The Association of Cutaneous Allodynia and Impaired Balance with Tension Headache in Young Females with Modern Aesthetic Headscarves Usage

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Farheen Nadeem
Ghazal Hussain
Nosheen Manzoor
Fizza Masood
Zainab Hassan
Dina Beenish
Nisha Fazal


Background: The burgeoning trend of wearing modern aesthetic headscarves has become a cultural mainstay among young females, warranting an examination into its potential health outcomes. This study focuses on the occurrence of tension-type headaches (TTH), a common ailment in this population, and investigates the potential exacerbation of symptoms such as cutaneous allodynia (CA) and balance impairments due to headscarf usage. Existing research has only minimally explored these connections.

Objective: The objective of this research was to evaluate the association between the use of modern aesthetic headscarves and the prevalence of CA and balance disturbances in young females diagnosed with TTH.

Methods: This cross-sectional survey involved 260 young females from four academic institutions, all of whom fulfilled the International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria for TTH. Data were manually collected and involved the administration of the Allodynia Symptom Checklist-12 (ASC-12) to assess CA and the Romberg test for balance evaluation. The collected data were analyzed using SPSS to establish the relationship between headscarf usage, CA, and balance dysfunction.

Results: The investigation discovered that 202 out of the 260 subjects (77.7%) experienced CA with varying degrees of severity: mild (30.8%, n=80), moderate (34.6%, n=90), and severe (12.3%, n=32). Balance impairments were detected in 40% of the participants (n=104). A significant correlation (p<0.01) was observed between the intensity of CA and the degree of balance dysfunction, as analysed by SPSS.

Conclusion: The research highlighted a noteworthy link between the use of modern aesthetic headscarves and an increased incidence of CA and balance disturbances in young females with TTH. The data advocates for a heightened awareness and proactive approach to mitigate the potential negative health impacts related to the fashion choice of headscarf wear.

Article Details

How to Cite
Nadeem, F., Hussain, G., Manzoor, N., Masood, F., Hassan, Z., Beenish, D., & Fazal, N. (2023). The Association of Cutaneous Allodynia and Impaired Balance with Tension Headache in Young Females with Modern Aesthetic Headscarves Usage . Journal of Health and Rehabilitation Research, 3(2), 6–13.
Author Biographies

Ghazal Hussain, University of Management and Technology Lahore


Fizza Masood, University of Management and Technology Lahore


Zainab Hassan, University of Management and Technology Lahore

Assistant Professor


Mínguez-Olaondo A, Quintas S, Morollón Sánchez-Mateos N, López-Bravo A, Vila-Pueyo M, Grozeva V, et al. Cutaneous allodynia in migraine: a narrative review. Frontiers in neurology. 2022;12:831035.

Zandieh A, Cutrer FM. OnabotulinumtoxinA in chronic migraine: is the response dose dependent? BMC neurology. 2022;22(1):1-11.

Ashina S, Mitsikostas DD, Lee MJ, Yamani N, Wang S-J, Messina R, et al. Tension-type headache. Nature Reviews Disease Primers. 2021;7(1):24.

Peirs C, Dallel R, Todd AJ. Recent advances in our understanding of the organization of dorsal horn neuron populations and their contribution to cutaneous mechanical allodynia. Journal of neural transmission. 2020;127(4):505-25.

Russo A, Silvestro M, Trojsi F, Bisecco A, De Micco R, Caiazzo G, et al. Cognitive networks disarrangement in patients with migraine predicts cutaneous allodynia. Headache: The Journal of Head and Face Pain. 2020;60(7):1228-43.

Repiso-Guardeño A, Moreno-Morales N, Armenta-Pendón MA, Rodríguez-Martínez MdC, Pino-Lozano R, Armenta-Peinado JA. Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials. International Journal of Environmental Research and Public Health. 2023;20(5):4466.

Abou Elmaaty AA, Flifel ME, Belal T, Zarad CA. Migraine and tension headache comorbidity with hypothyroidism in Egypt. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2020;56(1):1-7.

Carvalho GF, Schwarz A, Szikszay TM, Adamczyk WM, Bevilaqua-Grossi D, Luedtke K. Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice. Brazilian journal of physical therapy. 2020;24(4):306-17.

Kısabay Ak A, Çelebisoy N, Özdemir HN, Gökçay F, Saruhan Durmaz G, Top Kartı D, et al. Factors determining the response to treatment in patients with vestibular migraine. Neurological Research. 2022;44(9):847-54.

Stucky CL, Mikesell AR. Cutaneous pain in disorders affecting peripheral nerves. Neuroscience letters. 2021;765:136233.

Steel SJ, Robertson CE, Whealy MA. Current Understanding of the Pathophysiology and Approach to Tension-Type Headache. Curr Neurol Neurosci Rep. 2021;21(10):56.

Costabile R, Catalano G, Cuteri B, Morelli MC, Leone N, Manna M. A logic-based decision support system for the diagnosis of headache disorders according to the ICHD-3 international classification. Theory and Practice of Logic Programming. 2020;20(6):864-79.

Cho S-J, Lee MJ, Kim B-K, Moon H-S, Chung P-W, Sohn J-H, et al. Clinical features of chronic cluster headache based on the third edition of the International Classification of Headache Disorders: A prospective multicentre study. PLoS One. 2019;14(8):e0221155.

Verhagen IE, Spaink HA, van der Arend BW, van Casteren DS, MaassenVanDenBrink A, Terwindt GM. Validation of diagnostic ICHD-3 criteria for menstrual migraine. Cephalalgia. 2022;42(11-12):1184-93.

Han SM, Kim KM, Cho S-J, Yang KI, Kim D, Yun C-H, et al. Prevalence and characteristics of cutaneous allodynia in probable migraine. Scientific reports. 2021;11(1):2467.

Salaba A, Chan LM. Cataloging and classification: an introduction: Rowman & Littlefield; 2023.

Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Social science & medicine. 2022;292:114523.

Rustichelli C, Bellei E, Bergamini S, Monari E, Lo Castro F, Baraldi C, et al. Allopregnanolone serum levels in female migraineurs. Neurological Sciences. 2019;40(Suppl. 2):S223-S.

Fedotcheva TA, Fedotcheva NI, Shimanovsky NL. Progesterone as an anti-inflammatory drug and immunomodulator: new aspects in hormonal regulation of the inflammation. Biomolecules. 2022;12(9):1299.

Yamani N, Olesen J. New daily persistent headache: a systematic review on an enigmatic disorder. The journal of headache and pain. 2019;20:1-9.

Veisi S, Mohaghegh H, Yaghoobi A, Shams SS, Pirnia B. Comparison of the effectiveness of two mindfulness and logotherapy methods on anxiety index in chronic daily headache of women with marital conflict: A clinical trial study. Chronic Diseases Journal. 2020:78-84.

Hoffmann J, Baca SM, Akerman S. Neurovascular mechanisms of migraine and cluster headache. Journal of Cerebral Blood Flow & Metabolism. 2019;39(4):573-94.

Andreou AP, Edvinsson L. Mechanisms of migraine as a chronic evolutive condition. The journal of headache and pain. 2019;20(1):1-17.

Sandoe CH, Sasikumar S, Lay C, Lawler V. The impact of shift work on migraine: a case series and narrative review. Headache: The Journal of Head and Face Pain. 2019;59(9):1631-40.

Clifford M. Determining the biopsychosocial factors of chronic pain in older adults to inform the development of a risk appraisal checklist for use in long term care: a Delphi study. 2021.

Buse DC, Greisman JD, Baigi K, Lipton RB. Migraine progression: a systematic review. Headache: The Journal of Head and Face Pain. 2019;59(3):306-38.

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