Forward Head Posture Differences in Tension Headaches

it evaluates forward head posture (craniovertebral angle), resting scapular alignment (upward rotation, anterior tilt, protraction, depression), and dynamic scapular kinematics (upward rotation, anterior-posterior tilt) between tension-type headache and controls.

Inclusion Criteria: * Inclusion Criteria for TTH group: 1. Patients will be included if they meet the diagnostic criteria of the International Headache Society for Tension-Type Headache 2. Score of 8 in screening questionnaire of TTH 3. Patients' age ranges from 20 to 40 years 4. BMI will range from 18.5- 29.9 kg/m2 5. Chronic and frequent episodic Tension-Type Headache as duration of patient's symptoms is more than three months * Inclusion Criteria for the control group Asymptomatic tension-type headaches will be included if they are matched in age, gender, and BMI Exclusion criteria: 1. Abnormal neurological symptoms (cervical radiculopathy-motor manifestation) 2. Vertebrobasilar Insufficiency 3. Systemic diseases e.g., Multiple sclerosis 4. Diabetes and hypertension 5. History of head trauma 6. History of epileptic fits 7. History of previous head or neck surgery 8. History of Shoulder