Effect of Manuel Therapy on Tension Type Headache in Menopausal and Premenopasual Women
Trial Parameters
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Brief Summary
This study aims to investigate the effectiveness of manual therapy in women with tension-type headache and to compare treatment outcomes between menopausal and premenopausal women. Hormonal changes occurring during menopause may influence pain perception and headache characteristics. Participants diagnosed with tension-type headache will receive manual therapy interventions. Headache intensity, headache-related disability, pressure pain threshold, cervical range of motion, sleep quality, and quality of life will be evaluated before and after treatment using validated assessment tools. The results are expected to contribute to physiotherapy approaches in women experiencing tension-type headache during different hormonal periods.
Eligibility Criteria
Inclusion Criteria: Women aged between 45 and 65 years Diagnosed with tension-type headache Premenopausal or menopausal status HIT-6 score ≥ 49 Willing to participate in the study Exclusion Criteria: Use of hormonal therapy History of cervical surgery History of neurological disease Pregnancy Inability to understand questionnaires Failure to attend treatment sessions