Tension-Type Headaches Linked to Neck Weakness

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Tension-Type Headaches Linked to Neck Weakness


It appears that patients with tension-type headache (TTH) have relatively weak neck extension muscles, a new study shows.


Researchers found that these patients are 26% weaker than controls with respect to neck extension muscles, that they have a 12% smaller extension/flexion ratio, and that they have a borderline significant difference in the ability to generate muscle force over the shoulder joint.


“We found that patients with tension-type headache exhibited decreased muscle strength in the neck extensor muscles, which caused this reduced ratio between extension and flexion,” said lead study author Bjarne Madsen, a physiotherapist and PhD student in the Department of Sports Science and Clinical Biomechanics, University of Southern Denmark and Danish Headache Center Glostrup Hospital.


With this reduced ratio, the muscles in the front of the neck pull the head forward, which causes continuous muscular activity in the neck, explained Madsen. “This can lead to pain and, over time, it can cause tension-type headache.”

The study was published online April 1 in Cephalalgia.

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