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Identifying chinese medicine patterns of tension-type headache and understanding its subgroups1.37 MB
Published VersionCC BY V4.0, Open Access
Journal article
Identifying Chinese Medicine Patterns of Tension-Type Headache and Understanding Its Subgroups
Evidence-Based Complementary and Alternative Medicine, Vol.2021(Special Issue), pp.1-23
2021
Abstract
Tension-type headache (TTH) is common among adults. Individualized management strategies are limited due to lack of understanding of subtypes of TTH. Chinese medicine (CM) uses the pattern differentiation approach to subtype all health conditions. There is, however, a lack of evidence-based information on CM patterns of TTH. This study aimed to identity common CM patterns of TTH. TTH sufferers were invited for a survey, consisting of a validated Chinese Medicine Headache Questionnaire (CMHQ), Migraine Disability Assessment Test, and Perceived Stress Scale. The CMHQ consisted of information about headache, aggravating and relieving factors, and accompanying symptoms. Principal component analysis was used for factor extraction and TwoStep cluster analyses for identifying clusters. ANOVA was used to compare cluster groups with disability and stress. In total, 170 eligible participants took part in the survey. The commonest headache features were continuous pain (64%); fixed location (74%); aggravated by overwork (74%), stress (74%), or mental strain (70%); and relieved by sleeping (78%). The commonest nonpain symptoms were fatigue (71%) and neck stiffness (70%). Four clusters, differing in their key signs and symptoms, could be assigned to three different CM patterns including ascendant hyperactivity of liver yang (cluster 1), dual qi and blood deficiency (cluster 2), liver depression forming fire (cluster 3), and an unlabelled group (cluster 4). Additionally, over 75% participants in clusters 1 and 2 have episodic TTH, over one-third participants in cluster 3 have chronic TTH, and a majority of participants in cluster 4 have infrequent TTH. The three patterns identified also differed in levels of disability and some elements of coping as measured with PSS. The three CM patterns identified are common clinical presentations of TTH. The new information will contribute to further understanding of the subtypes of TTH and guide the development of targeted intervention combinations for clinical practice and research.
Details
- Title
- Identifying Chinese Medicine Patterns of Tension-Type Headache and Understanding Its Subgroups
- Authors
- Xinyu Hao (Author) - Chengdu University of Traditional Chinese MedicineFanrong Liang (Author) - Chengdu University of Traditional Chinese MedicineLinpeng Wang (Author) - Capital Medical UniversityKenneth Mark Greenwood (Author) - School of Social Science, University of Sunshine Coast, Queensland QLD4558, AustraliaCharlie Changli Xue (Author) - School of Health and Biomedical Sciences, RMIT University, Melbourne VIC3083, AustraliaZhen Zheng (Author) - RMIT UniversityYing Li (Author) - Acupuncture and Chronobiology Key Laboratory of Sichuan Province, Chengdu 610075, China, Graduate School, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
- Publication details
- Evidence-Based Complementary and Alternative Medicine, Vol.2021(Special Issue), pp.1-23
- Publisher
- Hindawi Limited
- Date published
- 2021
- DOI
- 10.1155/2021/5544571
- ISSN
- 1741-4288; 1741-427X
- Copyright note
- Copyright © 2021 Xinyu Hao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99584808402621
- Output Type
- Journal article
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