Mehdi Jafari1, Farid Bahrpeyma2, Mansoureh Togha3. 1. Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Electronic address: m.jafarii@modares.ac.ir. 2. Department of Physiotherapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Electronic address: bahrpeyf@modares.ac.ir. 3. Department of Neurology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran; Headache Department, Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: toghae@sina.tums.ac.ir.
Abstract
OBJECTIVES: To investigate the effect of ischemic compression on clinical outcomes of a cervicogenic headache and elastic behavior of myofascial trigger points. DESIGN: Randomized, controlled trial. SETTING:Outpatient headache clinic. SUBJECTS:19 subjects with a cervicogenic headache originating from myofascial trigger point within the sternocleidomastoid muscle. INTERVENTIONS: Subjects were randomized in treatment group (n = 9) and control group (n = 10). Subjects in the treatment group received 4 sessions of ischemic compression in the myofascial trigger point region. MAIN MEASURES: Headache intensity, frequency, and duration, trigger point elastic modulus, trigger point area, pressure tolerance, and pressure pain threshold were assessed before and after treatment. RESULTS: Subjects in the treatment group compared with those in control group showed significant improvements in headache intensity (P = 0.002), headache frequency (P = 0.005), headache duration (P = 0.015), pressure tolerance (P < 0.001), pressure pain threshold (P = 0.039), and myofascial trigger point area (P = 0.017). Changes in myofascial trigger point elastic modulus did not reach a significant level (P > 0.05). CONCLUSION: The improvements in outcome measures suggest that ischemic compression may be effective in subjects with a cervicogenic headache associated with a myofascial trigger point in the sternocleidomastoid muscle. Data suggests that biomechanical properties of MTrP and severity of headache symptoms are not directly linked, and other mechanisms could be more influential in contributing to symptoms.
RCT Entities:
OBJECTIVES: To investigate the effect of ischemic compression on clinical outcomes of a cervicogenic headache and elastic behavior of myofascial trigger points. DESIGN: Randomized, controlled trial. SETTING:Outpatientheadache clinic. SUBJECTS: 19 subjects with a cervicogenic headache originating from myofascial trigger point within the sternocleidomastoid muscle. INTERVENTIONS: Subjects were randomized in treatment group (n = 9) and control group (n = 10). Subjects in the treatment group received 4 sessions of ischemic compression in the myofascial trigger point region. MAIN MEASURES: Headache intensity, frequency, and duration, trigger point elastic modulus, trigger point area, pressure tolerance, and pressure pain threshold were assessed before and after treatment. RESULTS: Subjects in the treatment group compared with those in control group showed significant improvements in headache intensity (P = 0.002), headache frequency (P = 0.005), headache duration (P = 0.015), pressure tolerance (P < 0.001), pressure pain threshold (P = 0.039), and myofascial trigger point area (P = 0.017). Changes in myofascial trigger point elastic modulus did not reach a significant level (P > 0.05). CONCLUSION: The improvements in outcome measures suggest that ischemic compression may be effective in subjects with a cervicogenic headache associated with a myofascial trigger point in the sternocleidomastoid muscle. Data suggests that biomechanical properties of MTrP and severity of headache symptoms are not directly linked, and other mechanisms could be more influential in contributing to symptoms.
Authors: María Benito-de-Pedro; César Calvo-Lobo; Daniel López-López; Ana Isabel Benito-de-Pedro; Carlos Romero-Morales; Marta San-Antolín; Davinia Vicente-Campos; David Rodríguez-Sanz Journal: Sensors (Basel) Date: 2021-04-21 Impact factor: 3.576
Authors: Zuzana Sedlackova; Martin Vita; Jan Herman; Tomas Furst; Tomas Dornak; Miroslav Herman Journal: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Date: 2021-05-18 Impact factor: 1.648