• The Journal of Korean Physical Therapy
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• 제30권4호
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• pp.108-111
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• 2018

Purpose: This study examined the effects of the forward head posture and tension type headache on neck movement among office workers. Methods: The subjects were 6 male and 21 female patients composed of a forward head posture group, forward head posture group with a tension type headache and a normal group. Each group consisted of 2 males and 7 females. The cranio-vertebral angle of the head and the angle of motion of the neck were measured. SPSS 23.0 was used for data analysis and one-way ANOVA was performed for the mean comparison of the neck movements in the three groups. Results: The participants had a limitation in the movement of all necks between the forward head posture group and forward head posture with tension type headache group compared to the normal subjects. The forward head posture with tension headache group had limited neck extension and lateral bending compared to the forward head posture group. Conclusion: Office workers have limitations in the movement of the neck when they are accompanied by forward head posture and tension headache. In particular, when accompanied with a tension headache, there is a restriction on the neck extension and side bending. This study is expected to provide basic data for the relief of tension headache and the treatment of forward head posture in office workers.

• The Korean Journal of Pain
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• 제12권1호
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• pp.75-80
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• 1999

Background: Despite tension type headache is popular, the exact mechanism and method of treatment are not certain yet. So, we supposed the basic mechanism of tension type headache is myogenic, and did Tienchu acupoint block, occipital nerve block, and trigger point injection in tension type headache patients. Methods: Fifty-seven tension type headache patients were treated with local anesthetics and small dose of steroid. The intensity of pain and effect of every treatment was evaluated as Verbal Rating Score (VRS; 0~10) before and after every treatment. Evaluation of treatment was based on the time of treatment (1,2 times, 3 times, 4,5 times). Goal of treatment was VRS reaching below two point and it was considered as treated state. Results: Symptom improvement rates of each treatment were 90% (1, 2 times), 91% (3 times), 70% (4, 5 times) respectively. VRS reduction more than 50% rates were 60%, 64%, 60% respectively. Treated state (VRS<2) rates were 33%, 27%, 30% respectively. Conclusion: Tienchu acupoint block, occipital nerve block, trigger point injection were sorts of most effective and simply applicable modalities of treatment in tension type headache.

• 대한한방내과학회지
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• 제39권5호
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• pp.870-878
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• 2018

Objectives: The aim of this study is to report the effects of Korean medical treatment with ByeolGab pharmacopuncture on a patient with a tension-type headache. Methods: We treated a tension-type headache using Korean medical treatment including ByeolGab pharmacopuncture for 6 days a week for 2 weeks. As a measurement, the numerical rating scale (NRS), the Henry Ford Headache Disability Inventory (HDI), and a six point Likert scale were used to confirm pharmacopuncture therapy efficacy. Results: After treatment, symptoms related to tension-type headache and other complaints were decreased and evaluation using the NRS, HDI, and six-point scale showed improvement in the patient. Conclusions: This study shows that Korean medical treatment with ByeolGab pharmacopuncture has beneficial effects on control of tension-type headache and improvement in quality of life for patients.

• The Journal of Korean Physical Therapy
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• 제21권4호
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• pp.9-16
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• 2009

Purpose: This study was done to assess the effect of changes in forward head posture (FHP), neck mobility and headache clinical parameters on episodic tension-type headache (ETTH) and chronic tension-type headache (CTTH) who did craniocervial exercises. Methods: Twelve CTTH subjects and twelve ETTH subjects were studied. Side-view pictures of subjects were taken in both sitting and standing positions, in order to assess FHP by measuring the craniovertebral angle. Cervical range of motion (CROM) was employed to measure cervical mobility. A headache diary was kept to assess headache intensity, frequency, and duration. All subjects did three types of craniocervical exercise over 8 weeks. Measurements were done at pre-treatment, and at 4 and 8 weeks post-treatment. Results: Forward head posture and headache-related clinical parameters showed a significant improvement after craniocervical exercise (p<0.05). Flexion/extension and left/right rotation of CROM was significantly increased after the intervention (p<0.05), whereas changes in left/right bending did not reach statistical significance. Conclusion: This study indicates that craniocervical exercise may be effective in the management of tension-type headache.

• 동의생리병리학회지
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• 제24권6호
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• pp.1105-1110
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• 2010

The purpose of this case study is to report the effect of oriental medical treatment on chronic tension-type headache. Despite the patient was treated by cervical nerve block for headache, headache was not improved. We diagnosed chronic tension-type headache according to ICHD-II(The International Classification of Headache Disorders) and Qi deficiency, dampness and phlegm by oriental differential diagnosis of symptom and signs. We applied herbal medicine, acupuncture, moxibustion and cupping therapy for hospitalization(7 days). Oriental medical treatment may have effective results in treating chronic tension-type headache that was not improved by cervical nerve block treatment. But this is a single case study, so further case-series research should be compiled.

• 사상체질의학회지
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• 제23권4호
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• pp.541-547
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• 2011

1. Objective We report a series of 3 cases Euphorbiae Kansui. Radix(Gam-sui) which is based on Sasang constitutional Medicine for Tension-Type Headache in Soyangin. 2. Methods We treated a 3 Soyangin patients that had Tension-Type Headache. We prescribed Euphorbiae Kansui. Radix(Gam-sui) for their physical symptoms. The improvement of their Tension-Type Headache was evaluated 3. Results After the Euphorbiae Kansui. Radix(Gam-sui) was given, the patient's Headache and physical symptoms were improved. 4. Conclusions This cases studies showed an efficient result of using Euphorbiae Kansui. Radix(Gam-sui) in the Tension-Type Headache of Soyangin.

• The Journal of Korean Physical Therapy
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• 제21권2호
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• pp.71-77
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• 2009

Purpose: This study assessed the differences in the forward head posture (FHP), cervical range of motion, and headache clinical parameters in episodic tension-type headache (ETTH) subjects, chronic tension-type headache (CTTH) subjects, and healthy controls (university students). Methods: Fifteen CTTH subjects, 15 ETTH subjects and 15 controls without headache were examined. Side-view images of each group were taken in both the sitting and standing positions, in order to assess the FHP by measuring the craniovertebral angle. The CROM was used to measure the cervical range of motion. A headache diary was kept for 4 weeks to assess the headache intensity, frequency, and duration. Results: The craniovertebral angle was smaller, ie, there was a greater FHP, in the CTTH and ETTH subjects than in the healthy controls in both the sitting and standing positions (p<0.05). The CTTH and ETTH subjects showed a lower cervical range of motion than the healthy controls in the total range of motion as well as in the half-cycles (p<0.05). Conclusion: The increased FHP and decreased cervical range of motion might be a contributing factor in the initiation of tension-type headache.

• Journal of Oral Medicine and Pain
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• 제36권2호
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• pp.123-130
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• 2011

이갈이나 이악물기 등과 같은 비정상적인 구강기능장애의 주된 임상 소견으로 흔히 관찰되는 설 함요가 긴장성 두통의 통증양상에 어떠한 영향을 미치는가를 관찰하고자 국제두통학회의 진단기준에 부합되는 긴장성 두통이 있는 환자 중 설함요가 있는 65명을 실험군으로 하고, 설 함요가 없는 환자 65명을 대조군으로 하여 통증의 질과 강도, 양측성 유무 그리고 일상생활에서의 증감 유무 등을 관찰하고 통계 처리하여 다음과 같은 결과를 얻었다. 1. 긴장성 두통환자의 통증의 질은 설 함요의 유무에 따라서 통계학적인 차이가 있었다(p=0.049). 2. 긴장성 두통환자의 통증의 강도는 설 함요의 유무에 따라서 통계학적인 차이가 있었다(p=0.010). 3. 긴장성 두통환자의 통증의 양측성 유무는 설 함요의 유무에 따라서 통계학적인 차이가 없었다. 4. 긴장성 두통환자의 통증의 일상생활에서의 증감 유무는 설 함요의 유무에 따라서 통계학적인 차이가 없었다. 이상의 결과로 설 함요가 있는 긴장성 두통 환자는 설 함요가 없는 긴장성 두통 환자에 비해서 통증의 예통과 심도통이 더 심하기 때문에 임상적으로 진료에 임 할 때 고려해야 하며, 이에 따른 추가적이고 지속적인 연구가 필요하리라고 생각된다.

• Journal of Oral Medicine and Pain
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• 제35권3호
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• pp.203-212
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• 2010

이갈이나 이악물기 등과 같은 비정상적인 구강기능장애의 주된 임상 소견으로 흔히 관찰되는 구강 협점막 백선이 긴장성두통의 통증양상에 어떠한 영향을 미치는가를 관찰하고자 국제두통학회의 진단기준에 부합되는 긴장성 두통이 있는 환자중 구강 협점막 백선이 있는 79명을 실험군으로 하고, 구강 협점막 백선이 없는 환자 79명을 대조군으로 하여 통증의 질과 강도, 양측성 유무 그리고 일상생활에서의 증감 유무 등을 관찰하고 통계 처리하여 다음과 같은 결과를 얻었다. 1. 긴장성 두통환자의 통증의 질은 구강 협점막 백선의 유무에 따라서 통계학적인 차이가 없었다. 2. 긴장성 두통환자의 통증의 강도는 구강 협점막 백선의 유무에 따라서 통계학적인 차이가 있었다(p= .043). 3. 긴장성 두통환자의 통증의 양측성 유무는 구강 협점막 백선의 유무에 따라서 통계학적인 차이가 없었다. 4. 긴장성 두통환자의 통증의 일상생활에서의 증감 유무는 구강 협점막 백선의 유무에 따라서 통계학적인 차이가 없었다. 이상의 결과로 구강 협점막 백선이 있는 긴장성 두통 환자는 구강 협점막 백선이 없는 긴장성 두통 환자에 비해서 통증의 강도가 더 심하기 때문에 임상적으로 진료에 임 할 때 고려해야 하며, 이에 따른 추가적이고 지속적인 연구가 필요하리라고 생각된다.

• 수면정신생리
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• 제9권1호
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• pp.56-60
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• 2002

목 적 : 긴장성 두통은 병태생리가 아직 명확하게 밝혀지지 않았지만, 심리적인 요소가 중요한 역할을 하는 통증 증후군의 하나로 알려져 있다. 두통과 관련된 심리적 요소 중의 하나가 alexithymia이다. 본 연구에서는 긴장성 두통 환자에서의 alexithymia 정도를 정상대조군과 비교하였으며 우울정도와, alexithymia와의 연관성을 분석하였다. 방 법 : 만 18세 이상의 긴장성 두통 환자 66명을 대상으로, alexithymia의 정도와 우울감을 알아보기 위하여 TAS-20K와 BDI를 시행하였다. 정상대조군에서는 TAS-20K를 시행하였다. 결 과 : TAS-20K는 긴장성 두통 환자군에서 정상대조군에 비하여 유의하게 높은 수준을 보였다. 또한 TAS-20K의 점수와 BDI 점수는 유의한 정적인 상관관계를 나타냈다. 결 론 : 긴장성 두통 환자들은 정상대조군에 비하여 높은 alexithymia 수준을 보였다. 또한 Alexithymia의 수준은 우울감과 유의한 연관성을 가진다. 임상의들은 긴장성 두통 환자들의 치료적 접근에서 alexithymia, 우울증과 같은 심리적 요소의 고려가 필요할 것으로 사료된다.