Patients suffering from Tension Type Headache (TTH) report emotional and functional deficits (missing work, sleep disorders, emotional stability) and are susceptible to pharmaceutical abuse. Cervical muscle training, posture correction, spinal mobilization, and other physical therapy modalities may help alleviate symptoms. This study will aim to compare the effect of manual therapy and kinesio taping on tension-type headache.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
45
Manual therapy group: will have manual therapy and relaxation training three times per week in addition to their medications as needed. Manual therapy will include stretching exercises, strengthening exercises, soft tissue manipulation in the form of myofascial release and deep friction massage, and postural correction.
Kinesio taping group: will have kinesio taping (KT), and relaxation exercises three times per week in addition to their medication as needed, One I-shaped tape was used to apply KT to the upper trapezius muscle that was 50 mm broad and 0.5 mm thick. The tape was measured from the acromion to the hairline in the back, and the upper trapezius fibers were stretched in the extended position, i.e., the cervical vertebrae were flexed to the opposite side and applied to the same side in the flexion and rotation positions. The band was secured to the acromion's insertion site in its first resting position. The muscle was lengthened, and the band was fixed with the initial skin shift, after which the band was fixed to the origin of the hairline from the muscle with a 10% stretch. The tape was massaged with the muscle in the extended position.
Faculty of Physical Therapy, Cairo University
Giza, Giza Governorate, Egypt
Visual Analouge Scale
The Visual Analogue Scale (VAS) will be used to assess the students' headache intensity before the intervention, after one month, and at the end intervention. VAS is used to transform some numerical values, such as pain, to numeric values. The two extremes of a 10 cm line are to be assessed on two extremes, and the patient is requested to indicate where the degree of the pain is appropriate by drawing a line or pointing.
Time frame: 8 weeks
The 6-item headache questionnaire
The 6-item headache questionnaire will be examined before the intervention, after one month, and at the end intervention; it comprises six items (pain intensity, social functioning, role functioning, vitality, cognitive functioning, and psychological distress), each with five response alternatives. Never: 6 points, rarely: 8 points, sometimes: 10 points, very frequently: 11 points, and always: 13 points, with a total score ranging from 36 to 78 points.
Time frame: 8 weeks
A headache diary
A headache diary will include recording the data at the end of the day to create a record of the clinical history of pain, including frequency, duration (hours per day), headache intensity (Visual Analogue Scale \[VAS\]: 0-10), and analgesic use.
Time frame: 8 weeks
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The control group will just receive relaxation exercises three times per week, in addition to their medications as needed.