Fascial Distortion Model in Tension Type Headache

NCT05964517 | Unknown

• 1 other identifier: 2022/392
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Tension-type headache is a headache that starts from the cervical and suboccipital regions, spreads from the back of the head to the parietal, frontal and temporal regions, and is felt in the form of compression, pressure and heaviness. Increased muscle and fascia tone in the cervical and cranial region, together with active trigger points and factors that trigger pain, cause tension-type headache. Head and neck fascia serves as an important proprioceptive structure in our body. Abnormal inputs from mechanoreceptors and structures around the joint cause deterioration in joint position sense. This study was planned to investigate the effects of the new facial distortion model on pain intensity, cervical posture and joint position sense, unlike the manual techniques used in previous studies in tension-type headache.

Conditions

Postural; Defect; Tension-Type Headache; Pain, Neck; Craniovertebral; Syndrome; Proprioceptive Disorders

Outcome Measures

Primary Outcomes (4)

• Pain Evaluation

  The McGill Pain Scale will be used to assess the pain of individuals. The questionnaire consists of four different parts. In the first part, in order to determine the localization of pain. In the second part, there are 20 word groups to be marked to determine the nature of the pain. In the fourth part of the scale, the patient is asked to choose appropriate words to determine the severity of pain. The higher the score, the greater the severity of the pain.

  Change from McGill scale at one month

• Pain Intensity

  Pain intensity will be evaluated with the Visual analog scale (VAS). VAS consists of a 10 cm long horizontal line. '0' means no pain, '10' means unbearable pain. For evaluation, the patients were asked to mark the level of pain they felt on this line, and the distance to the starting point was measured with a ruler and the severity of the pain was recorded. The higher the score, the greater the severity of the pain.

  Change from VAS at one month

• Cervical Joint Position sense

  Laser cursor assisted angle repetition test will be used to evaluate cervical joint position sense. The patient is positioned to coincide with the origin point of the laser target table. The patient is first asked to aim at the origin of the target pane with his eyes open. The distance from the point where the patient is standing to the origin is measured in cm. As the deviation distance increases, the sense of joint position worsens.

  Change from joint position sense at one month

• Posture analysis

  Posturescreen mobile (PostureCo Inc., Trinity, FL, USA) application will be used for cervical posture assessment. Posturescreen Mobile (PSM) is a new photographic mobile application for detecting deviations from ideal posture.The validity and reliability study of the (PSM) application was conducted (118). As a reference point, the canthus of the eye, tragus, 7th cervical vertebra, and acromion will be marked on the photograph by the physiotherapist. Craniovertebral angle and shoulder position angle obtained automatically from the application will be recorded. Forward head posture increases with decreasing craniovertebral angle. The increase in shoulder position angle shows that protraction also increases.

  Change from posture at one month

Study Arms (2)

Control Group

NO INTERVENTION

The control group refers to patients with tension-type headache who will not be treated. These patients are only evaluated during follow-up.

Study Group

ACTIVE COMPARATOR

Patients with tension-type headache in the study group are treated. Evaluations are made before and after treatment.

Other: Fascial Distortion Model

Interventions

Fascial Distortion Model OTHER

Facial Distortion is a manual therapy technique applied by model physiotherapists. It is a deep tissue massage to the fascial tissue.

Also known as: Manual therapy

Study Group

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• diagnosis of tension-type headache,
• the ages of 20-50 years,
• must be headache complaint for at least 6 months,
• Pain is at least 4 on the visual pain scale.

You may not qualify if:

• diagnosis of ervical disc herniation,
• diagnosis of sinusitis, migraine and vertigo,
• diagnosis of scoliosis,
• diagnosis of radiculopathy,
• Having a history of surgery Tumor, cyst or similar findings, Having received any physical therapy for the cervical region before, Having any psychological disorder It is the use of any painkillers during the treatment.

Sponsors & Collaborators

• University of Gaziantep: lead

Study Sites (1)

Tuba Maden

Gaziantep, Sahinbey, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Tension-Type Headache; Neck Pain; Syndrome; Somatosensory Disorders

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Headache Disorders, Primary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease; Pathologic Processes; Sensation Disorders

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Central Study Contacts

Tuba Maden

CONTACT

05319340249; tuba.kmaden@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants dont know in which group enrolled.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assisstanf Profesor

Model Details: Control and study group Facial distortion modeling was applied to the study group for 30 minutes, once a week, for 4 weeks. The control group was followed for 4 weeks and the same evaluations were made to the patients twice.

Study Record Dates

• First Submitted: July 19, 2023
• First Posted: July 28, 2023
• Study Start: August 7, 2023
• Primary Completion: October 1, 2023
• Study Completion: October 31, 2023
• Last Updated: August 2, 2023

Record last verified: 2023-07

Locations

TU (1)