Does the Addition of Manipulation Provide Added Benefit to Massage Therapy for Tension-type Headache Patients? (MANIHDI-II)
Tension-type Headache
About this trial
This is an interventional treatment trial for Tension-type Headache focused on measuring Tension-type headache, manual therapy, disability, spinal manipulation
Eligibility Criteria
Inclusion Criteria:
- Subjects aged between 18 and 65 years
- Diagnosis of frequent ETTH and CTTH
- Having headache episodes on more than 4 days per month
- Headache episodes lasting from 30 minutes to 7 days
Headaches having at least 2 of the following characteristics:
- Bilateral location of pain
- Pressing non pulsating quality
- Mild or moderate intensity
- Not aggravated by physical activity
- Sufferers may present photophobia, phonophobia, nausea or vomiting
- Headache may be associated with pericranial tenderness
- Suffering from TTH for over 3 months
- Subjects being under pharmacological control
Exclusion Criteria:
• Patients with infrequent ETTH, and patients with probable TTH in its frequent and infrequent forms.
- Headache that is aggravated by head movements.
- Metabolic or musculoskeletal disorders with symptoms similar to headache (rheumatoid arthritis)
- Previous neck trauma
- Vertigo, dizziness, arterial hypertension.
- Joint stiffness, arteriosclerosis or advanced degenerative osteoarthritis
- Patients with heart devices
- Patients in process of pharmacological adaptation
- Excessive emotional tension
- Neurological disorders
- Laxity of neck soft tissues
- Radiological alterations
- General hypermobility or hyperlaxity
- Joint instability
- Pregnancy
- Received physical therapy treatment for headache or neck pain in the previous 3 months
- Suspicion of malignancy
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Massage
Occiput-Atlas-Axis Technique
A superficial massage was performed for 10 minutes in the cervical region consisting of gentle rubbing and kneading.
The technique is applied in two stages: in the first stage, a light core decompression is performed and then small circumductions are made with the aim of increasing viscoelasticity of tissues. Subsequently the appropriate joint barrier is sought by selective tension and high-velocity rotation manipulation is performed in a cranial helical motion without raising the subjects head.