Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Immediate Effects of Combined Stretching Exercise and Therapeutic Ultrasound on the Muscles Around the Neck in Tension-type Headache Patients

치료적 초음파를 결합한 뻗침운동이 긴장성 두통 환자의 목주변 근육에 미치는 즉각적인 효과

  • Heo, Jae-Won (Department of Physical Therapy, Kyung-Buk Collage) ;
  • Park, Sam-Heon (Department of Physical Therapy, KimTaeWoo Neurology Clinic, Physical Therapy Center)
  • Received : 2022.04.02
  • Accepted : 2022.04.15
  • Published : 2022.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to provide objective and basic data for an effective treatment method by examining changes in the mechanical properties of muscles and the degree of tenderness when a combination of stretching exercise and ultrasound therapy is applied to patients with tension headaches. Methods: The participants were classified into two groups based on the intervention received: the therapeutic ultrasound combined with suboccipital stretching (n=15, experimental group) and infrared combined with suboccipital stretching (n=15, control group) groups. The intragroup differences in mechanical muscle properties and modified total tenderness score were compared and analyzed. Results: The comparison and analyses of the changes in muscle tone and stiffness revealed statistically significant intragroup decreases in the upper trapezius and suboccipitalis in the experimental group. Similarly, the comparison and analyses of the changes in muscle stiffness revealed statistically significant intragroup decreases in the upper trapezius in the control group. Conclusion: Therapeutic ultrasound combined with suboccipitalis stretching effectively increased the flexibility of the muscles around the cervical vertebrae and reduced muscle tension and stiffness in tension-type headache patients

Keywords

References

  1. Aaseth, K., Grande, R. B., Lundqvist, C., & Russell, M. B. (2014). Pericranial tenderness in chronic tension-type headache: The Akershus population-based study of chronic headache. The Journal of Headache and Pain, 15(1), 1-7. https://doi.org/10.1186/1129-2377-15-58
  2. Ajimsha, M. (2011). Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache. Journal of Bodywork and Movement Therapies, 15(4), 431-435. https://doi.org/10.1016/j.jbmt.2011.01.021
  3. Alonso-Blanco, C., Fernandez-De-Las-Penas, C., Fernandez- Mayoralas, D. M., de-la-Llave-Rincon, A. I., Pareja, J. A., & Svensson, P. (2011). Prevalence and anatomical localization of muscle referred pain from active trigger points in head and neck musculature in adults and children with chronic tension-type headache. Pain Medicine, 12(10), 1453-1463. https://doi.org/10.1111/j.1526-4637.2011.01204.x
  4. Antonia, G. C. (2014). Efficacy of manual and manipulative therapy in the perception of pain and cervical motion in patients with tension-type headache: a randomized, controlled clinical trial. Journal of Chiropractic Medicine, 13(1), 4-13. https://doi.org/10.1016/j.jcm.2014.01.004
  5. Aridici, R., Yetisgin, A., Boyaci, A., Tutoglu, A., Bozdogan, E., Dokumaci, D. S., et al. (2016). Comparison of the efficacy of dry needling and high-power pain threshold ultrasound therapy with clinical status and sonoelastography in myofascial pain syndrome. American Journal of Physical Medicine & Rehabilitation, 95(10), e149-e158. https://doi.org/10.1097/PHM.0000000000000600
  6. Arnold, M. (2018). Headache classification committee of the international headache society (IHS) the international classification of headache disorders. Cephalalgia, 38(1), 1-211. https://doi.org/10.1177/0333102417738202
  7. Bailey, L., Samuel, D., Warner, M. B., & Stokes, M. (2013). Parameters representing muscle tone, elasticity and stiffness of biceps brachii in healthy older males: Symmetry and within-session reliability using the MyotonPRO. Journal of Neurological Disorders, 1(1), 1-7. https://doi.org/10.4172/jnd.1000116
  8. Chowdhury, D. (2012). Tension type headache. Annals of Indian Academy of Neurology, 15(Suppl 1), S83. https://doi.org/10.4103/0972-2327.100023
  9. De Deyne, P. G. (2001). Application of passive stretch and its implications for muscle fibers. Physical Therapy, 81(2), 819-827. https://doi.org/10.1093/ptj/81.2.819
  10. de Tommaso, M., Shevel, E., Pecoraro, C., Sardaro, M., Losito, L., Lamberti, P., et al. (2006). Topographic analysis of laser evoked potentials in chronic tension-type headache: Correlations with clinical features. International Journal of Psychophysiology, 62(1), 38-45. https://doi.org/10.1016/j.ijpsycho.2005.12.002
  11. Espi-Lopez, G. V., Rodriguez-Blanco, C., Oliva-Pascual-Vaca, A., Molina-Martinez, F., & Falla, D. (2016). Do manual therapy techniques have a positive effect on quality of life in people with tension-type headache? A randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 52(4), 447-456.
  12. Fernandez-de-las-Penas, C., Cuadrado, M. L., & Pareja, J. A. (2007). Myofascial trigger points, neck mobility, and forward head posture in episodic tensiontype headache. The Journal of Head and Face Pain, 47(5), 662-672. https://doi.org/10.1111/j.1526-4610.2006.00632.x
  13. Fernandez-de-Las-Penas, C., Cuadrado, M. L., Arendt-Nielsen, L., Ge, H. Y., & Pareja, J. A. (2007). Increased pericranial tenderness, decreased pressure pain threshold, and headache clinical parameters in chronic tension-type headache patients. The Clinical Journal of Pain, 23(4), 346-352. https://doi.org/10.1097/AJP.0b013e31803b3770
  14. Fernandez-De-Las-Penas, C., Fernandez-Mayoralas, D. M., OrtegaSantiago, R., Ambite-Quesada, S., Palacios-Cena, D., & Pareja, J. A. (2011). Referred pain from myofascial trigger points in head and neck-shoulder muscles reproduces head pain features in children with chronic tension type headache. The Journal of Headache and Pain, 12(1), 35-43. https://doi.org/10.1007/s10194-011-0316-6
  15. Gabert-Quillen, C. A. (2012). The efficacy of written emotional expression at reducing back and headache pain in college students. Unpublished doctoral dissertation, Kent State University, Ohio, USA.
  16. Gui-Demase, M. S., Silva, K. C. D., & Teixeira, G. D. S. (2021). Manual therapy associated with topical heat reduces pain and self-medication in patients with tension-type headache. Fisioterapia e Pesquisa, 28, 244-251. https://doi.org/10.1590/1809-2950/17019328032021
  17. Hamilton, L., Boswell, C., & Fryer, G. (2007). The effects of high-velocity, low-amplitude manipulation and muscle energy technique on suboccipital tenderness. International Journal of Osteopathic Medicine, 10(2-3), 42-49. https://doi.org/10.1016/j.ijosm.2007.08.002.
  18. Jes, O., Andre, B., & Robert, K. (2018). International headache society, the international classification of headache disorders. Headache Classification Committee of the International Headache Society (IHS), 38, 18-28.
  19. Kim, I. G., & Lee, S. Y. (2019). Effects of muscle relaxation approach and joint movement approach on neck movement and comfort of daily living in patients with tension-type headache of forward head posture. Journal of Korean Medicine Rehabilitation, 29(1), 7-20. https://doi.org/10.18325/jkmr.2019.29.1.7
  20. Koleva, I. B., Yoshinov, R. D., & Yoshinov, B. R. (2021). Complex physical prevention and rehabilitation of cervical myofascial pain and headache, due to spine malposition in users (abusers) of smart phones. Highlights on Medicine and Medical Research 1(12), 80-88. https://doi.org/10.9734/bpi/hmmr/v12/1675F
  21. Lee, H. R., Shim, J. H., & Oh, D. W. (2017). Effects of high-frequency diathermy integrated into suboccipital release on tenderness and neck mobility and disability in people with chronic tension-type headache. Physical Therapy Korea, 24(2), 37-47. https://doi.org/10.12674/ptk.2017.24.2.037
  22. Matheus, J. P. C., Oliveira, F. B., Gomide, L. B., Milani, J. G. P. O., Volpon, J. B., & Shimano, A. C. (2008). Effects of therapeutic ultrasound on the mechanical properties of skeletal muscles after contusion. Brazilian Journal of Physical Therapy, 12, 241-247. https://doi.org/10.1590/S1413-35552008000300013
  23. Monzani, L., Espi-Lopez, G. V., Zurriaga, R., & Andersen, L. L. (2016). Manual therapy for tension-type headache related to quality of work life and work presenteeism: Secondary analysis of a randomized controlled trial. Complementary Therapies in Medicine, 25, 86-91. https://doi.org/10.1016/j.ctim.2016.01.008
  24. Moraska, A. F., Stenerson, L., Butryn, N., Krutsch, J. P., Schmiege, S. J., & Mann, J. D. (2015). Myofascial trigger point-focused head and neck massage for recurrent tension-type headache: A randomized, placebo-controlled clinical trial. The Clinical Journal of Pain, 31(2), 159. https://doi.org/10.1097/AJP.0000000000000091
  25. Park, S. K., & Park, S. H. (2021). The effect of combined suboccipitalis release exercise and therapeutic ultrasound on mechanical properties of cervical muscles and neck disability index, headache impact test in tension-type headache patients. Journal of The Korean Society of Integrative Medicine, 9(4), 271-281. https://doi.org/10.15268/ksim.2021.9.4.271
  26. Park, S. K., Yang, D. J., Kim, J. H., Kang, D. H., Park, S. H., & Yoon, J. H. (2017). Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. Journal of Physical Therapy Science, 29(10), 1836-1840. https://doi.org/10.1589/jpts.29.1836
  27. Robertson, V. J., & Baker, K. G. (2001). A review of therapeutic ultrasound: Effectiveness studies. Physical Therapy, 81(7), 1339-1350. https://doi.org/10.1093/ptj/81.7.1339
  28. Stovner, L. J., Hagen, K., Jensen, R., Katsarava, Z., Lipton, R. B., Scher, A. I., et al. (2007). The global burden of headache: A documentation of headache prevalence and disability worldwide. Cephalalgia, 27(3), 193-210. https://doi.org/10.1111/j.1468-2982.2007.01288.x
  29. Torelli, P., Jensen, R., & Olesen, J. (2004). Physiotherapy for tension-type headache: A controlled study. Cephalalgia, 24(1), 29-36. https://doi.org/10.1111%2Fj.1468-2982.2004.00633.x https://doi.org/10.1111%2Fj.1468-2982.2004.00633.x
  30. Viir, R., Laiho, K., Kramarenko, J., & Mikkelsson, M. (2006). Repeatability of trapezius muscle tone assessment by a myometric method. Journal of Mechanics in Medicine and Biology, 6(2), 215-228. https://doi.org/10.1142/S0219519406001856
  31. Wong, R. A., Schumann, B., Townsend, R., & Phelps, C. A. (2007). A survey of therapeutic ultrasound use by physical therapists who are orthopaedic certified specialists. Physical Therapy, 87(8), 986-994. https://doi.org/10.2522/ptj.20050392
  32. Yang, D. J., & Kang, D. H. (2017). Comparison of muscular fatigue and tone of neck according to craniocervical flexion exercise and suboccipital relaxation in cervicogenic headache patients. Journal of Physical Therapy Science, 29(5), 869-873. https://doi.org/10.1589/jpts.29.869