Skip to main content

EHMTI-0157. Specific strength training compared with interdisciplinary counselling for girls with tension-type headache – a randomised controlled trial

Background

Childhood tension-type headache (TTH) is a prevalent and debilitating condition for the child and family. Low-cost non-pharmacological treatments are usually the first choice of professionals and parents. The study examined the outcomes of specific strength training for girls with TTH.

Methods

Forty-nine girls 9-18 years with TTH were randomised to patient education programmes with 10 weeks of strength training compared with counselling by nurse and physiotherapist. Primary outcomes were headache frequency, intensity and duration; secondary were neck-shoulder muscle strength, aerobic power and pericranial tenderness, measured baseline, after intervention and at 12 weeks follow-up. HRQOL questionnaires were assessed at baseline.

Results

For both groups headache frequency decreased significantly, p=0.001 and likewise for duration p=0.022, with no significant between-group differences. The odds of having headache a random day decreased during 22 weeks by 0.65 (0.50-0.84) (OR (95%CI)). For both groups neck extension strength decreased significantly with a decrease in cervicothoracic ratio to 1.7, indicating a change in muscle balance. In the training group shoulder strength increased ≥ 10 % in 5/20 girls and estimated VO2 max increased ≥ 15% for 4/20 girls.

Conclusions

Both training and counselling lead to headache reduction. Adjusting muscle-balance seems to precede strength gains. Exercising might lead to important changes in the child’s physical capability and health. Restructuring patient education and examining dose-response of exercising is recommended.

No conflict of interest.

Author information

Affiliations

Authors

Corresponding author

Correspondence to B Tornøe.

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Tornøe, B., Andersen, L., Skotte, J. et al. EHMTI-0157. Specific strength training compared with interdisciplinary counselling for girls with tension-type headache – a randomised controlled trial. J Headache Pain 15, E37 (2014). https://doi.org/10.1186/1129-2377-15-S1-E37

Download citation

Keywords

  • Strength Training
  • Headache Frequency
  • Aerobic Power
  • Strength Gain
  • Physical Capability