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.
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Pain Ä°ntensity (Visual Analog Scale - VAS)
Timeframe: Baseline and after 2 weeks of treatment
Headache Ä°mpact (Headache Ä°mpact Test - HÄ°T-6)
Timeframe: Baseline and after 2 weeks of treatment