• Journal of Oral Medicine and Pain
• /
• v.36 no.2
• /
• pp.123-130
• /
• 2011

This study was designed to evaluate the pain characteristics of tension-type headache by the tongue ridge. Patients with tension-type headache visited the Department of Oral Medicine, K University Dental Hospital were recruited to this study. Experimental group(n=65) was composed of tension-type headache with the tongue ridge and control group(n=65) was composed of tension-type headache without the tongue ridge. Evaluation list was pain quality, pain intensity, pain laterality, pain increase by routine physical activity and then it was analyzed statistically. The results were as follows: 1. Pain quality of tension-type headache patient was significantly different by the tongue ridge(p=0.049). 2. Pain intensity of tension-type headache patient was significantly different by the tongue ridge(p=0.010). 3. Pain laterality of tension-type headache patient was not significantly different by the tongue ridge. 4. Pain increase by routine physical activity of tension-type headache patient was not significantly different by the tongue ridge. Therefore, it was considered that the tension-type headache patient was influenced by the tongue ridge in the pain quality and pain intensity.

• Journal of Oral Medicine and Pain
• /
• v.35 no.3
• /
• pp.203-212
• /
• 2010

This study was designed to evaluate the pain characteristics of tension-type headache by buccomucosal linea alba. Patients with tension-type headache visited the Department of Oral Medicine, K University Dental Hospital were recruited to this study. Experimental group (n=79) was composed of tension-type headache with buccomucosal linea alba and control group (n=79) was composed of tension-type headache without buccomucosal linea alba. Evaluation list was pain quality, pain intensity, pain laterality, pain increase by routine physical activity and then it was analyzed statistically. The results were as follows : 1. Pain quality of tension-type headache patient was not significantly different by buccomucosal linea alba. 2. Pain intensity of tension-type headache patient was significantly different by buccomucosal linea alba. (p=.043). 3. Pain laterality of tension-type headache patient was not significantly different by buccomucosal linea alba. 4. Pain increase by routine physical activity of tension-type headache patient was not significantly different by buccomucosal linea alba. Therefore, it was considered that the tension-type headache patient was influenced by buccomucosal linea alba in the pain quality.

• Clinical and Experimental Pediatrics
• /
• v.58 no.2
• /
• pp.60-63
• /
• 2015

Purpose: Many patients presenting with headache also complain of constipation; the relationship between these two symptoms has not been explored in detail. The aim of this study was to investigate the association between primary headache and constipation. Methods: This retrospective study included all children who attended the Inje University Sanggye Paik Hospital complaining of headache, and who had been followed up for at least 100 days. Patients were divided into 2 groups: group A, in whom the headache improved after treatment for constipation, and group B, in whom headache was not associated with constipation. Results: Of the 96 patients with primary headache, 24 (25.0%) also had constipation (group A). All 24 received treatment for constipation. Follow-up revealed an improvement in both headache and constipation in all patients. Group B contained the remaining 72 children. Comparison of groups A and B indicated a significant difference in sex ratio (P=0.009, chi-square test). Patients with probable tension-type headache were more likely to be in Group A (P=0.006, chi-square test). Conclusion: Resolution of constipation improves headache in many patients diagnosed with primary headache, especially those with probable tension-type headache. We suggest that either constipation plays a key role in triggering headache, or that both constipation and headache share a common pathophysiology.

• The Journal of Internal Korean Medicine
• /
• v.41 no.5
• /
• pp.705-716
• /
• 2020

Objective: Tension Type Headache is the most common primary headache, and the prevalence is highest among people in their thirties. The 2009 domestic headache epidemiological survey indicated a prevalence rate of 30.8% per year. The patients often complain of feeling "as if they are tightening their head or wearing a band." No other symptoms, such as nausea and vomiting, accompany the headache, and the physical and neurological findings are normal. Korean medicine treatment of tension type headache is mainly with acupuncture, not herbal medicine. In the present study, a patient with tension type headache was admitted to the Korean medicine hospital for treatment. We report on the patient's progress and the effects of the herbal treatment. Methods: The patient was treated with Gaegyeolseogyeong-tang, acupuncture, herbal acupuncture therapy, and physical therapy. We used the Korean Headache Impact Test-6 and Numeric Rating Scale to assess changes in tension type headache symptoms. Results: The patient was diagnosed with Qi-stagnation syndrome (氣滯證) and Ganyangsanghang-headache (肝陽上亢頭痛). The patient was hospitalized for 42 days and showed recovery from the tension type headache without any adverse events. Conclusion: Patients with tension type headache could be treated with Korean medicine.

• Journal of the Korean Society of Physical Medicine
• /
• v.18 no.4
• /
• pp.145-154
• /
• 2023

PURPOSE: This study was conducted to investigate the effect of the sling exercise wearing a neck orthosis on the craniovertebral angle, muscle tension, and headaches in adults with a forward head posture and tension headache. METHODS: In this single-blinded, randomized, controlled, comparative study, a total of 22 adults with forward head postures and tension headaches were randomly assigned to the experimental group (sling exercise wearing a neck orthosis, n = 11) or the control group (sling exercise without a neck orthosis, n = 11). All participants undertook the sling exercise program (3×/week for 4 weeks). The craniovertebral angle, muscle tension, and headache were measured before and after the 4-week training. RESULTS: Significant improvements were observed in the craniovertebral angle, muscle tension, and headache in the experimental group (p < .05). This group also showed a larger decrease in the muscle tension and headache (upper trapezius, -4.97 Hz vs -1.70 Hz, p < .05; splenius capitis, -5.44 Hz vs -2.54 Hz, p < .05; headache, -19.73 score vs -14.64 score, p < .05, respectively). CONCLUSION: The sling exercise wearing a neck orthosis could be an effective way to relieve the symptoms caused by a forward head posture. It could also be a more effective way of decreasing muscle tension and headaches than the sling exercise without wearing a neck orthosis.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.13 no.1
• /
• pp.10-17
• /
• 2007

Objective : To report the positive effect of Mulligan technique affecting for Tension headache without using the medicinal substances. Methods : Among the students with Tension headache those under and over twenty years of age, and selected twenty students with more longer and severe pain from 170 students in March 2, 2007. Experiment was enforced for twenty minute in a day and two times in a week from second week of April to after four weeks. Results : The Results of this study were summarized by six subjects ; 1. Visual analog scale was positively decreased from 3.05 to 0.75. 2. Brief Pain Inventory on task was positively decreased from 2.90 to 1.10. 3. Brief Pain Inventory of sentiment was positively decreased from 3.90 to 0.75. 4. Brief Pain Inventory on leisure hours was positively decreased from 2.60 to 0.7. 5. Brief Pain Inventory in personal relationship was positively decreased from 2.45 to 0.5. 6. Brief Pain Inventory while sleeping was positively decreased from 2.15 to 0.4. Conclusion : Mulligan technique can affecting the positive effects for those who has Tension headache. It is especially reduces pain from Tension headache.

• The Korean Journal of Pain
• /
• v.8 no.2
• /
• pp.272-278
• /
• 1995

Headache is a common disease of the general population. But the main problem in any study of headache has been that of defining the disease entities. In 1988, the Headache Classification committee of the International Headache Society introduced operational diagnostic criteria for all headache disorders into 13 major group; migraine, tension-type headache, cluster headache and chronic paroxysmal hemicrania etc. Sjaastad was the first to describe "cervicogenic headache", one of various head pain syndromes that probably originate in the cervical spine. Between March 1995 and June 1995, we studied 78 out-patients of the Department of Neuro pain clinic, Sanggye Paik Hospital, Inje university. We divided the patients into three study group: Fifty-three patients with tension-type headache, 13 with cervicogenic headache, and 12 with migraine headache. The reponse of trigger point injection and $C_2$-ganglion block in patients was investigated. We paid particular attention to the response of trigger point injection in patients of the three group. The effect of trigger point injection was more marked in tension-type headache group than in the other categories. The pain reduction after $C_2$-ganglion block was more marked in cervicogenic headache group than in the others.

• Physical Therapy Rehabilitation Science
• /
• v.5 no.4
• /
• pp.178-184
• /
• 2016

Objective: Tension-type headache is caused by hormones, foods, irritants, stress, obesity, fatigue, and neck and head trigger points-prolonged abnormal posture. The purpose of this study was to evaluate the effects of relaxation approach on head posture, static postural stability, and headache in persons with tension-type headache. Design: Randomized controlled trial. Methods: Thirty-five persons with tension-type headache participated in this study. This study was a pretest-posttest with a control group design for a duration of 4 weeks (60 min/3 times/1 wk). The participants were randomly allocated to the relaxation approach group (n=18) and the control group with conventional rehabilitation including thermotherapy and transcutaneous electrical stimulation for the same period (n=17). Outcome measures involved forward head posture (FHP), foot pressure, neck disability index (NDI), and six-item headache impact test (HIT-6). Results: Relaxation approach and control groups improved significantly in the amount of forward head posture, neck disability index, and six-item headache impact test scores after training (p<0.05). The control group was found to be significantly different in the amount of FHP, backward foot pressure, NDI, and HIT-6 after training compared to before training (p<0.05). The relaxation approach group significantly improved in forward head posture, neck disability index, and six-item headache impact test compared with control group after training (p<0.05). Neck disability index and six-item headache impact test significantly improved after training compared with before training in the control group (p<0.05). However, the foot pressure was not significantly different between relaxation approach and control groups. Conclusions: This study suggests that treatment with relaxation approach combined with self-exercise would be effective in reducing the amount of forward head posture, neck disability and headache impacts.

• The Journal of Korean Physical Therapy
• /
• v.18 no.1
• /
• pp.33-40
• /
• 2006

Purpose: The purpose of this study was to investigate the effects of cervical mobilization on the tension type headache recovery. : The subjects were consisted of 70 patients with tension type headache. All subjects randomly assigned to cervical mobilization group and massage group. The mobilization group received cervical mobilization with modality treatment and massage group received cervical massage with modality treatment. Visual analogue scala(VAS) was used to daily headache hours and patient's pain level. Results: The results of this study were summarized as follows: 1. The Visual Analogue Scale(VAS) was mobilization group showed significant1y decreased more than massage group(p<.01). 2. The daily headache was mobilization group showed significantly decreased more than massage group(p<.01). Conclusion: mobilization is beneficial treatment for tension type headache.

• The Journal of Churna Manual Medicine for Spine and Nerves
• /
• v.10 no.1
• /
• pp.97-106
• /
• 2015

Objectives: The Purpose of this study is to report three cases on tension-type headache treated by Chuna manipulative therapy. Methods: Three patients diagnosed tension-type headache were treated with Chuna manipulative therapy only. To evaluate effect of treatment, visual analogue scale(VAS) and headache impact test(HIT) were used. We checked VAS and HIT score three times(pretreatment, post-treatment, follow-up). An interval among each evaluation time is 4 weeks. Results: At post-treatment evaluation, VAS and HIT score declined significantly compared with pre-treatment. At follow-up evaluation, the pain did not increased. Conclusions: These results suggests that Chuna manipulative therapy may be effective for tension-type headache.