The Effect of Specific Strength-Training on Tension-Type Headache in Children 9-17 Years
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Purpose
This study aims at examining muscle strength capacity in neck and shoulder muscles in children and adolescents with and without tension-type headache, and furthermore examining the effect of a 10 week specific strength training programme for neck and shoulder muscles compared to a multi-disciplinary approach in 10 weeks.
| Condition | Intervention |
|---|---|
|
Tension-Type Headache |
Device: Specific Strength Training Behavioral: Lifestyle Counseling |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Strength Capacity of Neck and Shoulder Muscles in Children and Adolescents 9-17 Years With Tension Type Headache and the Effect of Specific Strength-Training on Tension-Type Headache |
- Headache [ Time Frame: At baseline ] [ Designated as safety issue: No ]Number of headache days/ 4 weeks. Mean VAS Score (pain)/4 weeks.
- Muscle Capacity [ Time Frame: At baseline ] [ Designated as safety issue: No ]
Neck and shoulder muscle function variables:
MVC(maximal voluntary static capacity). RFD(rate of force development). FS (Force-steadiness).
- Headache [ Time Frame: After the 10 weeks intervention programme ] [ Designated as safety issue: No ]Number of headache days/ 4 weeks. Mean VAS Score (pain)/4 weeks.
- Headache [ Time Frame: At 3 months follow up. ] [ Designated as safety issue: No ]Number of headache days/ 4 weeks. Mean VAS Score (pain)/4 weeks.
- Muscle Capacity [ Time Frame: After the 10 weeks intervention programme ] [ Designated as safety issue: No ]
Neck and shoulder muscle function variables:
MVC(maximal voluntary static capacity). RFD(rate of force development). FS(Force-steadiness).
- Muscle Capacity [ Time Frame: At 3 months follow up. ] [ Designated as safety issue: No ]
Neck and shoulder muscle function variables:
MVC(maximal voluntary static capacity). RFD(rate of force development). FS(Force-steadiness).
- TTS [ Time Frame: At baseline ] [ Designated as safety issue: No ]Total Tenderness Score ( palpation of percranial tenderness).
- Physical fitness [ Time Frame: At baseline ] [ Designated as safety issue: No ]Submaximal ergometer bicycle test
- TTS [ Time Frame: After the 10 weeks intervention programme ] [ Designated as safety issue: No ]Total Tenderness Score ( palpation of pericranial tenderness).
- TTS [ Time Frame: At 3 months follow up. ] [ Designated as safety issue: No ]Total Tenderness Score ( palpation of pericranial tenderness).
- Physical fitness [ Time Frame: After the 10 weeks intervention programme ] [ Designated as safety issue: No ]Submaximal ergometer bicycle test
- Physical fitness [ Time Frame: At 3 months follow up. ] [ Designated as safety issue: No ]Submaximal ergometer bicycle test
| Estimated Enrollment: | 80 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Specific Strength Training
10 weeks of specific strength training of neck and shoulder muscles using elastic resistance.
|
Device: Specific Strength Training
10 weeks of progressive specific strength training for neck and shoulder muscles.
Other Name: A
|
|
Active Comparator: Lifestyle Counseling
10 weeks of counseling by nurse and physiotherapist in lifestyle changes.
|
Behavioral: Lifestyle Counseling
10 weeks of counseling by nurse and physiotherapist in lifestyle changes.
Other Name: B
|
Detailed Description:
Frequent and chronic tension type headache are the most frequent pain illnesses in children with a prevalence of 0.5-7,6%. Frequent or daily headache leads to constraints in the child's life in relation to school and social activities.
The underlying pathophysiological mechanisms are not yet fully examined. In several studies in adults and in children it is found that the shoulder muscles are tense and tender, but it is not known whether this phenomenon is primary or secondary to tension-type headache. A decrease in muscle capacity is furthermore found in studies. We therefore aim at examining parameters for muscle function in order to compare the differences between children with and without headache, and at examining the effect of a 10 week progressive specific strength training programme on headache compared to an in time comparable multidisciplinary intervention based on lifestyle counseling.
Eligibility| Ages Eligible for Study: | 9 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- primary tension-type headache with no more than one episode of migraine pr. month
Exclusion Criteria:
- post-trauma headache
- co-morbidity
Contacts and Locations| Contact: Birte Tornøe, Pt,MSc,Ex.A | +4527595059 | birte.tornoee@regionh.dk |
| Contact: Liselotte Skov, MD,DMSc | +4538681051 | liselotte.skov@regionh.dk |
| Denmark | |
| Birte Tornøe | Recruiting |
| Copenhagen, Herlev, Denmark, 2730 | |
| Contact: Birte Tornøe, PT,MSc,Ex.A. +4527595059 Birte.tornoee@regionh.dk | |
| Contact: Liselotte Skov, MD,DMSc +4540378137 liselotte.skov@regionh.dk | |
| Principal Investigator: Birte Tornøe, PT,MSc,Ex.A. | |
| Principal Investigator: | Birte Tornøe, PT,MSc,Ex.A.doctoral student | Children's Headache Clinic, Herlev University Hospital, 2730 Herlev, Copenhagen-DK |
More Information
No publications provided
| Responsible Party: | Birte Tornoe, Pt MSc, doctoral student, Herlev Hospital |
| ClinicalTrials.gov Identifier: | NCT01155557 History of Changes |
| Other Study ID Numbers: | H-3-2009-081, 2009-41-3697 |
| Study First Received: | June 28, 2010 |
| Last Updated: | August 8, 2012 |
| Health Authority: | Denmark: Ethics Committee |
Keywords provided by Herlev Hospital:
|
Tension-Type Headache Strength Capacity Neck and Shoulder |
Additional relevant MeSH terms:
|
Headache Tension-Type Headache Pain Neurologic Manifestations Nervous System Diseases |
Signs and Symptoms Headache Disorders, Primary Headache Disorders Brain Diseases Central Nervous System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013