N=32, n1=16 and n2=16). The allocation of participants to the two groups was completed by means of simple randomization. Group one were treated using cervical spine manipulation. Group two were treated using Ibuprofen. Subjective measurements included the Numerical Rating Scale 101 Questionnaire (NRS-101), Short Form McGill Pain Questionnaire (SF-MPQ), CMCC Neck Disability Index (CMCC) and Headache Diary. A p value <0.05 was considered as statistically significant. Results: The subjective measurements of the NRS-101, SF-MPQ and CMCC showed a significant time effect in both treatment groups. Several of the subjective Headaches Diary outcomes followed this trend with significant time effect in both groups. There was a significant treatment effect for the NRS-101. Several subject outcomes from the Headache Diary showed a significant treatment effect in favour of manipulation, namely frequency and duration of headaches. Conclusion: The findings in this study have shown that cervical spine manipulation is more effective than Ibuprofen® for the treatment of ETTH in terms of several subjective outcomes namely: pain intensity (NRS-101), and the frequency and the duration of headache per day.
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Fonseca, Shane Warren. "The effectiveness of spinal manipulative therapy and trans-cutaneous electrical nerve stimulation versus spinal manipulative therapy and placebo trans-cutaneous electrical nerve stimulation in the treatment of mild to moderate chronic tension-type headache." Thesis, 2002. http://hdl.handle.net/10321/1947.
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A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Durban Institute of Technology, 2002.Headaches have been described as the most common medical complaint in society (Dalessia 1987:3), and Tension-type headaches constitute approximately 80% of these (Martin 1993:22). Although Episodic tension-type headache is more prevalent than Chronic tension-type headache and may have a greater societal impact, Chronic tension-type headache has by far a greater individual impact (Schwartz et aI, 1998) on the patient. The exact causes of Chronic tension-type headaches are not known and, as a result, treatment is commonly symptomatic in nature and aimed at reducing pain. To date, treatment commonly involves the use of drugs and with it comes the threat of drug-induced side-effects (Bendtsen et aI, 1996). The purpose of this study was to investigate two non-pharmacological treatments in the management of Chronic tension-type headaches, namely the relative effectiveness of Spinal Manipulative Therapy (SMT) in conjunction with Trans-cutaneous Electrical Nerve Stimulation (TENS), as compared with SMT and placebo TENS. ABSTRACT It was hypothesized that SMT in conjunction with TENS would provide a greater immediate and short-term benefit in comparison to SMT and placebo TENS in the treatment of mild
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Orkan, Shahaf. "Comparison between chiropractic cervical spine manipulation and needling of acupuncture points in the treatment of tension - type headaches." Thesis, 2012. http://hdl.handle.net/10210/6914.
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M.Tech.Purpose: Acupuncture has been a controversial issue in the medical world for many years before the sceptic western medicine slowly adopted its idea. Some mechanisms for pain relief were clinically researched and proven to be valid as well as effective in treating tension-type headaches (Stux, Berman and Pomerantz, 2003) The purpose of this study was to assess and compare the effects of cervical spine manipulation and needling of acupuncture points in those patients with tension-type headache and suggest another complimentary treatment to the chiropractic manipulation, especially in those patients where manipulation is contraindicated to manipulation. If found to be effective, various mechanisms have been suggested in the formation of tension headache episodes. Those mechanisms may be alterations within the spinal cord and/or brainstem gating mechanisms as a result of facet joint dysfunction, sensitization of nociceptors in the peripheral structures of the body and psychological factors. Method: This study consisted of two groups, consisting of 16 subjects in each group. All participants were screened for tension-type headaches and accepted based on the inclusion and exclusion criteria. The subjects were between the ages of eighteen and thirty-five. Group 1 received chiropractic manipulation treatment to the most restricted levels in their cervical spine. Group 2 received treatment consisting of needling of acupuncture points to specific predetermined points. Procedure: Each successful candidate was treated six times over a 3 week period which included a total of seven sessions. Before the beginning of the treatment, the successful candidate completed the Vernon-Mior Neck Pain and Disability Index Questionnaire and the Numerical Pain Rating Scale. Readings for cervical spine ranges of motion were then taken with a CROM device. In group 1, chiropractic manipulation was then delivered to the most restricted segments in the cervical spine. In group 2, needling of six predetermined acupuncture points for relieving tension-type headache was performed bilaterally. The same treatment procedure was administered at sessions one through six, the CROM readings and questionnaires were taken in sessions one, three, five and seven. Results: The results were obtained by using the Mann-Whitney U and t-test. No statistically significant differences were identified between the groups, when comparing the 2 treatment methods at the visits. However, both groups showed a statistically significant improvement over time within each group individually for subjective measurements and for right lateral flexion in the objective measurements. Conclusion: The results were inconclusive with regards to the prolonged effects of chiropractic manipulation and needling of acupuncture points on cervical spine range of motion in patients with tension-type headache. However, it was concluded that both methods of treatment had beneficial effects on how the participants perceived their pain and disability. Due to the small group of subjects and relatively short duration of the study, accurate conclusions could not be formulated. The findings obtained were insignificant and further research needs to be performed on the effects of cervical spine manipulation and needling of acupuncture points on those suffering with tension-type headache.
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Kidson, Mark Andrew Rex. "A comparison of the initial and short term effects of cervical spine adjustments and acetylsalicylic acid in the treatment of mild to moderate episodic tension-type headache and its recurrence." Thesis, 2001. http://hdl.handle.net/10321/2049.
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A dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2001.Episodic tension-type headache is more prevalent than chronic tension-type headache (Schwartz, et al. 1998). The exact causes of episodic tension-type headaches are not known (Headache Classification Committee, 1988:30-31). Episodic tension-type headache and chronic tension-type headache have different characteristics. Thus the mechanism of episodic tension-type headache is still unclear, and should be studied separately from chronic tension-type headache (Kim, et al. 1995). Presently, studies conflict with regard to spinal manipulation and its efficacy in the treatment of episodic tension-type headache. Therefore, the purpose of this study was to investigate the relative effectiveness of 500mg of acetylsalicylic acid as opposed to cervical spine manipulation for the treatment of episodic tension-type headache. It was hypothesized that manipulation would provide a significantly greater immediate and short-term benefit in comparison to acetylsalicylic acid. This study was conducted as a clinical trial at the Technikon Natal Chiropractic Day Clinic. Sixty patients presenting with episodic tension-type headaches were selected and randomly allocated into two equal groups. Patient's were provided with one of the two treatments at the initial consultation, and again upon a second consultation after a minimum 'washout period' of forty-eight hours, but within two weeks. Patient's in Group 1 received cervical spine manipulation, whereas patients in Group 2 received 500mg of acetylsalicylic acid. The subjective responses of each patient were recorded by means of the Short-form McGill Pain Questionnaire, the Numerical Pain Rating Scale, the CMCC Neck
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Trollope, Leslie John Watts. "The relative effectiveness of cervical spine manipulation alone, dry needling alone and cervical spine manipulation combined with dry needling for the treatment of episodic tension-type headaches." Thesis, 2010. http://hdl.handle.net/10321/582.
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Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology, Durban University of Technology, 2010.Episodic Tension–type headache (ETTH), which has a high prevalence, is the most common headache. Manual therapeutic approaches towards Episodic Tension-Type Headaches (ETTHs) have not been fully explored. However, cervical spine manipulation (CSM) and dry needling are found to be successful modalities for the treatment of tension-type headache (TTH). Therefore, this study aims to determine the effectiveness of CSM alone, dry needling alone and CSM combined with dry needling in the treatment of ETTHs. Objectives The objectives of this study include: determining the effectiveness of CSM alone, dry needling alone and CSM combined with dry needling in terms of objective and subjective data for the treatment of ETTHs. Method Forty five participants suffering from ETTHs, between the ages of eighteen and fifty, were recruited through convenience sampling and were randomly allocated to one of three equal groups (15 per group). The three different groups were: (A); CSM alone, (B); dry needling alone and (C); CSM in addition to dry needling. The study took place over a period of four weeks involving six consultations. Each participant received a headache diary for the duration of the study. At the first consultation the participant received the headache diary and was monitored for one week before the treatments commenced. Thereafter, four treatments were administered over the next two weeks, depending on group allocation. Participants were also monitored with the headache diary for one week after the last treatment. The objective data for each participant consisted of cervical range of motion (CROM) and pressure–pain threshold readings, measured using a CROM goniometer and an algometer respectively. The subjective data for each participant was collected using a headache diary and a headache questionnaire/disability index. SAS version 9.1.3 was used to analyse the data. A p value of <0.05 was considered as statistically significant. Results A decrease in headache duration, frequency, intensity and severity and increases in CROM and algometer measurements were observed in all groups. However, no statistically significant differences were found between the three groups in terms of objective and subjective measurements although, a statistically significant improvement from consultation five to six was found in Group C in terms of headache disability. Conclusion CSM and dry needling, used in isolation or in combination are effective in the treatment of ETTHs although Group C did show superiority over the other groups in the long term with respect to the disability index.
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Duani, Victor. "An investigation into the role of forward head posture as an associated factor in the presentation of episodic tension-type and cervicogenic headaches." Thesis, 2010. http://hdl.handle.net/10321/580.
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Dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, Durban University of Technology, 2010.Forward head posture (FHP) is a common postural abnormality, often associated with myofascial trigger points which can result in head and neck pain. The craniovertebral (CV) angle lies between a horizontal line running through C7 spinous process and a line connecting C7 spinous process to the tragus of the ear. The smaller the angle the greater the FHP. Cervical musculoskeletal abnormalities have often been linked to headache types, most especially episodic tension-type headache (ETTH) and cervicogenic headaches (CGH). Objectives: To determine whether an association exists between FHP, distance of the external auditory meatus (EAM) from the plumbline and cervical range of motion and the presentation of ETTH and CGH. Method: This was a quantitative comparative study (n=60) comparing three equal groups, one with ETTH, CGH and healthy controls. The FHP of the Subjects FHP was assessed by measuring the CV angle. A lateral digital photograph was taken to assess the distance of the external auditory meatus from the plumbline. Lastly, cervical range of motion was measured. The two symptomatic groups also received a headache diary for a fourteen day period monitoring frequency, intensity and duration of their headaches. Result: The two symptomatic groups had a smaller CV angle and a greater distance from the plumbline (p<0.05) than the asymptomatic group. The asymptomatic group had a significantly greater flexion (p=0.009), extension (p=0.038) and left rotation (p=0.018) range of motion than the two symptomatic groups. The CGH group had a significant positive correlation between the distance of the EAM from the plumbline and the intensity of headaches. The ETTH group had a significant positive correlation between the right craniovertebral angle and the mean duration of headaches. Conclusion: Therefore, it can be concluded that patients presenting with ETTH and/or CGH may have associated postural abnormalities that may act as a trigger or a contributory factor to the presenting headache.
Durban University of Technology
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Cartwright, Gaynor Dorothy. "The relative effectiveness of combined spinal manipulative therapy and occlusional splint therapy in the treatment of chronic tension-type headaches." Thesis, 2002. http://hdl.handle.net/10321/2756.
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A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology in Chiropractic at Technikon Natal, 2002.The purpose of this study, was to investigate and determine what role the treatment of nocturnal bruxism, in conjunction with spinal manipulative therapy, would play in the management of tension-type headaches.
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Prithipal, Ashna. "The effectiveness of myofascial trigger point therapy in the treatment of episodic tension-type headache in adults : a comparison of 3 manual interventions applied to the posterior cervical musculature." Thesis, 2003. http://hdl.handle.net/10321/252.
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Thesis (M.Tech.: Chiropractic) - Dept. of Chiropractic, Durban Institute of Technology, 2003
1 v. (various pagings)Headaches are one of the most common clinical problems in medicine (Edwards et al. 1995). It is estimated that one in three people suffer from headaches at some stage in their life (Kim et al. 1995). It is an extremely common complaint in the industrialized world (Nilsson, 1997) and has a significant impact on employee absenteeism, productivity and quality of life (Schwartz et al. 1997). In the United States more than 15 000 tons of Aspirin is consumed annually for the relief of headaches, and the cost of evaluation and treatment of headache patients consumes millions of dollars a year (Bernat and Vincent, 1993). Tension - type headache is the commonest form of headaches (Edwards et al. 1995). It is a highly prevalent condition experienced annually by 30 - 70% of the population, and as a chief complaint, it constitutes 5 - 8% of Chiropractic patients (Vernon and McDermaid, 1998). It is divided into an Episodic and Chronic form (IHS, 1991:29), with Episodic Tension-type headache being far more prevalent than Chronic Tension-type headache (Schwartz et al. 1998). Episodic Tension-type headache is further subdivided according to the presence or absence of a muscular factor. According to the International Headache Society (1991:29) for decades a dispute has prevailed concerning the importance of muscle contraction in the pathogenesis of the headache, but conclusive studies are still lacking (IHS, 1991:29). Based on the IHS (1991:29) classification that tension-type headache is associated with a muscular component, the purpose of this study was to investigate the effect of specific myofascial trigger point therapy in the clinical presentation of Episodic Tension-type headache.
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Henry, Justin Michael. "The relative effectiveness of non-steroidal anti-inflammatory drugs (Ibuprofen®) and a taping method (Kinesio Taping® Method) in the treatment of episodic tension-type headaches." Thesis, 2009. http://hdl.handle.net/10321/521.
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Dissertation submitted in partial compliance with the requirements for a Masters Degree in Technology: Chiropractic, Durban University of Technology, 2009.Headaches are one of the most common clinical conditions in medicine, and 80% of these are tension-type headaches (TTH). TTH has a greater socioeconomic impact than any other type of headache due to its prevalence. Within the TTH category, episodic TTH are more prevalent than chronic TTH. The mainstay in the treatment of TTH are simple analgesics and NSAIDs. Unless contraindicated, NSAIDs are often the most effective treatment for ETTH. However patients suffering with TTH tend to relate their headaches to increased muscle stiffness in the neck and shoulders and thus the non-pharmacological treatment of ETTH could be directed at the associated musculoskeletal components of ETTH. It is therefore proposed that the Kinesio Taping® Method may have an effect in the treatment of the muscular component of ETTH. Method: This study was a prospective randomised clinical trial with two intervention groups (n=16) aimed at determining the relative effectiveness of a NSAID and the Kinesio Taping® Method in the treatment of ETTHs. The patients were treated at 5 consultations over a 3 week period. Feedback was obtained using the: NRS – 101, the CMCC Neck Disability Index and a Headache Diary. Results: The Headache Diary showed a reduction in the presence and number, mean duration and pain intensity of ETTH in both groups. These treatment effects were sustained after the cessation of treatment with the exception of mean pain intensity in the Kinesio Taping® Method group. The mean NRS score decreased in both groups but at a slightly faster rate in the Kinesio Taping® Method group. The CMCC showed an improvement in the functional ability of the patients in both groups. Conclusion: There seems to be no significant difference in the relative effectiveness of the treatment modalities. We can thus state that the overall short-term reduction in symptomatology supports the use of NSAIDs or Kinesio Taping® Method in the treatment of ETTH.
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"Surface EMG home trainers or progressive relaxation training: Comparing home practice interventions for the treatment of coexisting migraine and tension-type pediatric headache." UNION INSTITUTE AND UNIVERSITY, 2008. http://pqdtopen.proquest.com/#viewpdf?dispub=3289572.
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Moosajee, Nazreen. "A study to determine the effects of chiropractic manipulation of the temporomandibular joint versus ischemic compression of the lateral pterygoid muscle in the treatment of tension-type headaches." Thesis, 2014. http://hdl.handle.net/10210/12367.
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M.Tech. (Chiropractic)Headache is the most common type of pain and is one of the most frequent reasons for medical consultation (Rasmussen, 1995). Tension-type headaches cause substantial levels of disability for the patient as well as the global society because of its high prevalence in the general population (Stovner, Hagen, Jensen, 2007). Tension-Type headache is a primary headache commonly found in three forms: infrequent episodic, frequent episodic and chronic with or without pericranial tenderness (International Headache Society, 2009). The aim of this study was to determine the effectiveness of chiropractic manipulation of the temporomandibular joint in conjunction with ischemic compression of the lateral pterygoid muscle as a treatment protocol for tension-type headache. Method: This study consisted of three groups of sixteen participants each with tension-type headaches. The participants were between the ages of 18 and 25 years of age. Potential participants were examined and selected based on the inclusion and exclusion criteria. Group one received chiropractic manipulation of the temporomandibular joint. Group two received ischemic compression of the lateral pterygoid muscle. Group three received a combination treatment of chiropractic manipulation of the temporomandibular joint and ischemic compression of the lateral pterygoid muscle. Objective and subjective finding were based on the treatment sessions. Procedure: All participants received a total of six treatments over two weeks followed by a seventh visit which consisted of data gathering only. The subjective data collected was in the form of a TMJ symptom questionnaire completed at visit one and seven and a Headache Disability Index (HDI) completed at visits one, three and seven. TMJ motion was measured by means of a vernier caliper.