ABSTRACT
The study presents a clinical analysis of a large population of migraine patients (n = 320). Computed database used in the study included over 100 clinical parameters and was based on analysis of primary medical records. As a result of statistic processing of the migraine archive, a general review of clinical picture and migraine course in patients from Moscow and Moscow region community and analysis of the peculiarities of migraine heredity, concomitant symptoms, provoking factors, co-morbid diseases, state in attack-free period, psychological characteristics and quality of life are provided. Factors determining course severity and quality of life in migraine are discussed.
Subject(s)
Migraine Disorders/epidemiology , Mood Disorders/epidemiology , Peripheral Nervous System Diseases/epidemiology , Adult , Female , Humans , Male , Migraine Disorders/diagnosis , Migraine Disorders/physiopathology , Mood Disorders/diagnosis , Mood Disorders/psychology , Peripheral Nervous System Diseases/physiopathology , Severity of Illness Index , Time FactorsABSTRACT
Efficiency of electromyographic (EMG) biofeedback (BFB) in the treatment of tension type headache (TTH) has been analyzed. 50 patients with episodic and chronic TTH have been treated by a standard course of BFB-therapy (10 sessions). The results have been compared with the data in comparison group (12 patients who received lerivon therapy) and in controls (15 healthy individuals). The severity index has been calculated, different psychologic data have been tested, the amplitude of EMG of frontal, temporal, trapezius, orbicularis oris muscles has been examined. The best results have been obtained in the episodic TTH group--87%. In chronic TTH group the efficiency was lower (full effect--26%, partial--35%, no effect--39%). The 6 month period after the treatment showed that BFB effect is more protracted than that of the pharmacological therapy.
Subject(s)
Biofeedback, Psychology/methods , Tension-Type Headache/therapy , Adult , Chronic Disease , Combined Modality Therapy , Electromyography/methods , Female , Humans , Male , Mianserin/therapeutic use , Serotonin Antagonists/therapeutic use , Severity of Illness Index , Tension-Type Headache/diagnosis , Treatment OutcomeABSTRACT
Clinical-psychophysiological characteristics of tension-type headache are analyzed. Comparison of some revealed peculiarities with both the form of tension-type headache (episodic, chronic) and manifestation of anxious or depressive disorders as well as with the duration of ache syndrome was performed. The problems concerning diagnosis of tension-type headache and factors contributing to its chronization are discussed.
