Efficacy of temporo-parietal fascia trigger point release in the management of tension-type headache: a single-blinded RCT.

IF 1.4 Q4 CLINICAL NEUROLOGY
Sandhya Shrivastav, Sneha Mittal, Sunita Sharma, Amit Kumar
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Abstract

Background: The study aimed to investigate the effects of Temporoparietal Fascia trigger point release in subjects with Tension Type Headache (TTH) and on decreasing pain intensity and head and neck disability.

Methods: 40 subjects were randomly assigned to either Group 1 (intervention group) or Group 2 (control group) and received treatment for 10 days. Outcome measures, including the Visual Analog Scale (VAS) for pain intensity, Neck Disability Index (NDI) for neck disability, Headache Disability Inventory (HDI) for headache disability, and Pressure Pain Threshold (PPT) were used. Assessments were conducted in both groups before and after the 10-day intervention period.

Result: Both groups exhibited statistically significant improvements in pain intensity, neck and headache disability, and pressure pain threshold after 10 days of intervention (p = 0.001). However, the intervention group showed greater clinical improvement compared to the control group. Between-group analysis revealed significant differences favoring the intervention group in VAS (t = 10.63), NDI (t = 7.81), HDI (t = 8.00), and PPT (t = 2.60), indicating that trigger point release in the temporo-parietal fascia was more effective in reducing symptoms and enhancing pain threshold.

Conclusion: The study concluded that Myofascial trigger points (MTrPs) release is notably effective in pain reduction, as evidenced by greater clinical improvement in the intervention group compared to the control group. Both groups experienced similar benefits in reducing head and neck-related disabilities and increasing pain pressure thresholds.

Clinical trial registration: www.ctri.nic.in, identifier: CTRI/2023/06/054085.

颞顶筋膜触发点释放治疗紧张性头痛的疗效:单盲随机对照试验。
背景:本研究旨在探讨颞顶筋膜触发点释放对紧张性头痛(TTH)患者疼痛强度和头颈部功能障碍的影响。方法:将40例受试者随机分为干预组1和对照组2,治疗10 d。结果测量包括疼痛强度的视觉模拟量表(VAS)、颈部残疾指数(NDI)、头痛残疾量表(HDI)和压痛阈值(PPT)。在10天干预期前后对两组患者进行评估。结果:干预10天后,两组患者的疼痛强度、颈部和头痛功能障碍、压痛阈值均有统计学意义的改善(p = 0.001)。然而,干预组与对照组相比表现出更大的临床改善。组间分析显示,干预组在VAS (t = 10.63)、NDI (t = 7.81)、HDI (t = 8.00)、PPT (t = 2.60)方面均有显著差异,表明颞顶筋膜触发点释放在减轻症状和提高痛阈方面更有效。结论:该研究得出结论,肌筋膜触发点(MTrPs)释放在减轻疼痛方面显着有效,干预组与对照组相比有更大的临床改善。两组在减少头颈部相关残疾和增加疼痛压力阈值方面都获得了相似的益处。临床试验注册:www.ctri.nic.in,标识符:CTRI/2023/06/054085。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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