THE EFFECT OF BODY AWARENESS THERAPY AND AEROBIC EXERCISES ON PAIN AND QUALITY OF LIFE IN THE PATIENTS WITH TENSION TYPE HEADACHE

Meral Sertel, Yeşim Bakar, Tülay Tarsuslu Şimşek, Meral Sertel, Yeşim Bakar, Tülay Tarsuslu Şimşek

Abstract

Background: This study is to investigate the effect of Body Awareness Therapy (BAT) and Aerobic Exercises on pain and quality of life in patients with Tension-Type Headache (TTH).

Materials and method: Sixty individuals with TTH diagnosis who referred Neurologist were incorporated into study. The individuals were randomly grouped into 3 as BAT (n=20), aerobic exercise (n=20) and control group (n=20). Pain severity of the individuals was evaluated by Visual Analog Scale (VAS) and pain diary, disability with ache; by Pain Disability Index (PDI) and Headache Impact Tests (HIT) and quality of life was evaluated by SF-36. Subsequent to first assessments, 3 sessions of 60 minutes per week throughout 6 weeks totally.

Results: When the groups were compared at the end of the study, a significant decrease was observed in VAS, PDI and HIT values in the individuals in the BAT and aerobic exercise groups. With the individuals in group BAT and aerobic exercise all parameters of quality of life were observed to be increased significantly.

Conclusion: BAT and aerobic exercise programs to be applied on TTH patients were concluded to be important in decreasing the pain, in increasing the quality of life and in reducing pain-related daily constraints of the individuals.

Keywords: Tension-type headache; aerobic exercise; body awareness therapy; quality of life.

Conflict of interest statement

Conflict of interest: The authors declare that there is no conflict of interests regarding the publication of this article.

References

    1. Bendtsen L, Jensen R. Tension-type headache. Neurol Clin. 2009;27:525–535.
    1. Bendtsen L, Fernandez-de-la-Penas C. The role of muscle in tension-type headache. Curr Pain Headache Rep. 2011 DOI 10.1007/s11916-011-0216-0.
    1. Biçer A, Yazıcı A, Camdeviren H, Erdoğan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil. 2004;26(16):959–962.
    1. Bigal ME, Lipton RB. The epidemyology, burden, and comorbidities of migraine. Neurol Clin. 2009;27(2):321–334.
    1. Biondi DM. Classification and diagnosis of headache disorders. Seminars in Pain Med. 2004;2:2.
    1. Biondi DM. Physical treatments for headache: A structured review. Headache. 2005;45:738–746.
    1. Blaschek A, Milde-Busch A, Straube A, Schankin C, Langhagen T, Jahn K, Schröder SA, Reiter K, von Kries R, Heinen F. Self-reported muscle pain in adolescents with migraine and tension-type headache. Cephalalgia. 2012;32:241.
    1. Boes CJ, Capobianco DJ, Cutrer FM, Dodick DW, Eross EJ, Swanson JW. Headache and Other Craniofacial Pain. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, editors. Neurology in Clinical Practice, The neurological disorders. 4th Ed. Philadelpia, USA: 2004. pp. 2055–2106.
    1. Borg G. Borg’s Perceived PExertion and Pain Scales. USA: Human Kinetics; 1998.
    1. Busch V, Gaul C. Exercise in migraine therapy: is there anyevidence for efficacy? A critical review. Headache. 2008;48:890–899.
    1. Canady BE. Master Thesis. Marshall University Department of Phychology; Hungtington, West Virginia: 2002. The effects of regular aerobic exercise on tension headache; p. 24.
    1. Center T. Tension headache fact sheet. Medical Appointments. 2000;510:642.
    1. Crystal SC, Robbins MS. Epidemyology of tension-type headache. Curr Pain Headache Rep. 2010;14:449–454.
    1. Davis MA, Kononowech RW, Rolin SA, Spierings EL. Acupuncture for tension-type headache: A meta-analysis of randomized, controlled trials. J Pain. 2008;9(8):667–677.
    1. Diamond S. Tension-type headache. Headache. 1999;1(6):33–44.
    1. Dittrich SM, Günther V, Franz G, Burtscher M, Holzner B, Kopp M. Aerobic exercise with relaxation: Influence on pain and psychological well-being in female migraine patients. Clin J Sport Med. 2008;18:363–365.
    1. D’Souza PJ, Lumley MA, Kraft CA, Dooley JA. Relaxation training and written emotional disclosure for tension or migraine headaches: a randomized, controlled trial. Ann Behav Med. 2008;36:21–32.
    1. Ertaş M, Baykan B, Orhan EK, Zarifoğlu M, Karli N, Saip S, Onal AE, Siva A. One-year prevalance and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain. 2012;13:147–157.
    1. Fernandez-de-las-Penas C, Blanco CA, Cuadrado ML, Miangolarra JC, Barriga FJ. Are manuel therapies effective in reducing pain from tension-type headache? Clin J Pain. 2006;22:278–285.
    1. Fernandez-de-las-Penas C. Physical therapy and exercise in headache. Cephalalgia. 2008;28:36.
    1. Furnal A, Schoenen J. Tension-type headache: current research and clinical management. Lancet Neurol. 2008;7:70–83.
    1. Gard G. Body awareness therapy for patients with fibromyalgia and chronic pain. Disabil Rehabil. 2005;27(12):725–728.
    1. Giacomini PG, Alessandrini M, Evangelista M, Napolitano Lanciani R, Camaioni D. Impaired postural control in patients affected by tension-type headache. Eur J Pain. 2004;8:579–583.
    1. Groot FM, Voogt-Bode A, Passchier J, Berger MY, Koes BW, Verthagin AP. Headache: The placebo effects in the control groups in randomized clinical trials;an analysis of systematic reviews. J Manip Physiol Ther. 2011;34:297–305.
    1. Guyton AC, Hall J. In: Çavuşoğlu H. 9. Tıbbi Fizyoloji Çev., editor. Basım, Nobel Tıp Kitabevleri: İstanbul; 1996.
    1. Hedlund L, Gyllensten AL. The experiences of basic body awareness therapy in patients with schizophrenia. J Bodyw Mov. 2010;14:245–254.
    1. Holroyd KA, O’Donnell FJ, Stensland M, Lipchik GL, Cordingley GE, Carlson BW. Management of chronic tension-type headache with tricyclic antidepressant medication, stress management therapy, and their combination. JAMA. 2001;285(17):2208–2215.
    1. 2000 . HIT-6TM Turkey (Turkish) version. Available date: 04.11.2011.
    1. Jensen R. Peripheral and central mechanisms in tension-type headache: an update. Cephalalgia. 2003;23:49.
    1. Jensen R. Diagnosis, epidemiology, and impact of tension-type headache. Curr Pain Headache Rep. 2003;2:455–459.
    1. Jensen R. Mechanisms of tension-type headache. Cephalalgia. 2001;21:786.
    1. Jensen R, Olesen J. Tension-type headache: an update on mechanisms and treatment. Curr Opin Neurol. 2000;13:285–289.
    1. Kanji N, White AR, Ernst E. Autogenic training for tension type headaches: A systematic review of controlled trials. Complement Ther Med. 2006;14:144–150.
    1. Koçyiğit H, Aydemir Ö, Figen G, Ölmez N, Memiş A. Kısa form-36’nın türkçe versiyonunun güvenilirliliği ve geçerliliği. İlaçve Tedavi dergisi. 1999;2(12):102–6.
    1. Kosinski M, Bayliss MS, Bjorner JB, Ware JE, Garber WH, Batenhorst A, et al. A six-item short-form survey for measuring headcahe impact: The HIT-6TM. Qual Life Res. 2003;2003;12:963–974.
    1. Köseoğlu E, Akboyraz A, Soyuer A, Ersoy A. Ö. Aerobic exercise and plasma beta endorphin levels in patients with migrainous headache without aura. Cephalalgia 2003. 2003;23:972–976.
    1. Landsman-Dijkstra JJA, Wijck R, Groothoff JW, Rispens P. The short-term effects of a body awareness program: better self-management of health problems for individuals with chronic α-specific psychosomatic symptoms. Patient Educ Couns. 2004;55:155–167.
    1. Lenssinck MB, Damen L, Verhagen AP, Berger MY, Passchier J, Koes BW. The effectiveness of physiotherapy and manipulation in patients with tension-type headache: a systematic review. Pain. 2004;112:381–388.
    1. Malmgren-Olsson EB, Armelius BA, Armelius K. A comparative outcome study of body awareness therapy, feldenkrais, and conventional physiotherapy for patients with nonspesific musculoskeletal disorders: changes in psychological symtoms, pain, and self-image. Physiother Theory Pract. 2001;17:77–95.
    1. Mannix LK, Chandurkan RS, Rybicki LA, Tusek DL, Solomon GD. Effect of guided imargery on quality of life for patients with chronic tension-type headache. Headache. 1999;39:326–334.
    1. McGeeney BE. Tension-type headache. Techs Reg Anesth Pain Manag. 2009;13:16–19.
    1. Melzack R, Coderre TJ, Katz J, Vaccarino AL. Central neuroplasticity and pathological pain. Ann NY Acad Sci. 2001;933:157–174.
    1. Millea PJ, Brodie JJ. Tension-type headache. Am Fam Physician. 2002;66:797–805.
    1. Niere K, Quin A. Development of a headache-specific disability questionnaire for patients attending physiotherapy. Manual Ther. 2009;14:45–51.
    1. Olesen J. Are headache disorders caused by neurobiological mechanisms? Curr Opin Neuro. 2006;19:277–280.
    1. Osün Narin S, Pınar L, Erbaş D, Öztürk V, Idiman D. The effects of exercise and exercise-related changes in blood nitric oxide level on migraine headache. Clin Rehabil. 2003;17:624.
    1. Paiva T, Nunes JS, Moreira A, Santos J, Teixeira J, Barbosa A. Effects of frontalis EMG Biofeedback and diazepam in treatment of tension headache. Headache. 1982;22:216–220.
    1. Peñacoba-Puente C, Fernández-de-las-Peñas C, González-Gutierrez JL, Miangolarra-Page JC, Pareja JA. Interaction between anxiety, depression, quality of life and clinical parameters in chronic tension-type headache. Europ J Pain. 2008;12(7):886–894.
    1. Ropper AH, Samuels MA. In: Adams and Victor’s Principles of Neurology. 9th Ed. Samuels MA, editor. New York: McGraw-Hill Companies; 2009.
    1. Roxendal G. Thesis. Gothenburgh University; Gothenburgh, Sweden: 1985. Body awareness therapy and the body awareness scale: treatment and evaluation in psychiatric physiotherapy.
    1. Sierpina V, et al. Mind-body therapies for headache. Am Fam Physicians. 2007;76:1518–24.
    1. Söderberg EI, Astin J, Giordano J. Subjective well-being in patients with chronic tension-type headache: Effect of acapuncture, physical training, and relaxation training. Clin J Pain. 2011;27:448–456.
    1. Strong J, Unruh AM, Wrinht A, Baxter GD, Wall PD. Pain: A Textbook for Therapists. 1nd Ed. London: Churchill Livingstone; 2002.
    1. Stovner L.J, Hagen K, Jensen R, Katsarava Z, Lipton RB, Scher AI, Steiner TJ, Zwart JA. The global burden of headache: a decumention of headache prevalence and disability wordwide. Cephalalgia. 2007;27:193–210.
    1. Torelli P, Jensen R, Olesen J. Physioteherapy for tension-type headache: a controlled study. Cephalalgia. 2004;24:29.
    1. Toro-Velasco C, Arroyo-Morales M, Fernandez-de-las-Penas C, Cleland JA, Barrero-Hema’ndez FJ. Short-term effects of manual therapy on heart rate variability, mood state, and pressure pain sensitivity in patients with chronic tension-type headache: A pilot study. J Manip Physiol Ther. 2009;32:527–535.
    1. Varkey E, Cider A, Carlsson J, Linde M. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache. 2009;49:563–570.
    1. Vernon H, McDermaid CS, Hagino C. Systematic review of randomized clinical trials of complementary/alternative therapies in the treatment of tension-type and cervicogenic headache. Complement Ther Med. 1999;7:142–155.
    1. Yang M, Rendas-Baum R, Varon SF, Kosinski M. Validation of the headache impact test (HIT-6TM) across episodic and chronic migraine. Cephalalgia. 2010;31(3):357–367.

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