Trigger Point Massage in Chronic Tension Headache

Study Overview
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Brief Summary
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Patients with IHS criteria of chronic tension headache , considering inclusion and exclusion criteria, enrolled to this study. They will be randomized to intervention or control group by block randomization method, then treat by standard drug( nortriptyline 10 mg daily) or trigger point massage. They report severity, frequency, duration of headaches and number of analgesic drugs in diary during week 1 and week 4. Then data based on dairy will be analysis.

Official Title
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Efficacy of Trigger Points Massage in Severity of Chronic Tension Headache:An Unmasked, Randomized, Controlled Trial

Conditions
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Tension-Type Headache

Intervention / Treatment
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* Other: Massage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chronic tension type headache according to IHS criteria Finding painful trigger point in physical examination no contraindication for massage no prophylactic treatment written inform consent Exclusion Criteria: Dementia or severe cognitive impairment Under Treatment with drugs with prophylactic effect History of RA or Cervicocephalic fracture or other skeletal deformity Other complementary treatment

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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Accepts Healthy Volunteers

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
Interventional Model Description: Case and control group
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Trigger point massage | Other: Massage<br>* Massage the trigger points in 8 different points for 1 min in circle direction and 3 times a day.<br>|
| Active Comparator: Control<br>Treatment with standard drug Nortriptyline | Other: Massage<br>* Massage the trigger points in 8 different points for 1 min in circle direction and 3 times a day.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Headache severity change | By Visual Analogue Scale score,from 0 that indicate no pain to 10 that indicate severe pain | Mean Visual Analogue Scale sore change in week 4 from the baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Headache frequency change | Number of attacks in week | Change in number of attacks in week 4 from the base line | 
| Headache duration change | Time duration ( in minutes)of attacks in week | Change in Time duration in week 4 from the baseline | 
| Number of analgesic change | Number of analgesic drugs used during a week | Change in Number of analgesic drugs used in week 4 from the baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Massage, Trigger point