About this trial
This study will be carried out to evaluate the effect of laser acupuncture on tension headache in post-pubertal females.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Their age will be ranged from 15 to 18 years.
Their body mass index (BMI) will be ranged from 20-25 Kg/m2.
All participants will be diagnosed with tension type headache for which they haven't receive any treatment in the previous two weeks.
Pain quality is typically pressing or tightening of mild to moderate intensity, bilateral in location and not worsening during routine physical activity.
Disqualifiers
Patients with other causes of headache.
Patients who have pulsating headaches, neurological deficits or metabolic disorders.
Contraindications to treatment (other simultaneous treatment, localized skin infection, fear).
Previous head trauma.
Trial design
Parallel
Treatments tested in this trial
Low energy laser acupuncture
Other interventionThe experimental group will receive low-energy laser acupuncture therapy. The laser will deliver 1.3 joules (approximately 13 joules per square centimeter) per point at 100 percent output in continuous mode, applied with vertical contact and slight pressure for 40 seconds per point. Four acupuncture points will be treated bilaterally according to published protocols: Gallbladder 14 and Gallbladder 20 as local head points, and Large Intestine 4 and Lung 7 as distal points on the hand and forearm. Both therapist and patient will wear protective goggles during treatment for safety.
Myofascial release technique
Other interventionAll participant in both groups will receive myofascial release technique for 6 weeks. Soft tissue and trigger point release techniques will be applied on the muscles/fascia reproducing the patient's symptoms (the occipitalis, suboccipitalis, splenius, sternocleidomastoid, and trapezius). Various myofascial techniques will employed such as effleurage, deep friction massage, ischemic compression and muscle energy techniques.
Treatment groups
Trial outcomes
Primary outcomes
Assessment of pain intensity
It will be assessed using Visual Analogue Scale (VAS), the scores range from 0 (no pain) to 10 (the worst possible pain).
Secondary outcomes
Assessment of trigger point threshold
It will be assessed using pressure pain algometer to detect and confirm the site and sensitivity of trigger points by determining the pressure pain threshold (PPT) using a pressure gauge probe.
Assessment of headache severity
It will be will be assessed using the Headache Disability Index (HDI), a 25-item self-report questionnaire that measures the impact of tension-type headache on daily life. It comprises 12 functional items and 13 emotional items, yielding a total score from 0 to 100, with higher scores indicating greater disability. This tool allows evaluation of treatment effects on both functional performance and emotional well-being.
Cervical Flexion Range of Motion
Cervical flexion will be assessed using a Cervical Range of Motion (CROM) device. Participants will be instructed to bend the head forward maximally while maintaining a seated upright posture. The angle achieved, measured in degrees, will be recorded to quantify sagittal plane flexion mobility of the cervical spine.
Cervical Extension Range of Motion:
Cervical extension will be measured using the CROM device. Participants will be asked to extend the head backward to the maximum comfortable range. The degree of extension will be recorded to evaluate posterior sagittal plane cervical mobility.
Sponsors and contacts
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