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112     CHAPTER 5 CHRONIC TTH ANALYSIS BY EMG AND GSR BIOFEEDBACK




                                                Period                             Techniques, period
                140       136.17 min                                                 EMGa, BaseLine
                          Subjects: 26
                                                                                     EMGa, 1 month
                                    115.93 min
                    128.17 min                                                       EMGa, 3 months
                120                 Subjects: 27
                    Subjects: 27                                                     EMGa, 6 months
                                                                                     EMGa, 12 months
                                                  91.13 min
               TTH duration (in min) per cycle  80  Subjects: 26  Subjects: 24  Subjects: 23  Subjects: 21  GSRa, 3 months
                                                                                     GSRa, BaseLine
                100
                                                  Subjects: 25
                                                               85.81 min
                                100.60 min
                                                                                     GSRa, 1 month
                                                              Subjects: 25
                                                                           74.33 min
                                              89.01 min
                                                                          Subjects: 23
                                                                                     GSRa, 6 months
                                                                                     GSRa, 12 months
                                                            73.40 min
                                                                           72.63 min
                60
                40
                20
                 0
                      BaseLine     1 month      3 months    6 months     12 months
             FIG. 5.11
             Analysis of TTH duration per cycle per time.
                GSRa: The rate of reduction of TTH pain duration per cycle tremendously increased when the ther-
             apy of the subject was started then it slowed down in the next 6months and became stagnant until the
             end of the experiment. The average reduction in TTH duration per cycle changed from 136.17 to
             72.63min, i.e., 63.54min of improvement was recorded per cycle per subject.
                EMGa: EMGa showed the results in similar spirit but the improvement rate was continuous in na-
             ture from the start to end. This technique/therapy reduced the overall TTH duration per cycle from
             128.17 to 74.33min per cycle per subject, i.e., the overall improvement of TTH duration per cycle
             was 53.84min per subject.
                From the above analysis, we can conclude that GSRa showed an overall better improvement
             in the reduction of TTH duration per cycle per subject when compared to EMGa. But the rate
             of improvement in TTH duration per cycle using GSRa in the last 6months was nearly
             stagnant, which diminished the probability of further reducing the TTH duration per cycle. On
             the other hand, EMGa showed a significant reduction rate in the last 6months, giving a possibility
             to decrease it further. Therefore, in the longer run, EMGa will be a more beneficial therapy
             than GSRa.



             5.8.5 TREND ON CORRELATION OF TTH DURATION AND INTENSITY
             This analysis is done to establish the relationship of duration of TTH pain of the subject with the
             intensity of pain. Chronic intensity pain generally stays for a longer duration. Fig. 5.12 reveals the
             interesting analysis of subjects’ TTH pain duration correlation with TTH pain intensity. The trends
             observed are as follows:
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