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 horizontal line passing through C7 and a line extending from the tragus of the ear to C7. * patients with smartphone addiction who will score 31 for males and 33 for females on smartphone addiction scale - short version. Exclusion Criteria: * rheumatoid arthritis. * suspected malignancy. * pregnancy. * if they had received manual therapy treatment in the 2 months before enrolment into the study. * Patients with infrequent episodic tension type headache, or with probable frequent and infrequent forms of tension type headache or other concomitant headache. * They can never have vomiting or headache episodes during the treatment. * Episodic tension type headache patients may experience very occasionally photophobia or phonophobia during their episodes of headache. * Chronic tension type headache patients may experience very occasionally photophobia, phonophobia or mild nausea during headache episodes. * Pain aggravated by movement of the head. * Metabolic or musculoskeletal problems with similar headache symptoms. * Previous trauma to the cervical spine. * Active vertigo history. * Poorly controlled hypertension. * Atherosclerosis. * Advanced osteoarthritis. * Patients undergoing pharmacological adaptation or changes in the prophylactic medication. * Excessive emotional stress. * Patients with heart devices. * Joint instability. * Neurological disorders. * Laxity of cervical soft tissues. * Radiographic abnormalities. * Generalized hyperlaxity or hypermobility.