Effect of ischemic compression for cervicogenic headache and elastic behavior of active trigger point in the sternocleidomastoid muscle using ultrasound imaging

Jafari, Mehdi; Bahrpeyma, Farid; Togha, Mansoureh

doi:10.1016/j.jbmt.2017.01.001

Cited by 29 publications

(58 citation statements)

References 36 publications

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“…[ 22 , 23 ] When ischemic compression is applied to the MTrP, the vertical width of the sarcomere becomes narrower and longer, [ 24 ] while the area of the MTrP decreases after intervention by ischemic compression. [ 25 ] Even in the present study, the SCM muscle hardness decreased significantly after SSTR intervention. These results show that applying the release procedure on the soft tissues of the SCM muscle reduced the vertical height and lengthened the sarcomeres and parallel elastic components (including endomysium, perimysium, and epimysium) that cause passive tension in the connective tissues inside the muscle, [ 26 ] and this resulted in decreased muscle hardness from reduced resistance by pressure applied to the muscle.…”

Section: Discussioncontrasting

confidence: 63%

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Kim

Lee

2018

Medicine

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Few studies have been performed regarding the reduction of pain in the upper trapezius (UT) muscle by applying interventions to the sternocleidomastoid (SCM) muscle, which is innervated by the same nerves.The purpose of this study was to investigate the effects of soft tissue release intervention on the SCM and suboccipital muscles with regard to muscle hardness and pressure pain threshold (PPT) of the SCM and UT muscles in smartphone users with latent myofascial trigger points (MTrPs) in the UT muscle.Seventeen smartphone users (5 men and 12 women) with latent MTrPs in the UT muscle participated in the study. This study used a single blinding, cross-over design, wherein sternocleidomastoid soft tissue release (SSTR) and suboccipital release (SR) were applied on the subjects in random order one week apart. Muscle hardness and the PPT of the SCM and UT muscles were assessed before and after the intervention.After SSTR was applied, the SCM and UT muscles showed a significant decrease in muscle hardness and a significant increase in PPT. After SR was applied, the UT muscle showed a significant decrease in muscle hardness and a significant increase in PPT. When comparing the amount of change between the SSTR and SR interventions, significant differences were found for SCM muscle hardness and PPT of the UT muscle in the SSTR intervention, compared with the SR intervention.Therefore, we suggest that, to reduce pain in the UT muscle, it may be useful to apply intervention directly to the UT muscle, as well as to the SCM muscle, which is innervated by the same nerve.

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Section: Discussioncontrasting

confidence: 63%

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Kim

Lee

2018

Medicine

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“…Pain, which is not an isolated pathological process, is often intertwined clinical problems and comorbid conditions [1,2]. Numerous studies have demonstrated that active myofascial trigger points exist in most types of pain [3,4,5,6]. Myofascial trigger points (MTrPs) are considered hyperirritable spots in taut bands of skeletal muscles, which are composed of numerous “contraction knots” in myofibers [7,8,9].…”

Section: Introductionmentioning

confidence: 99%

Proteins and Signaling Pathways Response to Dry Needling Combined with Static Stretching Treatment for Chronic Myofascial Pain in a RAT Model: An Explorative Proteomic Study

Huang

Barbero

et al. 2019

IJMS

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A quantitative proteomic analysis of the response to dry needling combined with static stretching treatment was performed in a rat model of active myofascial trigger points (MTrPs). 36 rats were divided into a model group (MG), a stretching group (SG) and a dry needling combined with stretching group (SDG). We performed three biological replicates to compare large-scale differential protein expression between groups by tandem mass tag (TMT) labeling technology based on nanoscale liquid chromatography mass spectrometry analysis (LC–MS/MS). Hierarchical clustering, Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment and protein-protein interaction network analyses were performed for the general characterization of overall enriched proteins. For validation of the results of TMT, the candidate proteins were verified by parallel reaction monitoring (PRM) analysis. 285 differentially expressed proteins between groups were identified and quantified. Tight junction pathway played a dominant role in dry needling combined with static stretching treatment for the rat model of active MTrPs. Three candidate proteins, namely actinin alpha 3, calsequestrin-1 and parvalbumin alpha, were further validated, consistent with the results of LC–MS/MS. This is the first proteomics-based study to report the therapeutic mechanism underlying dry needling and static stretching treatment for MTrPs. Further functional verification of the potential signaling pathways and the enriched proteins is warranted.

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Section: Introductionmentioning

confidence: 99%

“…Headache is a frequent syndrome, disturbing up to 66% of people, with an expected lifetime occurrence of 96%; consequently, it harmfully affects both life quality and society productivity [1]. Cervicogenic headache (CGH) is documented to affect 2.5% of adult individuals and result in 15-20% of all chronic and frequent headaches [1,2]. Moreover, in 1983, it was described as a distinct disorder and differentiated from other categories of headaches such as migraine and tension type headache [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Cervicogenic headache (CGH) is documented to affect 2.5% of adult individuals and result in 15-20% of all chronic and frequent headaches [1,2]. Moreover, in 1983, it was described as a distinct disorder and differentiated from other categories of headaches such as migraine and tension type headache [1,2]. The pain in CGH initiates from the cervical region and radiates to a part or more in the head and/or the face; in addition, CGH pain is felt in one side, mostly in the occipital area, frontal region, or retro-orbital region [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial

Khalil¹,

Alkhozamy²,

Fadle³

et al. 2019

Physiother Quart.

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Introduction. Cervicogenic headache (CGH) is a serious condition manifested by upper cervical facet joints dysfunction. Mulligan upper cervical sustained natural apophyseal glide was noted to be effective in CGH but Mulligan upper cervical manual traction (MUCMT) has not yet been investigated. The purpose of the study was to compare the effect of MUCMT vs. traditional treatment (TT) in patients with CGH. Methods. A randomized controlled prospective parallel single-blind trial was performed. overall, 30 patients with CGH aged 30-55 years were randomly and equally allocated into the MUCMT group (A) and TT group (B) by using permuted block randomization. Group A participants were treated by TT and MUCMT while group B received hot packs, transcutaneous electrical nerve stimulation, and deep cervical flexors strengthening exercise. Patients gained 3 sessions every week for 3 weeks followed by home exercise for 3 months. Pre-treatment, post-treatment, and follow-up values for all outcome measures were recorded. The primary outcome was headache intensity. Secondary outcomes involved headache frequency, headache duration, neck disability index, and upper cervical rotation range of motion. Results. Within groups, statistical analysis revealed a significant difference in the comparison of pre-vs. post-treatment and post-treatment vs. follow-up mean values of all outcomes. Between groups, no statistical significance was observed in posttreatment and follow-up data, with 1 exception regarding upper cervical range of motion in favour of MUCMT. Conclusions. MUCMT is an effective treatment in patients with CGH, mainly with regard to upper cervical rotation range of motion.

show abstract

Effect of ischemic compression for cervicogenic headache and elastic behavior of active trigger point in the sternocleidomastoid muscle using ultrasound imaging

Cited by 29 publications

References 36 publications

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Proteins and Signaling Pathways Response to Dry Needling Combined with Static Stretching Treatment for Chronic Myofascial Pain in a RAT Model: An Explorative Proteomic Study

Effect of Mulligan upper cervical manual traction in the treatment of cervicogenic headache: a randomized controlled trial

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