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The Journal of Headache and Pain Sep 2014Though migraine and tension type headache are both commonly diagnosed in childhood, little is known about their determinants when diagnosed prior to puberty onset. Our...
BACKGROUND
Though migraine and tension type headache are both commonly diagnosed in childhood, little is known about their determinants when diagnosed prior to puberty onset. Our aim was to determine psychosocial- and health-related risk factors of migraine and tension-type headache in 11 year old children.
METHODS
871 New Zealand European children were enrolled in a longitudinal study at birth and data were collected at birth, 1, 3.5, 7, and 11 years of age. Primary headache was determined at age 11 years based on the International Headache Society. Perinatal factors assessed were small for gestational age status, sex, maternal smoking during pregnancy, maternal perceived stress, and maternal school leaving age. Childhood factors assessed were sleep duration, percent body fat, television watching, parent and self-reported total problem behaviour, being bullied, and depression.
RESULTS
Prevalence of migraine and tension-type headache was 10.5% and 18.6%, respectively. Both migraine and TTH were significantly associated with self-reported problem behaviour in univariable logistic regression analyses. Additionally, migraine was associated with reduced sleep duration, and both sleep and behaviour problems remained significant after multivariable analyses. TTH was also significantly associated with antenatal maternal smoking, higher body fat, and being bullied. For TTH, problem behaviour measured at ages 3.5 and 11 years both remained significant after multivariable analysis. Being born small for gestational age was not associated with either headache group.
CONCLUSIONS
Although they share some commonality, migraine and tension-type headache are separate entities in childhood with different developmental characteristics. The association between primary headache and problem behaviour requires further investigation.
Topics: Adipose Tissue; Bullying; Child; Child Behavior; Child, Preschool; Female; Humans; Infant; Infant, Small for Gestational Age; Longitudinal Studies; Male; Migraine Disorders; New Zealand; Pregnancy; Prenatal Exposure Delayed Effects; Risk Factors; Sleep; Tension-Type Headache
PubMed: 25205384
DOI: 10.1186/1129-2377-15-60 -
American Family Physician Jul 2007
Review
Topics: Amitriptyline; Analgesics, Non-Narcotic; Antidepressive Agents; Biofeedback, Psychology; Chronic Disease; Cognitive Behavioral Therapy; Humans; Incidence; Massage; Mianserin; Mirtazapine; Prevalence; Prognosis; Randomized Controlled Trials as Topic; Relaxation Therapy; Risk Factors; Tension-Type Headache
PubMed: 17668850
DOI: No ID Found -
Medicina (Kaunas, Lithuania) Jul 2022Chronic tension-type headache (TTH) is the type of headache with the highest prevalence. The involvement of musculoskeletal structures in TTH is supported by evidence... (Observational Study)
Observational Study
Chronic tension-type headache (TTH) is the type of headache with the highest prevalence. The involvement of musculoskeletal structures in TTH is supported by evidence in the scientific literature. Among these, deep cervical muscle strength appears to be related to the function of the cervical spine and the clinical characteristics of TTH. This study aimed to correlate anatomical, functional, and psychological variables in patients with TTH. An observational descriptive study was carried out with 22 participants diagnosed with TTH for at least six months. The characteristics of headaches, including ultrasound-based deep neck flexor and extensor muscle thickness, range of motion (ROM), and pressure pain threshold (PPT), were recorded. We also conducted the Pain Vigilance and Awareness Questionnaire (PVAQ) and the Craniocervical Flexion Test (CCFT). Moderate-large negative correlations were found between the PVAQ and the muscle thickness of right deep flexors contracted (r = -0.52; = 0.01), left multifidus contracted (r = -0.44; = 0.04), right multifidus at rest (r = -0.48; = 0.02), and right multifidus contracted (r = -0.45; = 0.04). Moderate-large positive correlations were found between the CCFT score and the left cervical rotation ROM (r = 0.53; = 0.01), right cervical rotation ROM (r = 0.48; = 0.03), muscle thickness of left multifidus contracted (r = 0.50; = 0.02), and muscle thickness of right multifidus at rest (r = 0.51; = 0.02). The muscle thickness of the contracted right deep cervical flexors showed a moderate negative correlation with headache intensity (r = -0.464; = 0.03). No correlations were found between PPT and the rest of the variables analyzed. In patients with TTH, a higher thickness of deep cervical muscles was associated with higher ROM and higher scores in the CCFT. In turn, the thickness of deep cervical muscles showed negative correlations with pain hypervigilance and headache intensity. These results contribute to a better understanding of the physical and psychosocial factors contributing to the development of TTH, which is useful for implementing appropriate prevention and treatment measures.
Topics: Cervical Vertebrae; Headache; Humans; Neck Muscles; Range of Motion, Articular; Tension-Type Headache
PubMed: 35888636
DOI: 10.3390/medicina58070917 -
Australian Family Physician Mar 2014Headache remains the most common cause of neurological consultation in clinical practice for which correct diagnosis and treatment are essential. (Review)
Review
BACKGROUND
Headache remains the most common cause of neurological consultation in clinical practice for which correct diagnosis and treatment are essential.
OBJECTIVE
This article provides a review of headache presentation and management, with an emphasis on chronic headaches and the differentiation between migraine and tension-type headache (TTH).
DISCUSSION
By far the most important diagnostic tool for proper headache diagnosis is the taking of a concise and representative history of the headaches. Migraine and TTH exist along a continuum and identification of the patient's position on this continuum has important implications for management.
Topics: Adrenergic beta-Antagonists; Analgesics; Antidepressive Agents, Tricyclic; Cluster Headache; Diagnosis, Differential; Family Practice; Headache Disorders; Humans; Migraine Disorders; Post-Traumatic Headache; Tension-Type Headache
PubMed: 24600670
DOI: No ID Found -
The Journal of Headache and Pain Apr 2007In most migraine patients acute therapy is needed. Migraine can be treated either with specific drugs, the triptans and ergot alkaloids, or with NSAIDs. Triptans are a... (Review)
Review
In most migraine patients acute therapy is needed. Migraine can be treated either with specific drugs, the triptans and ergot alkaloids, or with NSAIDs. Triptans are a major step foreward in migraine therapy. The therapeutic gain for headache relief is 50% for subcutaneous sumatriptan whereas it is 30-40% for most oral triptans. After oral triptans sustained pain free is only 30%. There is thus still ample room for improvement of acute therapy in migraine. For tension-type headache there is no specific therapy and it is treated with NSAIDs. Only 17-32% become pain free after these drugs. For attacks of cluster headache oxygen and subcutaneous sumatriptan can be used. Intranasal triptans can be an alternative.
Topics: Cluster Headache; Drug Therapy; Humans; Migraine Disorders; Tension-Type Headache
PubMed: 17497267
DOI: 10.1007/s10194-007-0373-z -
BMC Pediatrics Aug 2023Migraine and tension-type headache are common primary headaches in children. There is a risk of developing secondary headache in children. The current study was aimed to...
PURPOSE
Migraine and tension-type headache are common primary headaches in children. There is a risk of developing secondary headache in children. The current study was aimed to evaluate magnetic resonance imaging findings (MRI) in children with migraine or tension-type headache.
METHODS
The study was planned in children with migraine or tension-type headaches who have been followed up in the pediatric neurology outpatient clinic with regular office visits for at least two years and had neuroimaging in the last year.
RESULTS
280 patients (187 female patients) datas were studied. 91 (61 female patients) were followed up with the diagnosis of migraine and 189 (126 female patients) with the diagnosis of tension-type headaches. The age of patients was found to be 13.1 ± 3.4 years. Brain tumor was found in one child with tension-type headache who had papilledema. Incidental MRI findings found 7.7% and 12.7% in migraine and tension-type headache, respectively. MRI findings in the study were arachnoid cyst (14), pituitary adenoma (6), mega cisterna magna (6), pineal cyst (3), non-specific gliosis (2) and tumor (1).
CONCLUSION
Arachnoid cysts were found incidental as the most common MRI finding in children with migraine or tension-type headache. The rare life-threatening secondary headache may develop in children. The fundus examination as a complement to the neurological examination can be useful for requesting MRI.
Topics: Child; Humans; Female; Adolescent; Tension-Type Headache; Migraine Disorders; Headache; Magnetic Resonance Imaging; Neuroimaging; Brain Neoplasms
PubMed: 37649015
DOI: 10.1186/s12887-023-04264-y -
Cephalalgia : An International Journal... May 2023
Topics: Humans; Tension-Type Headache; Migraine Disorders
PubMed: 37177797
DOI: 10.1177/03331024231169240 -
Medicine Apr 2021Tension-type headache (TTH) is the most common form of primary headache with high prevalence, which affects the quantity of life seriously. The pharmacological treatment...
BACKGROUND
Tension-type headache (TTH) is the most common form of primary headache with high prevalence, which affects the quantity of life seriously. The pharmacological treatment of TTH is not the most effective. Meanwhile, complementary therapies and alternative therapies play an essential role in the treatment of TTH, and there is an absence of comparison between various interventions. Therefore, we propose the network meta-analysis protocol to compare the efficacy and safety of various complementary therapies and alternative therapies for TTH.
METHODS
From the beginning to February 2021, we will search the database to collect randomized controlled trials of complementary and alternative therapies for TTH. Two researchers will be responsible for screening retrieve documents, extracting data. The risk of bias will be assessed based on the Cochrane bias risk tool. We will use STATA16.0 and WinBUGS1.4.3 for paired meta-analysis and Bayesian network meta-analysis. The quality of evidence will be assessed using the grading of recommendations assessment development and evaluation.
RESULTS
This study will compare and rank the efficacy and safety of various complementary and alternative treatments for TTH.
CONCLUSIONS
This study will provide more extensive evidence for the complementary and alternative therapies of TTH. We expect to assist clinicians and patients in choosing the optimum treatment.
PROTOCOL REGISTRATION NUMBER
INPLASY202130088.
Topics: Bayes Theorem; Complementary Therapies; Humans; Network Meta-Analysis; Randomized Controlled Trials as Topic; Research Design; Systematic Reviews as Topic; Tension-Type Headache; Treatment Outcome
PubMed: 33879702
DOI: 10.1097/MD.0000000000025544 -
Annals of African Medicine 2023One of the commonest and most frequently said, quoted and understood by even the least educated elements of our society is the neurological symptom of headache. The...
BACKGROUND
One of the commonest and most frequently said, quoted and understood by even the least educated elements of our society is the neurological symptom of headache. The commonly diagnosed and studied headaches are Migraine and Tension type headache [TTH]. Headache has the power to reduce the very essence of a peaceful life and produce a disability in a person.
AIMS AND OBJECTIVES
The aim of our study is to approach the subject with view of correlation of quality of sleep with the disability associated with migraine and compare it to TTH.
MATERIALS AND METHODS
For the same a cross-sectional study design was adopted and a consecutive sampling procedure was adopted. The sample was subjected to basic socio-demography, VAS, PSQI and HDI. Statistical analysis was done on the collected data.
RESULTS
Based on scales the results were evaluated using appropriate statistical methods. It was observed that there was a higher female preponderance in both migraine and TTH, there was severe disability associated and both headaches cause poor sleep quality.
CONCLUSION
The current study concludes that headache is a debilitating illness which causes significant disability to a person.
Topics: Female; Humans; Tension-Type Headache; Sleep Quality; Cross-Sectional Studies; Headache; Migraine Disorders
PubMed: 36695217
DOI: 10.4103/aam.aam_241_21 -
Arquivos de Neuro-psiquiatria Jan 2014The aim of this study was to assess alcohol use problems in patients with migraine and tension-type headache.
OBJECTIVE
The aim of this study was to assess alcohol use problems in patients with migraine and tension-type headache.
METHOD
We evaluated 81 patients with migraine and 62 patients with tension-type headache. The identification of alcohol consumption problems was carried out with Alcohol Use Disorders Identification Test (AUDIT). Alcohol use problem was defined as an AUDIT score of 8 or above. The headache impact was calculated with headache impact test (HIT-6).
RESULTS
The proportions of alcohol use problem among patients with migraine and tension-type headache were 5.2% and 16.1%, respectively (P=0.044). The headache impact was significantly higher with migraine than with tension-type headache (P<0.0001). There was an inverse correlation between headache impact and AUDIT (P=0.043).
CONCLUSIONS
Our results suggest that migraine patients are less prone to alcohol use problems than tension-type headache patients. One of the possible reasons is that migraine is associated with greater impact than tension-type headache.
Topics: Adult; Aged; Alcoholic Beverages; Alcoholism; Female; Humans; Male; Middle Aged; Migraine Disorders; Risk Factors; Severity of Illness Index; Socioeconomic Factors; Statistics, Nonparametric; Tension-Type Headache
PubMed: 24637978
DOI: 10.1590/0004-282X20130186