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MİGREN VE GERİLİM TİPİ BAŞ AĞRISINA SAHİP BİREYLERİN AĞRI, FİZİKSEL AKTİVİTE DÜZEYİ VE TEMPOROMANDİBULAR BOZUKLUK ŞİDDETİ AÇISINDAN KARŞILAŞTIRILMASI

Yıl 2025, Cilt: 6 Sayı: 1, 1 - 6, 28.04.2025

Özlem Akkoyun Sert , Kamil Yılmaz , Ümit Yüzbaşıoğlu , Buse Kılınç Özay , Melike Müsevitoğlu , Bahriye Horasanlı

https://doi.org/10.52831/kjhs.1580859

Öz

Amaç: Bu çalışmanın amacı migren ve gerilim tipi baş ağrısı (GTBA) olan bireyleri ağrı, fiziksel aktivite düzeyi ve temporomandibular bozukluk şiddeti açısından karşılaştırmaktır.
Yöntem: Çalışmaya katılan 18-45 yaş arasındaki bireyler (n=48) nörolog tarafından migren veya GTBA tanısı konularak iki gruba ayrıldı. Ağrı şiddeti Vizüel Analog Skalası (VAS) ile, baş ağrısı etki düzeyi Baş Ağrısı Etki Testi (HIT-6) ile, basınç-ağrı eşiği J-Tech Dijital Algometre cihazı ile, fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi-Kısa Form (UFAA-KF) ile ve temporomandibular bozukluk şiddeti Fonseca Anamnestik İndeksi (FAİ) ile değerlendirildi.
Bulgular: Migren ve GTBA tanısı konulan bireyler arasında baş ağrısı şiddetinde istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Trapezius ve suboksipital kasların bilateral olarak değerlendirilen basınç-ağrı eşiği ölçüm değerleri iki grup arasında istatistiksel olarak anlamlı bir fark göstermedi (p>0.05). Migren tanısı konulan bireylerin ortalama HIT-6 skorunun GTBA tanısı konulan bireylerden daha yüksek olduğu bulundu (p=0.003). Migren tanısı konulan bireylerin temporomandibular bozukluk şiddeti düzeyinin GTBA tanısı konulan bireylerden daha yüksek olduğu bulundu (p=0,002). Fiziksel aktivite düzeyi açısından gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (p>0.05).
Sonuç: Bu bulgular, hasta sonuçlarını iyileştirmek için hem birincil semptomları hem de komorbid durumları ele alan bütünsel bir baş ağrısı yönetimi yaklaşımının önemini vurgulamaktadır. Migren ve GTBA’lı bireylerde baş ağrısı etki düzeyinin ve temporomandibular bozukluk şiddetinin belirlenmesi, fizyoterapistlerin optimum sonuçlara ulaşmalarına yardımcı olabilir ve baş ağrısına yönelik proaktif yaklaşımların geliştirilmesine katkı sağlayabilir.

Anahtar Kelimeler

Migren Gerilim tipi baş ağrısı Fiziksel aktivite Ağrı Temporomandibular eklem

Kaynakça

  • Stovner Lj, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193-210.
  • The International Classification of Headache Disorders 3rd edition (ICHD-3). https://ichd-3.org/. Access Date: 22.08.2024
  • Lipton RB, Bigal ME, Steiner TJ, Silberstein SD, Olesen J. Classification of primary headaches. Neurology. 2004;63(3):427-435.
  • Saylor D, Steiner TJ. The global burden of headache. Semin Neurol. 2018;38(2):182-190.
  • GBD 2015 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1603-1658.
  • Altamura C, Corbelli I, de Tommaso M, et al. Pathophysiological Bases of Comorbidity in Migraine. Front Hum Neurosci. 2021;15:640574.
  • Charles A. The pathophysiology of migraine: implications for clinical management. Lancet Neurol. 2018;17(2):174-182.
  • Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
  • Ashina S, Mitsikostas DD, Lee MJ, et al. Tension-type headache. Nat Rev Dis Primers. 2021;7(1):24.
  • Zhang Y, Kong Q, Chen J, Li L, Wang D, Zhou J. International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues. Cephalalgia. 2016;36(3):240-248.
  • Jensen R. Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia. 1999;19(6):602-621.
  • Bendtsen L, Fernández-de-la-Peñas C. The role of muscles in tension-type headache. Curr Pain Headache Rep. 2011;15(6):451-458.
  • Abboud J, Marchand AA, Sorra K, Descarreaux M. Musculoskeletal physical outcome measures in individuals with tension-type headache: a scoping review. Cephalalgia. 2013;33(16):1319-1336.
  • Ferreira MP, Waisberg CB, Conti PCR, Bevilaqua‐Grossi D. Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders. J Oral Rehabil. 2019;46(12):1177-1184.
  • Varkey E, Hagen K, Zwart JA, Linde M. Physical activity and headache: results from the Nord-Trøndelag Health Study (HUNT). Cephalalgia. 2008;28(12):1292-1297.
  • Oliveira AB, Mercante JPP, Peres MFP, et al. Physical inactivity and headache disorders: Cross-sectional analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Cephalalgia. 2021;41(14):1467-1485.
  • Köseoglu E, Akboyraz A, Soyuer A, Ersoy AO. Aerobic exercise and plasma beta endorphin levels in patients with migrainous headache without aura. Cephalalgia. 2003;23(10):972-976.
  • Beier D, Callesen HE, Carlsen LN, et al. Manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education in migraine treatment. A systematic review and meta-analysis. Cephalalgia. 2022;42(1):63-72.
  • Constantinides V, Anagnostou E, Bougea A, et al. Migraine and tension-type headache triggers in a Greek population. Arq Neuropsiquiatr. 2015;73(8):665-669.
  • Ertaş M. Migrende Ekonomik ve Sosyal Yük. In: Öztürk M, Bıçakcı Ş, Dora B, Gökçay F, Karlı N, Uludüz D, Saip S, Eds. Tanıdan Tedaviye Baş Ağrısı. Ankara: Akademisyen Kitabevi A.Ş.; 2022: 99-104 (in Turkish).
  • Delgado DA, Lambert BS, Boutris N, et al. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. J Am Acad Orthop Surg Glob Res Rev. 2018;2(3):e088.
  • Dikmen PY, Bozdağ M, Güneş M, et al. Reliability and Validity of Turkish Version of Headache Impact Test (HIT-6) in Patients with Migraine. Arch Neuropsychiatry. 2021;58:300-307.
  • Bisset LM, Evans K, Tuttle N. Reliability of 2 protocols for assessing pressure pain threshold in healthy young adults. J Manipulative Physiol Ther. 2015;38(4):282-287.
  • Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284.
  • Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio. 2023;41(1):78-83.
  • Uçar HN, Tekin E, Tekin U. Pain Severity and Psychosocial Quality of Life in Adolescents with Migraine and Tension-Type Headache: Mediation by Perceived Expressed Emotion and Self-Esteem. J Oral Facial Pain Headache. 2021;35(1):62-71.
  • Bera SC, Khandelwal SK, Sood M, Goyal V. A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurol India. 2014;62(5):516-520.
  • Kim BK, Chu MK, Lee TG, Kim JM, Chung CS, Lee KS. Prevalence and impact of migraine and tension-type headache in Korea. J Clin Neurol. 2012;8(3):204-211.
  • Castien RF, van der Wouden JC, De Hertogh W. Pressure pain thresholds over the cranio-cervical region in headache: a systematic review and meta-analysis. J Headache Pain. 2018;19(1):9.
  • Engstrøm M, Hagen K, Bjørk MH, Stovner LJ, Sand T. Sleep quality and arousal in migraine and tension-type headache: the headache-sleep study. Acta Neurol Scand Suppl. 2014;(198):47-54.
  • Fernández-de-las-Peñas C, Madeleine P, Caminero AB, Cuadrado ML, Arendt-Nielsen L, Pareja JA. Generalized neck-shoulder hyperalgesia in chronic tension-type headache and unilateral migraine assessed by pressure pain sensitivity topographical maps of the trapezius muscle. Cephalalgia. 2010;30(1):77-86.
  • Malo-Urriés M, Estébanez-de-Miguel E, Bueno-Gracia E, Tricás-Moreno JM, Santos-Lasaosa S, Hidalgo-García C. Sensory function in headache: a comparative study among patients with cluster headache, migraine, tension-type headache, and asymptomatic subjects. Neurol Sci. 2020;41(10):2801-2810.
  • Filatova E, Latysheva N, Kurenkov A. Evidence of persistent central sensitization in chronic headaches: a multi-method study. J Headache Pain. 2008;9(5):295-300.
  • Uthaikhup S, Sterling M, Jull G. Cervical musculoskeletal impairment is common in elders with headache. Man Ther. 2009;14(6):636-641.
  • Sağlı Diren G, Kaya Ciddi P, Ergezen G, Şahin M. Effect of physical activity level on pain, functionality, and quality of life in migraine patients. Agri. 2023;35(4):212-219.
  • González de la Flor Á, García Pérez de Sevilla G, Domíngez Balmaseda D, Martín Vera D, Montero Martínez M, Del Blanco Muñiz JÁ. Relationship between self-efficacy and headache impact, anxiety, and physical activity levels in patients with chronic tension-type headache: An observational study. Behav Neurol. 2022;8387249.
  • Krøll LS, Hammarlund CS, Westergaard ML, et al. Level of physical activity, well-being, stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain. J Headache Pain. 2017;18(1):46.
  • de Oliveira AB, Peres MFP, Mercante JPP, et al. Associations of comorbid headache disorders and depression with leisure-time physical activity among 14,088 adults in The Brazilian Longitudinal Study of Adult Health. Headache. 2025;65(4):643-654.
  • Silva AA Jr, Brandão KV, Faleiros BE, et al. Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache. Arq Neuropsiquiatr. 2014;72(2):99-103.
  • Graff-Radford SB. Temporomandibular disorders and headache. Dent Clin North Am. 2007;51:129-144.

COMPARISON OF INDIVIDUALS WITH MIGRAINE AND TENSION-TYPE HEADACHE IN TERMS OF PAIN, PHYSICAL ACTIVITY LEVEL AND TEMPOROMANDIBULAR DISORDER SEVERITY

Yıl 2025, Cilt: 6 Sayı: 1, 1 - 6, 28.04.2025

Özlem Akkoyun Sert , Kamil Yılmaz , Ümit Yüzbaşıoğlu , Buse Kılınç Özay , Melike Müsevitoğlu , Bahriye Horasanlı

https://doi.org/10.52831/kjhs.1580859

Öz

Objective: The aim of this study was to compare individuals with migraine and tension-type headache (TTH) in terms of pain, physical activity level and severity of temporomandibular disorder.
Method: Individuals (n=48) between the ages of 18 and 45 who participated in the study were divided into two groups by being diagnosed with migraine or TTH by a neurologist. Pain severity was evaluated with the Visual Analogue Scale (VAS), headache impact level with the Headache Impact Test (HIT-6), Pressure-Pain Threshold (PPT) with the J-Tech Digital Algometer device, physical activity level with the International Physical Activity Questionnaire-Short Form (IPAQ-SF), and temporomandibular disorder severity with the Fonseca Anamnestic Index (FAI).
Results: There was no statistically significant difference in headache severity between individuals diagnosed with migraine and TTH (p>0.05). PPT measurement values of the trapezius and suboccipital muscles evaluated bilaterally did not show a statistically significant difference between the two groups (p>0.05). The average HIT-6 score of individuals diagnosed with migraine was found to be higher than individuals with TTH (p=0.003). The temporomandibular disorder severity level of individuals diagnosed with migraine was found to be higher than individuals diagnosed with TTH (p=0.002). There was no statistically significant difference between the groups in terms of physical activity level (p>0.05).
Conclusion: These findings highlight the importance of a holistic approach to headache management, addressing both primary symptoms and comorbid conditions, to improve patient outcomes. Determination of headache impact level and temporomandibular disorder severity in individuals with migraine and TTH may help physiotherapists to achieve optimal results, and may contribute to the development of proactive approaches to headache.

Anahtar Kelimeler

Migraine Tension-type headache Physical activity Pain Temporomandibular joint

Kaynakça

  • Stovner Lj, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193-210.
  • The International Classification of Headache Disorders 3rd edition (ICHD-3). https://ichd-3.org/. Access Date: 22.08.2024
  • Lipton RB, Bigal ME, Steiner TJ, Silberstein SD, Olesen J. Classification of primary headaches. Neurology. 2004;63(3):427-435.
  • Saylor D, Steiner TJ. The global burden of headache. Semin Neurol. 2018;38(2):182-190.
  • GBD 2015 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1603-1658.
  • Altamura C, Corbelli I, de Tommaso M, et al. Pathophysiological Bases of Comorbidity in Migraine. Front Hum Neurosci. 2021;15:640574.
  • Charles A. The pathophysiology of migraine: implications for clinical management. Lancet Neurol. 2018;17(2):174-182.
  • Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
  • Ashina S, Mitsikostas DD, Lee MJ, et al. Tension-type headache. Nat Rev Dis Primers. 2021;7(1):24.
  • Zhang Y, Kong Q, Chen J, Li L, Wang D, Zhou J. International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues. Cephalalgia. 2016;36(3):240-248.
  • Jensen R. Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia. 1999;19(6):602-621.
  • Bendtsen L, Fernández-de-la-Peñas C. The role of muscles in tension-type headache. Curr Pain Headache Rep. 2011;15(6):451-458.
  • Abboud J, Marchand AA, Sorra K, Descarreaux M. Musculoskeletal physical outcome measures in individuals with tension-type headache: a scoping review. Cephalalgia. 2013;33(16):1319-1336.
  • Ferreira MP, Waisberg CB, Conti PCR, Bevilaqua‐Grossi D. Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders. J Oral Rehabil. 2019;46(12):1177-1184.
  • Varkey E, Hagen K, Zwart JA, Linde M. Physical activity and headache: results from the Nord-Trøndelag Health Study (HUNT). Cephalalgia. 2008;28(12):1292-1297.
  • Oliveira AB, Mercante JPP, Peres MFP, et al. Physical inactivity and headache disorders: Cross-sectional analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Cephalalgia. 2021;41(14):1467-1485.
  • Köseoglu E, Akboyraz A, Soyuer A, Ersoy AO. Aerobic exercise and plasma beta endorphin levels in patients with migrainous headache without aura. Cephalalgia. 2003;23(10):972-976.
  • Beier D, Callesen HE, Carlsen LN, et al. Manual joint mobilisation techniques, supervised physical activity, psychological treatment, acupuncture and patient education in migraine treatment. A systematic review and meta-analysis. Cephalalgia. 2022;42(1):63-72.
  • Constantinides V, Anagnostou E, Bougea A, et al. Migraine and tension-type headache triggers in a Greek population. Arq Neuropsiquiatr. 2015;73(8):665-669.
  • Ertaş M. Migrende Ekonomik ve Sosyal Yük. In: Öztürk M, Bıçakcı Ş, Dora B, Gökçay F, Karlı N, Uludüz D, Saip S, Eds. Tanıdan Tedaviye Baş Ağrısı. Ankara: Akademisyen Kitabevi A.Ş.; 2022: 99-104 (in Turkish).
  • Delgado DA, Lambert BS, Boutris N, et al. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. J Am Acad Orthop Surg Glob Res Rev. 2018;2(3):e088.
  • Dikmen PY, Bozdağ M, Güneş M, et al. Reliability and Validity of Turkish Version of Headache Impact Test (HIT-6) in Patients with Migraine. Arch Neuropsychiatry. 2021;58:300-307.
  • Bisset LM, Evans K, Tuttle N. Reliability of 2 protocols for assessing pressure pain threshold in healthy young adults. J Manipulative Physiol Ther. 2015;38(4):282-287.
  • Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284.
  • Kaynak BA, Taş S, Salkın Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio. 2023;41(1):78-83.
  • Uçar HN, Tekin E, Tekin U. Pain Severity and Psychosocial Quality of Life in Adolescents with Migraine and Tension-Type Headache: Mediation by Perceived Expressed Emotion and Self-Esteem. J Oral Facial Pain Headache. 2021;35(1):62-71.
  • Bera SC, Khandelwal SK, Sood M, Goyal V. A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurol India. 2014;62(5):516-520.
  • Kim BK, Chu MK, Lee TG, Kim JM, Chung CS, Lee KS. Prevalence and impact of migraine and tension-type headache in Korea. J Clin Neurol. 2012;8(3):204-211.
  • Castien RF, van der Wouden JC, De Hertogh W. Pressure pain thresholds over the cranio-cervical region in headache: a systematic review and meta-analysis. J Headache Pain. 2018;19(1):9.
  • Engstrøm M, Hagen K, Bjørk MH, Stovner LJ, Sand T. Sleep quality and arousal in migraine and tension-type headache: the headache-sleep study. Acta Neurol Scand Suppl. 2014;(198):47-54.
  • Fernández-de-las-Peñas C, Madeleine P, Caminero AB, Cuadrado ML, Arendt-Nielsen L, Pareja JA. Generalized neck-shoulder hyperalgesia in chronic tension-type headache and unilateral migraine assessed by pressure pain sensitivity topographical maps of the trapezius muscle. Cephalalgia. 2010;30(1):77-86.
  • Malo-Urriés M, Estébanez-de-Miguel E, Bueno-Gracia E, Tricás-Moreno JM, Santos-Lasaosa S, Hidalgo-García C. Sensory function in headache: a comparative study among patients with cluster headache, migraine, tension-type headache, and asymptomatic subjects. Neurol Sci. 2020;41(10):2801-2810.
  • Filatova E, Latysheva N, Kurenkov A. Evidence of persistent central sensitization in chronic headaches: a multi-method study. J Headache Pain. 2008;9(5):295-300.
  • Uthaikhup S, Sterling M, Jull G. Cervical musculoskeletal impairment is common in elders with headache. Man Ther. 2009;14(6):636-641.
  • Sağlı Diren G, Kaya Ciddi P, Ergezen G, Şahin M. Effect of physical activity level on pain, functionality, and quality of life in migraine patients. Agri. 2023;35(4):212-219.
  • González de la Flor Á, García Pérez de Sevilla G, Domíngez Balmaseda D, Martín Vera D, Montero Martínez M, Del Blanco Muñiz JÁ. Relationship between self-efficacy and headache impact, anxiety, and physical activity levels in patients with chronic tension-type headache: An observational study. Behav Neurol. 2022;8387249.
  • Krøll LS, Hammarlund CS, Westergaard ML, et al. Level of physical activity, well-being, stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain. J Headache Pain. 2017;18(1):46.
  • de Oliveira AB, Peres MFP, Mercante JPP, et al. Associations of comorbid headache disorders and depression with leisure-time physical activity among 14,088 adults in The Brazilian Longitudinal Study of Adult Health. Headache. 2025;65(4):643-654.
  • Silva AA Jr, Brandão KV, Faleiros BE, et al. Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache. Arq Neuropsiquiatr. 2014;72(2):99-103.
  • Graff-Radford SB. Temporomandibular disorders and headache. Dent Clin North Am. 2007;51:129-144.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Araştırma Makaleleri
Yazarlar

Özlem Akkoyun Sert 0000-0002-6053-2418

Kamil Yılmaz 0000-0002-5242-3094

Ümit Yüzbaşıoğlu 0000-0003-2395-7238

Buse Kılınç Özay 0000-0001-9822-0965

Melike Müsevitoğlu 0000-0002-3405-9030

Bahriye Horasanlı 0000-0003-3142-1011

Yayımlanma Tarihi 28 Nisan 2025
Gönderilme Tarihi 7 Kasım 2024
Kabul Tarihi 7 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 6 Sayı: 1

Kaynak Göster

Vancouver Akkoyun Sert Ö, Yılmaz K, Yüzbaşıoğlu Ü, Kılınç Özay B, Müsevitoğlu M, Horasanlı B. COMPARISON OF INDIVIDUALS WITH MIGRAINE AND TENSION-TYPE HEADACHE IN TERMS OF PAIN, PHYSICAL ACTIVITY LEVEL AND TEMPOROMANDIBULAR DISORDER SEVERITY. Karya J Health Sci. 2025;6(1):1-6.
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