The effectiveness of EMG biofeedback training for tension headache has been well established. Previous studies evaluating changes in an average EMG activity score from pre- to posttreatment have not consistently found a relationship between a reduction in average EMG activity and headache improvement at posttreatment. The current study is a preliminary analysis of the utility of EMG variance as...

The present guidelines were developed under the auspices of the International Headache Society because of the need ‘‘to improve the quality of controlled trials of drug treatments in tension-type headache’’. They follow the Guidelines for controlled trials of drugs in migraine (1) and are presented along the same lines. Good quality controlled trials are the only way to demonstrate convincingly...

From January to June 2003 we determined the prevalence of the various types of headache in 2226 schoolchildren in Shiraz (age 6-13 years) selected by multistage random sampling. Data were collected by questionnaire and clinical examination. International Headache Society criteria were used for diagnosis. The overall prevalence of headache was 31%. Prevalence rates of migraine and tension-type h...

BACKGROUND To determine the differences of precipitating and relieving factors between migraine and tension type headache. METHODS This is a cross sectional study. We retrospectively reviewed the records of 250 migraine patients and 250 patients diagnosed as tension type headache from the specialized headache clinic in Dept. of Neurology, Dhaka Medical College Hospital. Data were collected th...

(CDH) in adults. The International Headache Society (IHS) Classification,2,3 does not incorporate CDH as a separate entity. Silberstein et al4 proposed a classification for CDH; they recognized that further modifications to their proposal would occur. Gladstein et al5 highlighted the need to study CDH in ABSTRACT: Objective: Characterize chronic daily headache in those less than 20 years of age...

Plasma amino acids were analysed in patients with migraine with (9) and without (80) aura, in patients with tension headache (14) and in controls (62). The neuroexcitatory amino acids glutamic acid, glutamine, glycine, cysteic acid and homocysteic acid were elevated in migraine patients while total thiols (cysteine/cystine) were reduced. Patients with tension headache had values which were simi...

Therapeutic mechanisms hypothesized to underlie improvements in tension headache activity achieved with combined relaxation and electromyographic (EMG) biofeedback therapy were examined. These therapeutic mechanisms included (1) changes in EMG activity in frontal and trapezii muscles, (2) changes in central pain modulation as indexed by the duration of the second exteroceptive silent period (ES...

Primary headache syndromes may generally be distinguished as being either episodic, such as typical migraine or cluster headache, or chronic, such as chronic tension-type headache (CTTH) or hemicrania continua. In truth it is chronic headache, and most particularly chronic daily headache (CDH) in its various forms, that gives the sub-speciality of headache a bad name. Daily headache in all its ...

Migraine and tension-type headache (TTH) are highly prevalent primary headaches that remain underdiagnosed and undertreated in clinical practice. The similarities and differences between migraine and TTH may impose diagnostic challenges as well as management difficulties. In addition, the possibility of migraine chronification or transformation in daily or near-daily headache raises the potenti...