Association Between Sternocleidomastoid and Upper Trapezius Muscle Trigger Points and Headaches: A Cross-Sectional Study

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-07-01 Epub Date: 2025-11-11 DOI:10.1016/j.jmpt.2025.10.027

Deeksha Devadiga BPT , Rajasekar Sannasi PhD , Prajna D. Rao MPT , Hareesh H. Keshavmurthy BPT , Jan Dommerholt DPT , Shine Thomas MPT

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引用次数: 0

Abstract

Objective

The purpose of this study was to determine the association between trigger points (TrPs) in the sternocleidomastoid (SCM) and upper trapezius (UT) muscles and primary headaches.

Methods

A total of 60 participants (25 males and 35 females) were included in this cross-sectional study and divided into 2 groups based on the presence or absence of a primary headache, as determined by the Headache Impact Test. Both the bilateral SCM and UT muscles were palpated to assess the presence of TrPs.

Results

The results showed a significant association between TrPs in the SCM and headaches (right SCM: χ² value = 6.696, P < .010, phi [φ] = 0.334; left SCM: χ² value = 8.076, P < .004, phi [φ] = 0.367). The UT TrPs did not show a strong association with headaches (right UT: χ² value = 2.857, P < .091, phi [φ] = 0.218; left UT: χ² value = 3.455, P < .063, phi [φ] = 0.240).

Conclusion

There was a strong association between SCM TrPs and symptomatic headaches and a weak association between UT TrPs and symptomatic headaches.

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胸锁乳突肌和上斜方肌触发点与头痛的关系：一项横断面研究。

目的：本研究的目的是确定胸锁乳突肌（SCM）和上斜方肌（UT）的触发点（TrPs）与原发性头痛之间的关系。方法：共有60名参与者（25名男性和35名女性）被纳入这项横断面研究，并根据头痛影响测试确定是否存在原发性头痛分为两组。触诊双侧SCM和UT肌肉以评估TrPs的存在。结果：SCM中TrPs与头痛有显著相关性（右侧SCM: χ2值= 6.696,P < 0.010, phi [φ] = 0.334；左侧SCM: χ2值= 8.076,P < 0.004, phi [φ] = 0.367）。UT TrPs与头痛无明显相关性（右侧UT: χ2值= 2.857,P < 0.091, phi [φ] = 0.218；左侧UT: χ2值= 3.455,P < 0.063, phi [φ] = 0.240）。结论：SCM TrPs与症状性头痛有较强的相关性，UT TrPs与症状性头痛有较弱的相关性。

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

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.