Manual Treatment for Cervicogenic Headache and Active Trigger Point in the Sternocleidomastoid Muscle: A Pilot Randomized Clinical Trial

Bodes-Pardo, Gema; Pecos‐Martín, Daniel; Gallego‐Izquierdo, Tomás; Salom‐Moreno, Jaime; Fernández‐de‐las‐Peñas, César; Ortega‐Santiago, Ricardo

doi:10.1016/j.jmpt.2013.05.022

Cited by 60 publications

(56 citation statements)

References 48 publications

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“…Also, our results can be explained by the work ofGema Bodes-Pardo et al [25] who suggested that sternocleidomastoid muscle may be particularly a common source of myofascial CGH. So, stretching of this muscle is a main cause of improvement and treatment of CGH.…”

Section: Discussionsupporting

confidence: 61%

“…Cervicogenic headache is a secondary headache, which means "head pain with a cervical source". Prevalence rates for CGH within the general population varied from 0.4% to 2.5% and in some researches up to 4.1% [25]. Cervicogenic headache associated with ahigh burden of suffering and considerable socio-economic cost [27].…”

Section: Discussionmentioning

confidence: 99%

“…2)passive stretching for upper trapeziusby contra lateral side bending, the patient placed in sitting position and the head-neck region was passively bent on right side (to stretch left side) to the restrictive barrier and asked the patient not to move the shoulder [13], and passive stretching sternocleidomastoid the patient placed in sitting position , slowly brought patient's head from the neutral position into a position of contralateral side flexion,ipsilateral rotation, , and slight extension [25]. Stretching exercises 6-15 seconds for 3 times repetition.…”

Section: Group (A)mentioning

confidence: 99%

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Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial

Mohamed¹,

Shendy²

2018

Phys Ther Rehabil

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Background: Headache is that the most prevailing pain disorder, affecting sixty six percent of the worldwide population. Cervicogenic headache may be a common condition inflicting significant disability. Purpose: To determine the efficacy of Mulligan Natural apophyseal glides (NAGs) on pain intensity level, functional ability and cervical range of motion in subjects with cervicogenic headache. Methods: Thirty patients with clinicaldiagnosis of cervicogenic headache were assigned randomly into two groups: Group (A) patients received conventional physical therapy program 3 sessions per week for 4 weeks. Group (B) patients received conventional physical therapy program in addition to Mulligan, natural apophyseal glides (NAGs) 3 sessions per week for 4 weeks. Pain intensity level, neck functional disability level, and cervical range of motion were measured pre and post intervention period. Results: Patients of bothgroups showed statistical significant improvement in all the measured variables after treatment program. Between groups difference the natural apophyseal glides group (B) showed a statistical significant improvement in pain intensity level, neck functional disability level than in group (A) but there was no statistical significant difference between both groups in cervical range of motion (p value<0.05). Conclusions: Mulligan (natural apophyseal glides) had an effect on decreasing pain intensity level, improving functional abilityand cervical range of motion in patients with cervicogenic headache.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Group (A)mentioning

confidence: 99%

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Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial

Mohamed¹,

Shendy²

2018

Phys Ther Rehabil

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“…Kinesio taping is thought to be an intervention method that can provide the same effects as soft-tissue massage28 ) , manual therapy29 ) , thermotherapy30 ) , which are methods for alleviating pain in myofascial trigger points, and that can be presented as a method of alleviating myofascial pain in MTrPs in clinics. Since it was identified that excessive SCM tension adversely affected the ROM of the TMJ, the present study revealed that the SCM muscle ha sn important role in restriction of the ROM of the TMJ.…”

Section: Discussionmentioning

confidence: 99%

Change the Myofascial Pain and Range of Motion of the Temporomandibular Joint Following Kinesio Taping of Latent Myofascial Trigger Points in the Sternocleidomastoid Muscle

Bae

2014

J Phys Ther Sci

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[Purpose] The purpose of this study was to identify the changes in the myofascial pain and range of the motion of temporomandibular joint when Kinesio taping is applied to patients with latent myofascial trigger points of the sternocleidomastoid muscle. [Subjects and Methods] The subjects were 42 males and females aged 20 to 30 years (male 17, female 25). They were randomly divided into the control group and the experimental group, which would receive Kinesio taping. Kinesio taping was applied to the sternocleidomastoid muscle three times per week for two weeks. The pain triggered when the taut band or nodule was palpated was measured. Pain intensity was measured using the visual analog scale (VAS) and pressure pain threshold (PPT). The range of motion of the temporomandibular joint was measured. In all subjects, VAS, PPT, and range of motion of the temporomandibular joint were measured before and after the intervention. [Results] In the experimental group, it was found that pain in the SCM was relived, as the VAS and PPT score decrease significantly and range of motion of temporomandibular joint increase significantly. In comparison between the groups, significant differences were shown in the VAS and PPT scores and in the range of motion of the temporomandibular joint. [Conclusion] Kinesio taping is thought to be an intervention method that can be applied to latent myofascial trigger points.

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“…César Fernandez (2013) explained that manual therapy targeted to activate TrPs in the sternocleidomastoid muscle may be useful in reducing headache and neck pain intensity and increasing motor performance of the deep cervical flexors muscles [40]. Unfortunately, there are few studies focusing on the effectiveness of MFR technique in patients with CGH.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Suboccipital Myofascial Release Technique on Cervical Muscle Strength of Patients With Cervicogenic Headache

Ramezani

Arab

2017

PTJ

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Purpose: To determine whether Myofascial Release (MFR) technique in upper cervical region is more effective than using conventional exercises to improve cervical muscle strength in patients with cervicogenic headache. Design: Randomized Controlled Trial. Setting: An outpatient physical therapy clinic, University of social welfare and rehabilitation science, Iran. Methods:We conducted a prospective, randomized controlled, and single blinded trial on 34 patients with cervicogenic headache, aged 15-75 years, which assigned randomly to exercise group (n=17, mean(SD) age=38(11.31) years) and suboccipital myofascial release group (n=17, mean(SD) age=38.88(9.38) years). Ten treatment sessions, 6 times a week for each group were applied. Outcome measures were isometric cervical muscle strength (flexors, extensors, right and left rotators and lateral flexors) measured by force gauge.Results: Statistical analysis (paired t test) revealed a significant improvement in cervical muscle strength after treatment in the MFR and exercise groups compared with before treatment (P<0.05). Based on ANCOVA results, pretest scores as controlling factor, no significant difference was found between two groups after 10 treatment sessions with regard to all variables (P>0.05) except cervical flexors strength (P=0.021) and cervical left rotators strength (P=0.031). Conclusion:Pain and myofascial stiffness can be an impediment for full muscle interference in contraction and application of suboccipital MFR and common exercises can be effective techniques in restoring cervical muscle strength, especially in cervical rotatory movements.

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Manual Treatment for Cervicogenic Headache and Active Trigger Point in the Sternocleidomastoid Muscle: A Pilot Randomized Clinical Trial

Cited by 60 publications

References 48 publications

Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial

Effect of natural apophyseal glides on cervicogenic headache: A randomized controlled trial

Change the Myofascial Pain and Range of Motion of the Temporomandibular Joint Following Kinesio Taping of Latent Myofascial Trigger Points in the Sternocleidomastoid Muscle

The Effect of Suboccipital Myofascial Release Technique on Cervical Muscle Strength of Patients With Cervicogenic Headache

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