250 results match your criteria Muscle Contraction Tension Headache

Clinical observation of warming acupuncture and moxibustion at the temples combined with Deanxit in the treatment of tension headache with anxiety and depression: a retrospective study.

Ann Palliat Med 2021 May;10(5):5541-5548

Baotou Medical College, Baotou, China.

Background: Tension-type headache (TTH), also called muscle contraction headache or neurological headache, is mainly characterized by chronic and persistent bilateral headache in the neck and a severe sense of restraint in the head. This study aims to analyze the effect of warming acupuncture and moxibustion at temples combined with Deanxit on tension headache.

Methods: A total of 252 patients with anxiety and tension headache were randomly divided into routine group and study group. Read More

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Comparing neck extensor muscle function in asymptomatic Canadian adults and adults with tension-type headache: a cross-sectional study.

BMJ Open 2019 05 10;9(5):e020984. Epub 2019 May 10.

Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.

Aim: To further the understanding of the pathophysiological mechanisms underlying tension-type headache (TTH) by comparing the endurance and strength of neck extensor muscles under acute muscle fatigue in participants with TTH and asymptomatic participants.

Methods: We conducted a cross-sectional analysis of neck extensor muscle performance. Asymptomatic participants and participants with TTH were recruited via social media platforms and from the Université du Québec à Trois-Rivières community and employees. Read More

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Anatomic considerations in headaches associated with cervical sagittal imbalance: A cadaveric biomechanical study.

J Clin Neurosci 2019 Jul 12;65:140-144. Epub 2019 Mar 12.

Edward Hines Jr. VA Hospital, Hines, IL, USA; Loyola University Medical Center Dept. of Orthopaedic Surgery, Maywood, IL, USA. Electronic address:

Chronic Forward Head Posture is associated with headaches, neck pain, and disability, though few studies have investigated the effects it has on the suboccipital triangle. The objective of this study was to quantitatively assess whether the biomechanical changes in the suboccipital triangle help explain the clinical manifestations of Forward Head Posture. Specifically, this study aimed to identify whether the Greater Occipital Nerve or C2 nerve root may be compressed in Forward Head Posture. Read More

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The pharyngeal recess/Eustachian tube complex forms an acoustic passageway.

M J O Boedts

Med Hypotheses 2018 Dec 18;121:112-122. Epub 2018 Sep 18.

Brai3n Neuromodulation Centre, Jemappesstraat 5, 9000 Gent, Belgium; AZ Maria Middelares, Buitenring 30, 9000 Gent, Belgium. Electronic address:

We propose that the complex formed by the Pharyngeal Recess and Eustachian Tube, acts as an acoustic passageway for sounds originating inside the body: sounds made by one's voice, breathing, mastication, one's heartbeats. The antagonistic effect of two sets of muscles, one innervated by the trigeminal nerve, the other by the vagal nerve and cervical plexus, enables the body to modulate transmission of sound via this passageway and hence modulate the awareness of body sounds. Impairment of this system can be due to local factors, such as adhesions over the pharyngeal recess or inflammation inside the pharyngeal recess and/or Eustachian tube; or to tensions of the muscles involved, related to other causes. Read More

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December 2018

Association Between Trapezius Muscle Tenderness and Tension-Type Headache in Female Office Workers: A Cross-sectional Study.

J Manipulative Physiol Ther 2018 Jul - Aug;41(6):483-487. Epub 2018 Aug 8.

National Research Center for the Working Environment, Copenhagen Ø, Denmark; Physical Activity and Human Performance Group, SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

Objective: The purpose of the study was to determine the association between trapezius muscle tenderness and tension-type headache among female office workers.

Methods: Through a questionnaire survey, 256 female office workers with tension-type headaches reported the level of palpable tenderness ("no," "some," or "severe tenderness") in the trapezius muscle. The number of days with headache ("0-7," "8-14," or ">14"), intensity ("low," "moderate," or "high"), duration of headache ("<8 hours per day," ">8 hours per day," and "all day"), and use of analgesic medications were reported. Read More

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October 2019

Modulation of Jaw Muscle Motor Response and Wake-Time Parafunctional Tooth Clenching With Music.

J Oral Facial Pain Headache 2018 02 28;32(2):167–177. Epub 2018 Feb 28.

Aims: To evaluate the effects of Guided Music Listening (GML) on masticatory muscles and on the amplitude of wake-time tooth clenching in individuals with higher vs lower frequency of clenching episodes.

Methods: The electromyographic (EMG) activity of the right masseter was recorded during three 20-minute music (relaxing, stress/tension, and favorite) tasks and a control no-music task in 10 (mean age ± standard deviation [SD] = 21.4 ± 3. Read More

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February 2018

Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo Controlled Trial.

Am J Phys Med Rehabil 2017 Sep;96(9):639-645

From the College of Nursing, University of Colorado at Denver, Aurora (AFM, SJS); Department of Neurology, School of Medicine, University of North Carolina, Chapel Hill (JDM); Boulder College of Massage Therapy, Boulder, Colorado (NB); and Colorado Pain, Golden (JPK).

Objective: This study aimed to assess the effects of single and multiple massage treatments on pressure-pain threshold (PPT) at myofascial trigger points (MTrPs) in people with myofascial pain syndrome expressed as tension-type headache.

Design: Individuals (n = 62) with episodic or chronic tension-type headache were randomized to receive 12 twice-weekly 45-min massage or sham ultrasound sessions or wait-list control. Massage focused on trigger point release (ischemic compression) of MTrPs in the bilateral upper trapezius and suboccipital muscles. Read More

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September 2017

Morphology of muscular function in chronic tension-type headache: a pilot study.

Acta Neurol Belg 2016 Sep 6;116(3):317-24. Epub 2015 Oct 6.

Department of Neurology, Mashhad University of Medical Sciences, Mashhad, Iran.

Chronic pain has been thought to induce muscular changes in chronic tension-type headache (CTTH) patients. As the knowledge of muscular responses in CTTH is inconsistent, we decided to introduce new electromyogram signal shape descriptors. We also wanted to compare the discriminatory power of proposed indices with classical measures to establish their potential to act as markers for CTTH. Read More

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September 2016

Analysis of dimensions, activation and median frequency of cervical flexor muscles in young women with migraine or tension-type headache.

Braz J Phys Ther 2015 May-Jun;19(3):243-50. Epub 2015 Jun 12.

Departamento de Fisioterapia, UFPE, Recife, PE, Brazil.

Background: Central and peripheral mechanisms may be involved in migraine and tension-type headache pathogenesis, however the role of muscle disorders in their pathophysiological mechanisms remains unclear.

Objectives: To assess the association between the presence of migraine or tension-type headache and changes in longus colli muscle dimensions and sternocleidomastoid muscle activity.

Method: An observational study with 48 women comparing the following groups: migraine (n=21), tension-type headache (n=16), and control (n=11). Read More

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Neck and shoulder muscle strength in patients with tension-type headache: A case-control study.

Cephalalgia 2016 Jan 1;36(1):29-36. Epub 2015 Apr 1.

Danish Headache Centre, Department of Neurology, University of Copenhagen, Glostrup Hospital, Denmark.

Introduction: Tension-type headache (TTH) is highly prevalent in the general population, and it is characterized by increased muscle tenderness with increasing headache frequency and intensity.

Aim: The aim of this case-control study was to compare muscle strength in neck and shoulder muscles in TTH patients and healthy controls by examining maximal voluntary isometric contraction (MVC) during shoulder abduction, neck flexion and extension as well as the extension/flexion strength ratio of the neck.

Methods: Sixty TTH patients and 30 sex- and age-matched healthy controls were included. Read More

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January 2016

Pressure pain and isometric strength of neck flexors are related in chronic tension-type headache.

Pain Physician 2015 Mar-Apr;18(2):E201-5

Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical, Amsterdam, Netherlands.

Background: In patients with chronic tension-type headache (CTTH) changes in pressure pain in the cervical region are associated with peripheral or central sensitization. It is hypothesized that an increase of isometric strength of neck flexors would lead to a decrease of pressure pain in CTTH, as an expression of reduced peripheral or central sensitization

Objective: In this study we aimed to analyze the correlation between change in isometric strength of the neck flexors and change in pressure pain scores (PPS) in patients with CTTH.

Study Design: Comparative analysis of data from previous study. Read More

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October 2015

Effects of sumatriptan nasal spray (Imigran) on isolated rat's tracheal smooth muscle.

Eur Arch Otorhinolaryngol 2015 Oct 14;272(10):2861-5. Epub 2014 Nov 14.

Department of Otolaryngology-Head and Neck Surgery, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.

Sumatriptan (Imigran) is a potent and highly selective 5-HT1 receptor agonist often used in treating acute migraine. Intranasal sumatriptan is well absorbed and is generally effective in relieving headache. However, the effects of Imigran given intratracheally have rarely been well explored. Read More

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October 2015

Reduced neck-shoulder muscle strength and aerobic power together with increased pericranial tenderness are associated with tension-type headache in girls: A case-control study.

Cephalalgia 2014 Jun 18;34(7):540-7. Epub 2013 Dec 18.

Department of Health Sciences, Lund University, Sweden.

Background: Tension-type headaches (TTH) are common among children worldwide and mean a potential risk of disability and medication overuse headache. The associated mechanisms, however, remain unsolved. Our study investigated muscle strength in the neck-shoulder region, aerobic power and pericranial tenderness in girls with TTH compared with healthy controls. Read More

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Test-retest repeatability of strength capacity, aerobic power and pericranial tenderness of neck and shoulder muscles in children - relevant for tension-type headache.

J Pain Res 2013 28;6:643-51. Epub 2013 Aug 28.

Department of Health Sciences, Lund University, Scania, Sweden ; Children's Headache Clinic, Department of Pediatrics, University of Copenhagen, Herlev Hospital, Herlev, Denmark ; Department of Physiotherapy and Occupational Therapy, University of Copenhagen, Glostrup Hospital, Glostrup, Denmark ; Department of Physiotherapy, Medical Department, University of Copenhagen, Herlev Hospital, Herlev, Denmark.

Background: Frequent or chronic tension-type headache in children is a prevalent and debilitating condition for the child, often leading to medication overuse. To explore the relationship between physical factors and tension-type headache in children, the quality of repeated measures was examined. The aim of the present study was to determine the test-retest repeatability of parameters determining isometric neck and shoulder strength and stability, aerobic power, and pericranial tenderness in children. Read More

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September 2013

Surgical desensitisation of the mechanoreceptors in Müller's muscle relieves chronic tension-type headache caused by tonic reflexive contraction of the occipitofrontalis muscle in patients with aponeurotic blepharoptosis.

J Plast Surg Hand Surg 2013 Feb 4;47(1):21-9. Epub 2012 Dec 4.

Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.

Proprioceptively innervated intramuscular connective tissues in Müller's muscle function as exterior mechanoreceptors to induce reflex contraction of the levator and occipitofrontalis muscles. In aponeurotic blepharoptosis, since the levator aponeurosis is disinserted from the tarsus, stretching of the mechanoreceptors in Müller's muscle is increased even on primary gaze to induce phasic and tonic reflexive contraction of the occipitofrontalis muscle. It was hypothesised that in certain patients with aponeurotic blepharoptosis, the presence of tonic reflexive contraction of the occipitofrontalis muscle due to the sensitised mechanoreceptors in Müller's muscle, can cause chronic tension-type headache (CTTH) associated with occipitofrontalis tenderness. Read More

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February 2013

Differential patterns of muscle modification in women with episodic and chronic tension-type headache revealed using surface electromyographic analysis.

J Electromyogr Kinesiol 2013 Feb 1;23(1):110-7. Epub 2012 Sep 1.

Department of Neurology, Hallym University College of Medicine, Chuncheon, Republic of Korea.

Tension-type headache (TTH) is a prototypical disorder in which muscular factors play a key role in the pathogenesis. This study was designed to understand muscular dysfunction in patients with episodic (ETTH) and chronic TTH (CTTH) using surface electromyography analysis (SEMG). Women with frequent ETTH (n = 14), CTTH (n = 14) and age-matched controls (n = 13) were recruited. Read More

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February 2013

The role of muscles in tension-type headache.

Curr Pain Headache Rep 2011 Dec;15(6):451-8

Department of Neurology, Danish Headache Centre, Glostrup Hospital, University of Copenhagen, Denmark.

The tenderness of pericranial myofascial tissues and number of myofascial trigger points are considerably increased in patients with tension-type headache (TTH). Mechanisms responsible for the increased myofascial pain sensitivity have been studied extensively. Peripheral activation or sensitization of myofascial nociceptors could play a role in causing increased pain sensitivity, but firm evidence for a peripheral abnormality still is lacking. Read More

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December 2011

The contribution of clinical neurophysiology to the comprehension of the tension-type headache mechanisms.

Clin Neurophysiol 2011 Jun 22;122(6):1075-85. Epub 2011 Feb 22.

Headache Clinic INI, Grottaferrata, Italy.

So far, clinical neurophysiological studies on tension-type headache (TTH) have been conducted with two main purposes: (1) to establish whether some neurophysiological parameters may act as markers of TTH, and (2) to investigate the physiopathology of TTH. With regard to the first point, the present results are disappointing, since some abnormalities found in TTH patients may be frequently observed also in migraineurs. On the other hand, clinical neurophysiology has played an important role in the debate about the pathogenesis of TTH. Read More

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[Treatment of tension type headache: paracetamol and NSAIDs work: a systematic review].

Ned Tijdschr Geneeskd 2010 ;154:A1924

Erasmus MC, Afd. Huisartsgeneeskunde, Rotterdam, the Netherlands.

Objective: Tension-type headache (TTH), also known as tension headache or muscle contraction headache is the most commonly experienced type of headache. Our aim was to evaluate the effectiveness of interventions in patients with TTH.

Method: We performed a systematic review according to the guidelines of the Cochrane Collaboration. Read More

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September 2010

Human resting muscle tone (HRMT): narrative introduction and modern concepts.

J Bodyw Mov Ther 2008 Oct 7;12(4):320-32. Epub 2008 Jul 7.

University of Illinois College of Medicine at Peoria, Peoria, IL 61656, USA.

Human resting muscle (myofascial) tone (HRMT) is the passive tonus or tension of skeletal muscle that derives from its intrinsic (EMG-silent) molecular viscoelastic properties. The word tone has been used to convey varying clinical and physiological features that have led to confusion and controversy. HRMT is the vital low-level, passive tension, and resistance to stretch that contributes importantly to maintain postural stability in balanced equilibrium positions. Read More

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October 2008

Facial pain and headache associated with brachial plexus compression in the thoracic inlet.

Microsurgery 2008 ;28(5):347-50

Dellon Institute for Peripheral Nerve Surgery, Baltimore, MD 21218, USA.

Among the sources for confusion related to brachial plexus compression in the thoracic inlet are the name for this clinical entity (thoracic outlet syndrome) and the fact that some of its associated symptoms occur outside the upper extremity, such as face and neck pain (FP) and occipital headaches (OH). With the realization that scalenus anticus (SA) contraction is the primary source of brachial plexus compression, it is possible to understand the occurrence of both FP and OH in this syndrome. It was hypothesized that SA contraction compresses the cervical plexus as it exits deep to this muscle. Read More

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November 2008

Role of temporalis muscle over activity in chronic tension type headache: effect of yoga based management.

Indian J Physiol Pharmacol 2007 Oct-Dec;51(4):333-44

Department of Physiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

The role of central versus peripheral mechanisms has always been questioned while explaining the etiopathogenesis of chronic tension type headache (CTTH). The following study was done to study the role of muscle spasm in CTTH. 15 patients of CTTH and 7 age matched controls were included in the study and their m. Read More

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Change mechanisms in EMG biofeedback training: cognitive changes underlying improvements in tension headache.

Jeanetta C Rains

Headache 2008 May;48(5):735-6; discussion 736-7

Center for Sleep Evaluation, Elliot Hospital, Manchester, NH, USA.

Forty-three college students suffering from recurrent tension headache were randomly assigned to 1 of 4 electromyographic (EMG) biofeedback training conditions. Although all subjects were led to believe they were learning to decrease frontal EMG activity, actual feedback was contingent on decreased EMG activity for half of the subjects and increased EMG activity for the other half. Within these 2 groups, subjects also viewed bogus video displays designed to convince them they were achieving large (high success) or small (moderate success) reductions in EMG activity. Read More

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Cervical muscle co-activation in isometric contractions is enhanced in chronic tension-type headache patients.

Cephalalgia 2008 Jul 5;28(7):744-51. Epub 2008 May 5.

Centre for Sensory-Motor Interaction, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

The purpose of the study was to compare the co-activation of cervical agonist and antagonist muscles between people with chronic tension-type headache (CTTH) and healthy controls during brief isometric cervical flexion and extension contractions. Nine women with CTTH and 10 matched controls participated. Surface electromyographic (EMG) signals were detected from the sternocleidomastoid and splenius capitis muscles bilaterally during cervical flexion and extension contractions of linearly increasing force from 0% to 60% of the maximum voluntary contraction (MVC) in 3 s. Read More

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The electromyographic activity of masseter and anterior temporalis during orofacial symptoms induced by experimental occlusal highspot.

J Oral Rehabil 2008 Feb;35(2):79-87

Department of Prosthodontics, Peking University School of Stomatology, Beijing, China.

The aim of the present study was to investigate the short-term impact of an occlusal highspot on the occurrence of orofacial symptoms by collecting self-evaluation and using electromyography (EMG) evaluation. A rigid unilateral intercuspal occlusal highspot (A cast onlay of 0.5 mm) was placed on the right lower first molar of six adult volunteers (three males, three females), and remained for 6 days. Read More

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February 2008

Association of cross-sectional area of the rectus capitis posterior minor muscle with active trigger points in chronic tension-type headache: a pilot study.

Am J Phys Med Rehabil 2008 Mar;87(3):197-203

Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation of Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.

Objective: To investigate whether cross-sectional area (CSA) of the suboccipital muscles was associated with active trigger points (TrPs) in chronic tension-type headache (CTTH).

Design: Magnetic resonance imaging (MRI) of the cervical spine was performed in 11 females with CTTH aged from 26 to 50 yrs old. CSA for both rectus capitis posterior minor (RCPmin) and rectus capitis posterior major (RCPmaj) muscles were measured from axial T1-weighted images, using axial MRI slices aligned parallel to the C2/3 intervertebral disc. Read More

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Force production and EMG activity of neck muscles in adolescent headache.

Disabil Rehabil 2008 ;30(3):231-9

Department of Physical and Rehabilitation Medicine, Turku University Central Hospital, Turku, Finland.

Purpose: This study compared the maximal force, EMG/force ratio and co-activation characteristics of the neck-shoulder muscles between 30 adolescents with migraine-type headache, 29 with tension-type headache, and 30 headache-free controls.

Method: Force was measured with surface electromyography (EMG) from the cervical erector spinae (CES), the sternocleidomastoid (SCM) and trapezius muscles during the maximal isometric neck flexion, neck extension and shoulder flexion.

Results: Girls with migraine-type headache had higher EMG/force ratios between the EMG of the left agonist SCM muscle and the corresponding maximal neck flexion (p = 0. Read More

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Neck flexor muscle fatigue in adolescents with headache: an electromyographic study.

Eur J Pain 2007 Oct 8;11(7):764-72. Epub 2007 Feb 8.

Department of Physical and Rehabilitation Medicine, Turku University Central Hospital, FIN-20521, Turku, Finland.

Background: Muscular disorders of the neck region may be of importance for the etiology of tension-type headache. However, in adolescents, there are no data on the association between neck muscle fatigue and headache.

Aim: To study differences in fatigue characteristics of the neck flexor muscles in adolescents with and without headache. Read More

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October 2007