The Influence of Manual Therapy in the Quality of Life in Tension-Type Headache
The Influence of Manual Therapy in the Quality of Life in Tension-Type Headache
The present study aims to assess the quality of life of patients suffering from tension-type
 headache (TTH) treated for 4 weeks with different manual therapy-based techniques. The study
 design involved a factorial, randomized, double-blind, controlled study
Object: The present study aims to assess the quality of life of patients suffering from
 tension-type headache (TTH) treated for 4 weeks with different manual therapy-based
 techniques.

 Methods: The study design involved a factorial, randomized, double-blind, controlled study of
 76 subjects. They were divided into 4 groups: suboccipital inhibitory pressure was applied to
 the first group; suboccipital spinal manipulation was applied to the second group; a
 combination of the two treatments was applied to the third group; and the fourth group was a
 control group. Quality of life was assessed using the SF-12 questionnaire (both overall and
 in its different dimensions) at the beginning and at the end of treatment, and after one
 month as a follow-up.
Inclusion Criteria:

 -  diagnosed by a neurologist, with headache characteristics as established by the
 International Headache Society and Controlled pharmacologically.

 Exclusion Criteria:

 -  Patients with infrequent ETTH, or with probable frequent and infrequent forms of TTH
 They can never have vomiting or headache episodes during the treatment ETTH patients
 may experience very occasionally photophobia or phonophobia during their episodes of
 headache, CTTH patients may experience very occasionally photophobia, phonophobia or
 mild nausea during headache episodes. Pain aggravated by movement of the head,
 Metabolic or musculoskeletal problems with similar headache symptoms, Previous trauma
 to the cervical spine, Active vertigo history Poorly controlled hypertension, Joint
 stiffness, atherosclerosis, or advanced osteoarthritis, Patients undergoing
 pharmacological adaptation, Excessive emotional stress, Patients with heart devices
 Joint instability, Neurological disorders, Laxity of cervical soft tissues,
 Radiographic abnormalities Generalized hyperlaxity or hypermobility, Pregnancy.