to Stuidy the Effect of Cognitive Behavior Threapy CBT on Smartphone Addiction Patients With Tension Type Headache

Inclusion Criteria: * Subjects were those diagnosed with tension type headache by neurologists based on the criteria of the International Headache Society. * age between 19-34. * International Headache Society diagnostic criteria of tension type headaches: * Frequent ETTH or CTTH diagnosed, in both cases more than three months. * Episodes of pain from 30 minutes to 7 days Fulfil 2 or more of the following characteristics: * Bilateral location of pain. * Non-pulsatile pain pressure. * Pain mild to moderate. * The headache does not increase with physical activity. * The headache may be associated with pericranial tenderness. * Controlled pharmacologically. * Myofascial TrPs were bilaterally explored in upper trapezius, splenius capitis, sternocleidomastoid, masseter, superior oblique, levator scapulae and suboccipital muscles, TrP diagnosis was conducted following the diagnostic criteria: * presence of a palpable taut band within a skeletal muscle. * presence of a hypersensitive tender spot in the taut band. * local twitch response elicited by snapping palpation of the taut band reproduction of the typical referred pain pattern of the TrP in response to compression. * TrPs were considered active if both the local and the referred pain evoked by manual palpation reproduced total or partial pattern of the headache. * Patients with FHP who have craniovertebral angle less than 49 degrees were included. Forward head posture is measured by calculating the angle between the horizonta…