Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial
BackgroundStrength-based exercise is widely used to treat tension-type headache, but the evidence of its benefit is unclear. This study aims to analyze the efficacy of a strength-based exercise program in patients with chronic tension-type headaches.MethodsA randomized controlled trial with a 12-wee...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1256303/full |
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| author | Daniel Martín-Vera Alberto Sánchez-Sierra Ángel González-de-la-Flor Guillermo García-Pérez-de-Sevilla Diego Domínguez-Balmaseda Diego Domínguez-Balmaseda Jose Ángel del-Blanco-Muñiz |
| author_facet | Daniel Martín-Vera Alberto Sánchez-Sierra Ángel González-de-la-Flor Guillermo García-Pérez-de-Sevilla Diego Domínguez-Balmaseda Diego Domínguez-Balmaseda Jose Ángel del-Blanco-Muñiz |
| author_sort | Daniel Martín-Vera |
| collection | DOAJ |
| description | BackgroundStrength-based exercise is widely used to treat tension-type headache, but the evidence of its benefit is unclear. This study aims to analyze the efficacy of a strength-based exercise program in patients with chronic tension-type headaches.MethodsA randomized controlled trial with a 12-week strength-based exercise program, with chronic tension-type headache. The headache characteristics (which were the primary outcomes: frequency, duration, and intensity), cervical muscle thickness at rest or contraction of multifidus and longus-colli muscle, cervical range of motion, pain pressure threshold of temporalis, upper trapezius, masseter, tibialis muscle and median nerve, and cervical craniocervical flexion test were assessed at baseline and 12-weeks of follow-up in the intervention group (n = 20) and the control group (n = 20) was performed on 40 patients (85% women, aged 37.0 ± 13.3 years).ResultsBetween baseline and week-12 of follow-up the intervention group showed statistically significant differences compared to control group in the following primary outcomes: duration and intensity of headaches. In addition, the intervention group improved the thickness of deep cervical muscles, reduced the peripheral sensitization, and improved the strength of deep cervical flexors.ConclusionA 12-week strength training of neck and shoulder region induced changes in pain intensity and duration, and physical-related factors in patients with TTH. Future interventions are needed to investigate if normalization of pain characteristics and physical factors can lead to an increase of headache-related impact. |
| first_indexed | 2024-03-11T23:52:16Z |
| format | Article |
| id | doaj.art-8a4e0c7ec53e4066b1d7392938c4745d |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-11T23:52:16Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-8a4e0c7ec53e4066b1d7392938c4745d2023-09-19T06:08:37ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12563031256303Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trialDaniel Martín-Vera0Alberto Sánchez-Sierra1Ángel González-de-la-Flor2Guillermo García-Pérez-de-Sevilla3Diego Domínguez-Balmaseda4Diego Domínguez-Balmaseda5Jose Ángel del-Blanco-Muñiz6Department of Physiotherapy, Faculty of Sports Sciences, Universidad Europea de Madrid, Therapeutic Exercise and Fucntional Rehabiltiation Research Group, Villaviciosa de Odón, Madrid, SpainDepartment of Physiotherapy, Faculty of Sports Sciences, Universidad Europea de Madrid, Therapeutic Exercise and Fucntional Rehabiltiation Research Group, Villaviciosa de Odón, Madrid, SpainDepartment of Physiotherapy, Faculty of Sports Sciences, Universidad Europea de Madrid, Therapeutic Exercise and Fucntional Rehabiltiation Research Group, Villaviciosa de Odón, Madrid, SpainDepartment of Physiotherapy, Faculty of Sports Sciences, Universidad Europea de Madrid, Therapeutic Exercise and Fucntional Rehabiltiation Research Group, Villaviciosa de Odón, Madrid, SpainDepartment of Physiotherapy, Faculty of Sports Sciences, Universidad Europea de Madrid, Therapeutic Exercise and Fucntional Rehabiltiation Research Group, Villaviciosa de Odón, Madrid, SpainFaculty of Biomedical Sciences and Health, European University of Madrid, Villaviciosa de Odón, Madrid, SpainDepartment of Physiotherapy, Faculty of Sports Sciences, Universidad Europea de Madrid, Therapeutic Exercise and Fucntional Rehabiltiation Research Group, Villaviciosa de Odón, Madrid, SpainBackgroundStrength-based exercise is widely used to treat tension-type headache, but the evidence of its benefit is unclear. This study aims to analyze the efficacy of a strength-based exercise program in patients with chronic tension-type headaches.MethodsA randomized controlled trial with a 12-week strength-based exercise program, with chronic tension-type headache. The headache characteristics (which were the primary outcomes: frequency, duration, and intensity), cervical muscle thickness at rest or contraction of multifidus and longus-colli muscle, cervical range of motion, pain pressure threshold of temporalis, upper trapezius, masseter, tibialis muscle and median nerve, and cervical craniocervical flexion test were assessed at baseline and 12-weeks of follow-up in the intervention group (n = 20) and the control group (n = 20) was performed on 40 patients (85% women, aged 37.0 ± 13.3 years).ResultsBetween baseline and week-12 of follow-up the intervention group showed statistically significant differences compared to control group in the following primary outcomes: duration and intensity of headaches. In addition, the intervention group improved the thickness of deep cervical muscles, reduced the peripheral sensitization, and improved the strength of deep cervical flexors.ConclusionA 12-week strength training of neck and shoulder region induced changes in pain intensity and duration, and physical-related factors in patients with TTH. Future interventions are needed to investigate if normalization of pain characteristics and physical factors can lead to an increase of headache-related impact.https://www.frontiersin.org/articles/10.3389/fneur.2023.1256303/fulltension-type headachestrength exerciserehabilitationpainmuscle |
| spellingShingle | Daniel Martín-Vera Alberto Sánchez-Sierra Ángel González-de-la-Flor Guillermo García-Pérez-de-Sevilla Diego Domínguez-Balmaseda Diego Domínguez-Balmaseda Jose Ángel del-Blanco-Muñiz Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial Frontiers in Neurology tension-type headache strength exercise rehabilitation pain muscle |
| title | Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial |
| title_full | Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial |
| title_fullStr | Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial |
| title_full_unstemmed | Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial |
| title_short | Efficacy of a strength-based exercise program in patients with chronic tension type headache: a randomized controlled trial |
| title_sort | efficacy of a strength based exercise program in patients with chronic tension type headache a randomized controlled trial |
| topic | tension-type headache strength exercise rehabilitation pain muscle |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1256303/full |
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