Current aspects of neuropsychological evaluation of efficiency complex treatment chronic-type tension headache

Abstract

BACKGROUND: Tension-type headache is one of the widespread pathologies (80%) in the structure of headaches, occurring in the practice of both neurologists and general practitioners and therapists. The group of chronic cephalalgias occupies about 4% in the general population, but significantly affects the neuropsychological characteristics of patients, including their quality of life, level of working capacity, emotional state and anxiety level, which can be defined as comorbid conditions that contribute to the long-term chronic course of the disease. Currently, the pathogenetic aspects of chronicity include the development of peripheral and central sensitization, the reorganization of the pain and analgesic systems, which leads to the appearance of pain behavior.

AIM: was to perform a neuropsychological analysis of the efficiency of osteopathic and non-drug treatment in patients suffering from chronic tension headaches.

MATERIALS AND METHODS: reflect the data of neuropsychological evaluation using standardized neurological scales: visual analog scale — VAS, Spielberg–Khanin; The Short Form-36 (SF-36), short questionnaire WHO, Headache Impact Test (HIT-6) and clinical assessment of osteopathy in combination with drug treatment in 34 patients suffering from chronic tension headache. Statistical data processing was shortchanged in the Statistica 10 software package.

RESULTS: demonstrated an improvement in neuropsychological parameters against the background of the use of a combined treatment method and the ability to influence the pathobiomechanical levels of chronic cephalgia. The data obtained from the results of the study: positive dynamics was revealed, manifested in a decrease in the number of cases of cephalalgia attacks, a decrease in the severity of pain syndrome, a decrease of influence on daily activity, and improvement of life quality. During the study, the deterioration of the condition of patients and adverse reactions against the back-ground of complex therapy in patients were not detected.

CONCLUSION: The combination of non-pharmacological therapies with a standard protocol is an effective method of choice for improving neuropsychological outcomes in patients with chronic-type headaches.

Keywords

pain syndrome / neuropsychological assessment / non-drug treatment / osteopathy / pathogenesis of chronic pain / chronic tension-type headache / cephalgia

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