This study aims to investigate the effectiveness of manual therapy in women with tension-type headache and to compare treatment outcomes between menopausal and premenopausal women. Hormonal changes occurring during menopause may influence pain perception and headache characteristics.
Participants diagnosed with tension-type headache will receive manual therapy interventions. Headache intensity, headache-related disability, pressure pain threshold, cervical range of motion, sleep quality, and quality of life will be evaluated before and after treatment using validated assessment tools. The results are expected to contribute to physiotherapy approaches in women experiencing tension-type headache during different hormonal periods.
Female participants aged between 45 and 65 years.
Diagnosis of tension-type headache.
Premenopausal or menopausal status.
HIT-6 score of 49 or higher.
Use of hormone therapy.
History of cervical surgery.
History of neurological disease.
Pregnancy.