Efficacy of strength training on tension-type headache: A randomised controlled study

Bjarne K Madsen, Karen Søgaard, Lars L Andersen, Birte Tornøe, Rigmor H Jensen

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background Strength training has shown effects in reducing neck pain. As neck pain is highly prevalent in tension-type headache (TTH), it is relevant to examine the effect of strength training of the shoulder muscles on TTH patients. Aim To examine the effect of strength training of the shoulder/neck muscles on TTH frequency and duration. Methods Sixty patients with TTH were randomised into strength training or a control group. The strength training group trained ten weeks with elastic resistance bands. The control group performed ergonomic and posture correction. Efficacy was evaluated at follow-up after 19-22 weeks. Results Twenty-three patients completed strength training and 21 completed ergonomic and posture correction (per-protocol). No between-group effect was detected, but within groups numerical reductions were noted in both groups from baseline to follow-up. Frequency of TTH in the strength training group decreased by 11% ( P = 0.041) and duration decreased by10% ( P = 0.036), while the ergonomic and posture correction group showed a significant reduction in frequency of 24% ( P = 0.0033) and a decrease in duration of 27% ( P = 0.041). Conclusion No significant difference between the groups was found and the within-group effects did not reach clinical significance. Combining all the elements into a multifaceted intervention could prove more useful and should be further explored in future studies. Clinical trials registration number NCT02984826.

Original languageEnglish
JournalCephalalgia
Volume38
Issue number6
Pages (from-to)1071-1080
ISSN0333-1024
DOIs
Publication statusPublished - 1. May 2018

Fingerprint

Tension-Type Headache
Resistance Training
Human Engineering
Muscle Tonus
Neck Pain
Neck Muscles
Control Groups
Clinical Trials

Keywords

  • Strength training
  • ergonomic and posture correction
  • shoulder/neck muscles
  • Resistance Training/methods
  • Humans
  • Tension-Type Headache/therapy
  • Adult
  • Female
  • Male

Cite this

Madsen, Bjarne K ; Søgaard, Karen ; Andersen, Lars L ; Tornøe, Birte ; Jensen, Rigmor H. / Efficacy of strength training on tension-type headache : A randomised controlled study. In: Cephalalgia. 2018 ; Vol. 38, No. 6. pp. 1071-1080.
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abstract = "Background Strength training has shown effects in reducing neck pain. As neck pain is highly prevalent in tension-type headache (TTH), it is relevant to examine the effect of strength training of the shoulder muscles on TTH patients. Aim To examine the effect of strength training of the shoulder/neck muscles on TTH frequency and duration. Methods Sixty patients with TTH were randomised into strength training or a control group. The strength training group trained ten weeks with elastic resistance bands. The control group performed ergonomic and posture correction. Efficacy was evaluated at follow-up after 19-22 weeks. Results Twenty-three patients completed strength training and 21 completed ergonomic and posture correction (per-protocol). No between-group effect was detected, but within groups numerical reductions were noted in both groups from baseline to follow-up. Frequency of TTH in the strength training group decreased by 11{\%} ( P = 0.041) and duration decreased by10{\%} ( P = 0.036), while the ergonomic and posture correction group showed a significant reduction in frequency of 24{\%} ( P = 0.0033) and a decrease in duration of 27{\%} ( P = 0.041). Conclusion No significant difference between the groups was found and the within-group effects did not reach clinical significance. Combining all the elements into a multifaceted intervention could prove more useful and should be further explored in future studies. Clinical trials registration number NCT02984826.",
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Efficacy of strength training on tension-type headache : A randomised controlled study. / Madsen, Bjarne K; Søgaard, Karen; Andersen, Lars L; Tornøe, Birte; Jensen, Rigmor H.

In: Cephalalgia, Vol. 38, No. 6, 01.05.2018, p. 1071-1080.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Efficacy of strength training on tension-type headache

T2 - A randomised controlled study

AU - Madsen, Bjarne K

AU - Søgaard, Karen

AU - Andersen, Lars L

AU - Tornøe, Birte

AU - Jensen, Rigmor H

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Background Strength training has shown effects in reducing neck pain. As neck pain is highly prevalent in tension-type headache (TTH), it is relevant to examine the effect of strength training of the shoulder muscles on TTH patients. Aim To examine the effect of strength training of the shoulder/neck muscles on TTH frequency and duration. Methods Sixty patients with TTH were randomised into strength training or a control group. The strength training group trained ten weeks with elastic resistance bands. The control group performed ergonomic and posture correction. Efficacy was evaluated at follow-up after 19-22 weeks. Results Twenty-three patients completed strength training and 21 completed ergonomic and posture correction (per-protocol). No between-group effect was detected, but within groups numerical reductions were noted in both groups from baseline to follow-up. Frequency of TTH in the strength training group decreased by 11% ( P = 0.041) and duration decreased by10% ( P = 0.036), while the ergonomic and posture correction group showed a significant reduction in frequency of 24% ( P = 0.0033) and a decrease in duration of 27% ( P = 0.041). Conclusion No significant difference between the groups was found and the within-group effects did not reach clinical significance. Combining all the elements into a multifaceted intervention could prove more useful and should be further explored in future studies. Clinical trials registration number NCT02984826.

AB - Background Strength training has shown effects in reducing neck pain. As neck pain is highly prevalent in tension-type headache (TTH), it is relevant to examine the effect of strength training of the shoulder muscles on TTH patients. Aim To examine the effect of strength training of the shoulder/neck muscles on TTH frequency and duration. Methods Sixty patients with TTH were randomised into strength training or a control group. The strength training group trained ten weeks with elastic resistance bands. The control group performed ergonomic and posture correction. Efficacy was evaluated at follow-up after 19-22 weeks. Results Twenty-three patients completed strength training and 21 completed ergonomic and posture correction (per-protocol). No between-group effect was detected, but within groups numerical reductions were noted in both groups from baseline to follow-up. Frequency of TTH in the strength training group decreased by 11% ( P = 0.041) and duration decreased by10% ( P = 0.036), while the ergonomic and posture correction group showed a significant reduction in frequency of 24% ( P = 0.0033) and a decrease in duration of 27% ( P = 0.041). Conclusion No significant difference between the groups was found and the within-group effects did not reach clinical significance. Combining all the elements into a multifaceted intervention could prove more useful and should be further explored in future studies. Clinical trials registration number NCT02984826.

KW - Strength training

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KW - shoulder/neck muscles

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KW - Tension-Type Headache/therapy

KW - Adult

KW - Female

KW - Male

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JO - Cephalalgia

JF - Cephalalgia

SN - 0333-1024

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