This study aims at examining muscle strength capacity in neck and shoulder muscles in children and adolescents with and without tension-type headache, and furthermore examining the effect of a 10 week specific strength training programme for neck and shoulder muscles compared to a multi-disciplinary approach in 10 weeks.
Frequent and chronic tension type headache are the most frequent pain illnesses in children with a prevalence of 0.5-7,6%. Frequent or daily headache leads to constraints in the child's life in relation to school and social activities. The underlying pathophysiological mechanisms are not yet fully examined. In several studies in adults and in children it is found that the shoulder muscles are tense and tender, but it is not known whether this phenomenon is primary or secondary to tension-type headache. A decrease in muscle capacity is furthermore found in studies. We therefore aim at examining parameters for muscle function in order to compare the differences between children with and without headache, and at examining the effect of a 10 week progressive specific strength training programme on headache compared to an in time comparable multidisciplinary intervention based on lifestyle counseling.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
58
10 weeks of progressive specific strength training for neck and shoulder muscles.
10 weeks of counseling by nurse and physiotherapist in lifestyle changes.
Birte Tornøe
Copenhagen, Herlev, Denmark
Headache
Number of headache days/ 4 weeks. Mean VAS Score (pain)/4 weeks.
Time frame: At baseline
Muscle Capacity
Neck and shoulder muscle function variables: MVC(maximal voluntary static capacity). RFD(rate of force development). FS (Force-steadiness).
Time frame: At baseline
Headache
Number of headache days/ 4 weeks. Mean VAS Score (pain)/4 weeks.
Time frame: After the 10 weeks intervention programme
Headache
Number of headache days/ 4 weeks. Mean VAS Score (pain)/4 weeks.
Time frame: At 3 months follow up.
Muscle Capacity
Neck and shoulder muscle function variables: MVC(maximal voluntary static capacity). RFD(rate of force development). FS(Force-steadiness).
Time frame: After the 10 weeks intervention programme
Muscle Capacity
Neck and shoulder muscle function variables: MVC(maximal voluntary static capacity). RFD(rate of force development). FS(Force-steadiness).
Time frame: At 3 months follow up.
TTS
Total Tenderness Score ( palpation of percranial tenderness).
Time frame: At baseline
Physical fitness
Submaximal ergometer bicycle test
Time frame: At baseline
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TTS
Total Tenderness Score ( palpation of pericranial tenderness).
Time frame: After the 10 weeks intervention programme
TTS
Total Tenderness Score ( palpation of pericranial tenderness).
Time frame: At 3 months follow up.
Physical fitness
Submaximal ergometer bicycle test
Time frame: After the 10 weeks intervention programme
Physical fitness
Submaximal ergometer bicycle test
Time frame: At 3 months follow up.