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The comparative effects of spinal manipulation, myofascial release and exercise in tension-type headache patients with neck pain: A randomized controlled trial. | LitMetric

AI Article Synopsis

  • The study aimed to compare the effectiveness of two manual treatment methods alongside exercise on patients with tension-type headaches (TTH) and neck pain.
  • Patients were divided into three groups: one received manipulation plus exercise, another underwent myofascial release plus exercise, and the last group only did exercises.
  • The results showed that the manipulation group had significantly better outcomes in reducing headache frequency, severity, and improving pain threshold compared to both the myofascial release and control groups.
  • The findings support the idea that combining manipulation and exercise can enhance treatment for TTH patients with neck issues.

Article Abstract

Objectives: To evaluate the effects of two manual treatment methods on pain, disability, and pressure pain threshold (PPT) in tension-type headache (TTH) patients with and neck pain.

Methods: Forty-five patients with TTH were randomly assigned to one of three groups and received eight sessions treatment: manipulation plus exercise (manipulation), suboccipital inhibition plus exercise (myofascial release), and exercise only (control). Headache frequency, pain severity (VAS-headache, VAS-neck pain) and headache and neck disability (HIT-6 and NDI, respectively) were measured at baseline, posttreatment, and at the third month follow-up. PPT was also evaluated on the temporalis muscle.

Results: Manipulation group was statistically better than myofascial release group in terms of headache frequency, headache severity, and PPT scores. Also, manipulation group showed statistically significant improvements in all outcome criteria when compared control group.

Conclusions: Manipulation and exercise, in addition to pharmacologic treatment in TTH patients with cervical dysfunction appear to be a promising approach.

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Source
http://dx.doi.org/10.1016/j.ctcp.2021.101319DOI Listing

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