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Russian Military Medical
ORIGINAL ARTICLES Vol. 41 (4) 2022 Academy Reports
380
DOI: https://doi.org/10.17816/rmmar111948
Research Article
Current aspects of neuropsychological evaluation

of efficiency complex treatment chronic-type tension

headache

1
1
1
1
Anna S. Lepekhina , Maria L. Pospelova , Alexander Y. Efimtcev , Gennady E. Trufanov ,
2
Dmitriy V. Piskovatskov , Tatyana M. Alekseeva 1
1 Almazov National Medical Research Centre, Saint Petersburg, Russia;
2
Ott Research Institute of obstetrics, gynecology and reproduction, Saint Petersburg, Russia
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 contrib-
ute 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 suf-
fering 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 head-
ache. 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 com-
bined 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.
To cite this article:
Lepekhina AS, Pospelova ML, Efimtcev AY, Trufanov GE, Piskovatskov DV, Alekseeva TM. Current aspects of neuropsychological evalu-
ation of efficiency complex treatment chronic-type tension headache. Russian Military Medical Academy Reports. 2022;41(4):379–384.
DOI: https://doi.org/10.17816/rmmar111948

Received: 12.10.2022 Accepted: 20.10.2022 Published: 17.11.2022

The article can be used under the CC BY-NC-ND 4.0 license
© Authors, 2022