Comparing the effect of myofascial release and muscle energy technique on craniovertebral angle and headache in tension type headache patients
DOI:
https://doi.org/10.17267/2238-2704rpf.2022.e4799Keywords:
Tension type headache(TTH), Trigger points, Muscle energy technique, Myofascial release therapy, Craniovertebral angle, International headache societyAbstract
INTRODUCTION: Tension headaches can be induced by forward head posture, and there is a wealth of evidence available for managing chronic headaches. The data supports the use of manual therapy approaches to manage tension type headaches. Because of the forward head posture, the suboccipital muscle region becomes short, resulting in an increase in lordosis and neck pain. Patients with an even more forward head posture have a smaller cranio-vertebral angle, which in turn causes tension type headache. OBJECTIVE: The aim of this study is to compare the effects of Myofascial release therapy(MFR) and Muscle energy technique(MET) with general neck exercises on the cranio-vertebral angle and headache in tension type headache patients. METHODS: In total, 75 subjects with tension type headache and suboccipital muscle tenderness were recruited and randomized blindly into three groups: the MFR group, the MET group, and the control group (25 subjects in each group). A pre-craniovertebral angle was taken by photographic method, and a pre-headache disability index questionnaire was filled in. The MFR group receives cranio-basal release in the suboccipital region with neck exercises, the MET group receives post–isometric relaxation in the suboccipital region with exercises, and the control group receives only exercises for 2 weeks. After two weeks, the postcranial angle and the headache questionnaire were taken and measured. RESULTS: Craniovertebral angle and headache index showed significant improvement in both the MET and MFR groups. There was no significant difference when MET and MFR groups were compared. When compared with the control group, both MET and MFR showed a significant increase in craniovertebral angle. There was significant improvement in the headache index following MET, MFR, or routine neck exercise. CONCLUSION: Compared to the control group, MFR shows better results than MET on craniovertebral angle and headache.
Downloads
References
(1) Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007;25(4):841-51. https://doi.org/10.1016/j.anclin.2007.07.003
(2) Peñas CF, Blanco CA, Cuadrado ML, Gerwin RD, Pareja JA. Trigger points in the suboccipital muscles and forward head posture in tension?type headache. Head. 2006;46(3):454-60. https://doi.org/10.1111/j.1526-4610.2006.00288.x
(3) Bendtsen L, Peñas CF. The role of muscles in tension-type headache. Curr Pain Headache Rep. 2011;15(6):451-8. https://doi.org/10.1007/s11916-011-0216-0
(4) Abbasi AH, Aslam M, Ashraf T, Malik AN. Evaluation of the Forward Head Posture, its association with Neck Pain & Quality of life of Female DPT Students. JRCRS [Internet]. 2016;4(2):59-64. Available from: https://journals.riphah.edu.pk/index.php/jrcrs/article/view/445
(5) Shaghayeghfard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016;25(11):3577-82. https://doi.org/10.1007/s00586-015-4254-x
(6) Kim EK, Kim JS. Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. J Phys Ther Sci. 2016;28(10):2929-32. https://doi.org/10.1589/jpts.28.2929
(7) Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9. https://doi.org/10.3233/bmr-130426
(8) Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015;19(1):102-12. https://doi.org/10.1016/j.jbmt.2014.06.001
(9) Ajimsha MS. Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache. J Bodyw Mov Ther. 2011;15(4):431-5. https://doi.org/10.1016/j.jbmt.2011.01.021
(10) Aggarwal A, Shete SV, Palekar TJ. Efficacy of Suboccipital and Sternocleidomastoid Release Technique in Forward Head Posture Patients With Neck Pain: A Randomized Control Trial. Int J Physiother. 2018;5(4):149-55. http://dx.doi.org/10.15621/ijphy/2018/v5i4/175697
(11) Sohail R, Riaz H, Akhtar M, Raza A, Shabbir K, Ahmad A. Effects of Muscle Energy Technique in Patients with Tension Type Headache; A Randomized Control Clnicial Trial. Res Squa. 2021. https://doi.org/10.21203/rs.3.rs-270858/v1
(12) Contractor ES, Shah S, Dave P. To Study the Immediate Effect of Suboccipital Muscle Energy Technique on Craniovertebral Angle and Cranio-Horizontal Angle on Subjects with Forward Head Posture. Int J Health Sci Res [Internet]. 2019;9(3):83-87. Available from: https://www.ijhsr.org/IJHSR_Vol.9_Issue.3_March2019/IJHSR_Abstract.012.html
(13) Quek J, Pua YH, Clark RA, Bryant AL. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther. 2013;18(1):65-71. https://doi.org/10.1016/j.math.2012.07.005
(14) Danto JB. Review of integrated neuromusculoskeletal release and the novel application of a segmental anterior/posterior approach in the thoracic, lumbar, and sacral regions. J Am Osteopath Assoc. 2003;103(12):583-96. Cited: PMID: 14740981
(15) Langevin HM, Cornbrooks CJ, Taatjes DJ. Fibroblasts form a body-wide cellular network. Histochem Cell Biol. 2004;122(1):7-15. https://doi.org/10.1007/s00418-004-0667-z
(16) McKenney K, Elder AS, Elder C, Hutchins A. Myofascial release as a treatment for orthopaedic conditions: a systematic review. J Athl Train. 2013;48(4):522-27. https://doi.org/10.4085/1062-6050-48.3.17
(17) Chaitow L. Muscle energy techniques. 4th ed. Churchill Livingstone; 2013.
(18) Rizo AMH, Pascual-Vaca ÁO, Cabello MA, Blanco CR, Pozo FP, Carrasco AL. Immediate effects of the suboccipital muscle inhibition technique in craniocervical posture and greater occipital nerve mechanosensitivity in subjects with a history of orthodontia use: a randomized trial. J Manipulative Physiol Ther. 2012;35(6):446-53. https://doi.org/10.1016/j.jmpt.2012.06.006
(19) Johns RJ, Wright V. Relative importance of various tissues in joint stiffness. J. Appl. Physiol. 1962;17(5):824-28. https://doi.org/10.1152/jappl.1962.17.5.824
(20) Park YK, Hyun SW, Seo HK. The effectiveness of joint mobilization and myofascial release on the neck. The Journal of Korean Academy of Orthopedic Manual Therapy [Internet]. 2009;15(2):69-79. Available from: https://koreascience.kr/article/JAKO200927362748593.page
(21) Seo HK, Gong WT, Lee SY. The effect of myofacial release and transcutaneous electrical nerve stimulation on the range of motion and pain in patient with chronic cervical neck pain. Journ Kor Acad Orthop Man Therap [Internet]. 2005;11(2):1-12. Available from: https://koreascience.kr/article/JAKO200527362747998.jsp-k1ff8j=SSMHB4&py=2012&vnc=v27n6&sp=588
(22) Hosseinifar M, Bazghandi R, Azimi Z, Bohlouli BK. Effectiveness of neck myofascial release techniques and exercise therapy on pain intensity and disability in patients with chronic tension-type headache. Glob J Health Sci. 2017;9(6):47-54. https://doi.org/10.5539/gjhs.v9n6p47
(23) López CL, Jiménez JM, Aizpurúa JH, Grande JP, Peñas CF. Efficacy of manual therapy in the treatment of tension-type headache. A systematic review from 2000 to 2013. Neuro. 2016;31(6):357-69. https://doi.org/10.1016/j.nrl.2014.01.002
(24) Peñas CF, Cuadrado ML, Gerwin RD, Pareja JA. Referred pain from the trochlear region in tension?type headache: a myofascial trigger point from the superior oblique muscle. Head. 2005;45(6):731-37. https://doi.org/10.1111/j.1526-4610.2005.05140.x
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Ankita Sharma , Ankita Sharma, Moattar Rizvi, Sunita Kumari , Pooja Sharma
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
