Comparing the effect of myofascial release and muscle energy technique on craniovertebral angle and headache in tension type headache patients

Abstract

INTRODUCTION: Tension headaches can be induced by forward head posture, and there is a wealth of evidence available for managing chronic headaches. The data supports the use of manual therapy approaches to manage tension type headaches. Because of the forward head posture, the suboccipital muscle region becomes short, resulting in an increase in lordosis and neck pain. Patients with an even more forward head posture have a smaller cranio-vertebral angle, which in turn causes tension type headache. OBJECTIVE: The aim of this study is to compare the effects of Myofascial release therapy(MFR) and Muscle energy technique(MET) with general neck exercises on the cranio-vertebral angle and headache in tension type headache patients. METHODS: In total, 75 subjects with tension type headache and suboccipital muscle tenderness were recruited and randomized blindly into three groups: the MFR group, the MET group, and the control group (25 subjects in each group). A pre-craniovertebral angle was taken by photographic method, and a pre-headache disability index questionnaire was filled in. The MFR group receives cranio-basal release in the suboccipital region with neck exercises, the MET group receives post–isometric relaxation in the suboccipital region with exercises, and the control group receives only exercises for 2 weeks. After two weeks, the postcranial angle and the headache questionnaire were taken and measured. RESULTS: Craniovertebral angle and headache index showed significant improvement in both the MET and MFR groups. There was no significant difference when MET and MFR groups were compared. When compared with the control group, both MET and MFR showed a significant increase in craniovertebral angle. There was significant improvement in the headache index following MET, MFR, or routine neck exercise. CONCLUSION: Compared to the control group, MFR shows better results than MET on craniovertebral angle and headache.