Yoga Nasal Irrigation in the Treatment of Chronic Tension Type Headache

Study Overview
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Brief Summary
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To evaluate the effectiveness of Yoga Nasal Irrigation (Jalaneti) on patients with chronic tension-type headache reducing pain and disability.

Official Title
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Yoga Nasal Irrigation in the Treatment of Chronic Tension Type Headache: Randomised Waitlist Controlled Trial

Conditions
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Chronic Tension-Type Headache

Intervention / Treatment
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* Other: Jalaneti


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Meeting the diagnostic criteria of chronic tension type headache as per International Classification of Headache Disorders, 3rd edition (beta version) (ICHD-3 beta criteria) Aged 18-60 years; Ability of understand and completing the headache dairy; Volunteering to the study Provide written informed consent. Exclusion Criteria: Not having tension-type headache during the pervious 3 months or having less than 8 episode of tension type headache in serious month. Taking any prophylactic headache medication or complementary and alternative medicine in last 3 month; Secondary Headaches In pregnancy, lactation, or planning to be pregnant in 6 months Having nose bleeding disorders or recurrent infections; Psychiatric diagnosis or medication history

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Yoga Nasal Irrigation Group<br>Saline nasal irrigation using neti pot was practiced. | Other: Jalaneti<br>* Sterilised and lukewarm isotonic salt water using neti pot was poured into one nostril, so that it leaves through the other. The procedure is then repeated on the other side, and the nose is dried by bending forward and by rapid yoga breathing<br>|
| No Intervention: Wait list Control group<br>Group was given usual pain medication. After trial period, they were offered the intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Headache Frequency | Number of days with headache was assessed using headache diary | Change from baseline to 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Headache severity | Mean pain intensity of tension-type headache measured using Visual Analogue Scale from 0-10, 0 defined as no pain and 10 defined as an unbearable pain | Change from baseline to 6 weeks | 
| Duration of Headache | Duration of each headache attack (hours per day) | Change from baseline to 6 weeks | 
| Headache disability | Disability caused by headache was measure using Headache Impact Test (HIT-6). | Change from baseline to 6 weeks |