The Effects of Connective Tissue Massage and Lifestyle Modifications in Adolescents Tension Type Headache
The Effects of Connective Tissue Massage and Lifestyle Modifications in Adolescents Tension Type Headache
The purpose of this study is to investigate the effects of connective tissue massage and
 lifestyle modifications in adolescents tension type headache, pain severity, pain duration,
 pain frequency and quality of life and pressure pain threshold rates. The patients will be
 accepted to study according to 'The International Classification of Headache Disorders-III'
 criteria. Including criteria are; being between 10-19 ages adolescents, suffering from
 tension type headache at least for 6 months, pain severity between 4-7 on visual analog
 scale. Excluding criteria are; current pregnancy, having any history of cancer, traffic
 accident, head trauma and any kind of neurological disorder. Patients will be divided into
 two groups randomly. The investigators plan to receive 30 patients to the study. 15 of them
 will be in control group, 15 in study group. Control group will just receive some advices
 including life style modifications, like using right glasses, not smoking, true posture
 habits and regular and quality sleep habits. In addition to life style modifications, the
 other group will be treated with connective tissue massage. Connective tissue massage will be
 applied on basic part, lower thoracic, scapular, inter scapular and neck regions, 5 times a
 week, totally 20 sessions in a month. Each session lasts approximately 20-30 minutes.
 Patients detailed medical history and demographic data will be recorded. Pain severity,
 duration, frequency, analgesic usage, connective tissue evaluation of back, range of motion
 of neck, pressure pain threshold for pain sensitization measurements and quality of life will
 be evaluated before treatment and after 4 weeks of treatment.
The patients will be accepted to study according to 'The International Classification of
 Headache Disorders-III'. Including criteria are; being between 10-19 aged adolescents,
 suffering from tension type headache at least for 6 months, pain severity between 4-7 on
 visual analog scale. Excluding criteria are; current pregnancy, having any history of cancer,
 traffic accident, head trauma and any kind of neurological disorder. Patients will be divided
 into two groups randomly. Control group will be taught some advices about life style
 modifications, like using right glasses, teaching true posture, regular and quality sleep
 habits. In addition to life style modifications, the other group will be treated with
 connective tissue massage. Connective tissue massage will be applied 5 times a week, totally
 20 sessions in a month. Each session lasts approximately 20-30 minutes.
Inclusion Criteria:

 -  Adolescents between 10-19 ages

 -  Prognosed with tension type headache according to 'The International Classification of
 Headache Disorders-III' criteria

 -  Suffering from tension type headache for at least 6 months

 -  Pain severity must be between 4-7 on visual analog scale

 Exclusion Criteria:

 -  Current pregnancy

 -  Any kind of cancer history

 -  History of head trauma

 -  Any kind of neurological disorder

 -  Receiving physiotherapy in last 6 months

 -  Unwillingness to participate in the study