Remedial massage therapy interventions including and excluding sternocleidomastoid, scalene, temporalis and masseter muscles for Chronic Tension Type Headaches: A case series.

Abstract

This 6-week case series addressed four cases of chronic tension-type headache (CTTH) to investigate whether massage therapy interventions were more effective when muscles of the anterior neck, jaw and cranium were included. Four female clients suffering CTTH received six pre-determined massage therapy interventions, 45 minutes each, over a three week period. Case A and B (exclusion cases) received interventions addressing shoulder, posterior neck and occiput muscles, Case C and D (inclusions cases) received interventions addressing the same areas and sternocleidomastoid, scalene, temporalis and masseter muscles. Treatment strategies included myofascial trigger point release, neuromuscular therapy, and consideration of central sensitization mechanisms present in CTTH. Outcome measures of headache frequency (primary), intensity, and duration (secondary) were recorded via headache diaries issued to each participant for one week of baseline measures, 3 weeks of intervention, and a two-week runout period. Secondary measures also included a headache disability inventory (HDI) at baseline, conclusion of intervention and final measures. After final measures, clients were given stretching education and 4 weeks later, a follow-up phone conversation to note subjective headache reports. Results showed all cases had headache frequency and HDI score reductions, while intensity and duration measures fluctuated. At final measures, exclusion Case A and both inclusion cases (C and D) had headache frequency reductions to below CTTH diagnostic criteria from The International Headache Society (>15 headache affected days /month). These three cases also had clinically meaningful (>16%) HDI score reductions and subjectively reported continued improvements after study completion. Comparative results suggest there may be additional benefit in reducing headache frequency and disability with the inclusion of anterior neck, jaw and cranial muscles in the treatment of CTTH. The inclusion cases overall had a greater decrease in headache frequency and HDI, however, limited sample size makes it difficult to rule out outliers or individual variables influencing data. Further investigation is recommended.

Efficiency of myofascial release in patients with tension-type headaches: integrative review

“…The results found in the databases are shown in table 1. A total of 16 studies [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] published between 2003 and 2021 were included. Fifteen studies were clinical trials, while 3 were case reports.…”

Comparative Short-Term and Long-Term Effects of Neck Massage and Self-Massage on Tension Type Headache

“…Tai yra ne tik didelių materialinių išteklių nereikalaujanti alternatyva, tačiau ir laiko atžvilgiu puikiai pritaikoma šiuolaikiniam žmogui. Yra atlikta nemažai tyrimų (Turkistani et al, 2021;Shields & Smith, 2020;Moraska et al, 2015) įrodančių teigiamą šių metodikų poveikį esamam skausmui mažinti, tačiau stinga tyrimų, įrodančių ilgalaikio poveikio tęstinumą įtampos tipo galvos skausmo gydyme.…”

“…Daugelis teigia, jog tam įtaką daro hormoniniai svyravimai, kurie ypač būdingi reprodukcinio amžiaus moterims ̶ hormono estrogeno staigūs pokyčiai organizme gali sąlygoti jaučiamą galvos skausmą (Delar- Įtampos tipo galvos skausmo gydymas yra plačiai aptariamas ne tik farmakologiniame, tačiau ir alternatyviame lygmenyje. Paprastai tai yra grindžiama tuo, jog alternatyvūs gydymo metodai sprendžia ne tik galvos skausmą sukeliančias priežastis, bet ir veikia kaip puiki priemonė jų prevencijai (Shields & Smith, 2020). Kita vertus, yra įrodyta, jog kompleksinis gydymas manualinių metodikų pagalba, tokiomis kaip įvairaus pobūdžio masažas, savimasažas, fizinių pratimų programos, fizioterapija, yra veiksmingesnės mažinant galvos skausmus, nei tik farmakologinis gydymas (Karimi, Tabarestani & Sharifi-Razavi, 2021;Revappala, Mallanaik, Vijaykumar, Kudlumallige & Eshwarappa, 2021).…”

“…Tyrime taikytos intervencijos buvo orientuotos į raumenų atpalaidavimą. Naujojoje Zelandijoje atlikto tyrimo, analizavusio masažo poveikį lėtiniam įtampos tipo galvos skausmui, duomenimis, konkrečių apykaklės srities vietų atpalaidavimas, įtraukiant sukamąjį galvos, trapecinį, keliamąjį mentės, laiptinius raumenis, gali sumažinti galvos skausmo intensyvumą (Shields & Smith, 2020). Pasak R. A. Capobianco ir bendraautorių (2019), savimasažas yra pažangus alternatyvios medicinos metodas padedantis spręsti neurologinės kilmės sveikatos sutrikimus.…”

Efeito das técnicas dry needling e liberação miofascial instrumental nos músculos mastigatórios, faciais e cervicais de indivíduos com disfunção temporomandibular muscular

“…A disfunção temporomandibular (DTM) segundo a Academia Americana de Dor Orofacial (2008) é "um termo coletivo que abrange uma série de problemas clínicos que envolvem os músculos da mastigação, a articulação temporomandibular e as estruturas associadas". LeResche (1997, Okeson (2006); Carlsson et al (2006) definiram a DTM como um conjunto de sinais e sintomas que ocasionam alterações na função da articulação temporomandibular, músculos da mastigação e estruturas associadas, caracterizados principalmente pela presença de dor, sons nas articulações e função mandibular irregular ou limitada.…”