{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T06:08:00Z","timestamp":1768975680763,"version":"3.49.0"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the widespread use of exercise in managing tension\u2010type headache, there remains a lack of research on the effectiveness of combined structured exercise programs. The aim of this study was to investigate the effects of a structured exercise program versus aerobic exercise of equal duration on tension\u2010type headache (TTH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010four female participants aged between 18 and 55\u2009years were randomised to receive a 12\u2010week exercise program, conducted twice a week for 45\u2009min per session. The Structured Exercise Group (SEG) participated in a combination of aerobic, strengthening, and stretching exercises, whereas the Aerobic Exercise Group (AEG) performed only aerobic exercises. The primary outcome measure was the Headache Impact Test (HIT\u20106), a quality\u2010of\u2010life questionnaire. Secondary outcome measures included headache intensity, disability level, pressure pain threshold, proprioception, muscle strength, cervical posture, exercise capacity, anxiety, and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups showed statistically significant improvements in quality of life, pain intensity, disability, anxiety, depression, exercise capacity, pressure pain threshold, and proprioception (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Between\u2010group comparisons revealed that the SEG demonstrated significantly greater improvements in quality of life, pressure pain threshold, proprioception, muscle strength, and posture (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), whereas the AEG showed superior gains in exercise capacity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both exercise programs appear similarly effective for self\u2010reported outcomes. Based on clinical measurement results, we recommend incorporating strengthening and stretching exercises into the aerobic exercise program and extending the duration to 12\u2009weeks for additional benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance Statement<\/jats:title>\n                    <jats:p>This study highlights the clinical value of supervised, physiotherapist\u2010led exercise and the integration of personalised, multi\u2010component strategies in managing tension\u2010type headache. While both structured and aerobic programs improved pain, activity, and participation, the structured approach provided additional benefits in pressure pain threshold, proprioception, muscle strength, and posture. Tailoring interventions to individual clinical needs and extending the duration beyond 8\u2009weeks may further enhance outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.70186","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T06:31:47Z","timestamp":1765434707000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Efficacy of Structured Exercise Program Versus Aerobic Exercise in Tension\u2010Type Headache: A Randomised Clinical Trial"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4165-5129","authenticated-orcid":false,"given":"K\u00fcbra","family":"Ata\u015f","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Insitute of Graduate Studies Istanbul University\u2010Cerrahpasa  \u0130stanbul Turkey"},{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Science Munzur University  Tunceli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8595-5513","authenticated-orcid":false,"given":"Ebru Kaya","family":"Mutlu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Science Bandirma Onyedi Eylul University  Balikesir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2017.08.003"},{"issue":"4","key":"e_1_2_11_4_1","first-page":"280","article-title":"Hastane Anksiyete ve Depresyon \u00d6l\u00e7e\u011fi T\u00fcrk\u00e7e Formunun Ge\u00e7erlilik ve G\u00fcvenilirlik \u00c7al\u0131\u015fmas\u0131. 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