A sonographic comparison of the effect of dry needling and ischemic compression on the active trigger point of the sternocleidomastoid muscle associated with cervicogenic headache: A randomized trial

Togha, Mansoureh; Bahrpeyma, Farid; Jafari, Mehdi; Nasiri, Azadeh

doi:10.3233/bmr-171077

Cited by 19 publications

(33 citation statements)

References 42 publications

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“…A high‐quality RCT 19 compared trigger points dry needling therapy to trigger points manual therapy or to no treatment in adults with CGH. The authors reported significant between group differences in favor of dry needling therapy compared to no treatment for headache frequency (MD: −1.45 episodes/week; 95% CI: −4.53 to −1.26; n = 20), headache intensity (MD VAS 0‐10: −3.14 points/10; 95% CI: −3.96 to −2.30; n = 20), and headache duration (MD: −6.46 h/day; 95% CI: −8.41 to −4.52; n = 20).…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta‐analyses

Demont

Lafrance

Gaska

et al. 2022

PM&R

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To update and appraise the efficacy of physiotherapy for adults with cervicogenic headache. Literature Survey: Bibliographic searches were conducted up to October 2021 for randomized controlled trials (RCTs), assessing the efficacy of physiotherapy interventions for adults with cervicogenic headache, in five databases: CINAHL, Physiotherapy Evidence Database (PEDro), PubMed, Sage Journals, and Wiley Online Library. Methodology: Data extraction of included trials was conducted by two reviewers according to a standardized extraction form. The PEDro tool and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach were used for grading evidence. Results from trials with similar interventions and with similar outcome measures were pooled into separate meta-analyses. A qualitative synthesis was performed for studies that were not pooled into meta-analyses. Synthesis: Fourteen trials were included. Moderate-certainty evidence indicates that manual therapy significantly reduces headache frequency (mean difference [MD]: À0.93 episodes/week; 95% confidence interval [CI]: À1.40 to À0.46; 2 RCTs; n = 265) compared to sham manual therapy, and headache frequency (MD: À1.23 episodes/week; 95% CI: À1.55 to À0.91; 3 RCTs; n = 126) and intensity (MD: À1.63/10; 95% CI: À2.15 to À1.10; 4 RCTs; n = 208) compared to no treatment in the short term. At 12-month follow-up, moderate-certainty evidence indicates that manual therapy did not lead to greater reduction in headache intensity (MD Visual Analog Scale 0-10: -0.12; 95% CI: À0.49 to 0.26; 2 RCTs; n = 265) or frequency (MD: À0.32 episodes/ week; 95% CI: À0.91 to 0.28; 2 RCTs; n = 265) when compared to a sham manual therapy. In the long-term, in one high quality trial, neck exercise significantly reduced headache intensity compared to no treatment (MD: À1.51/10; 95% CI: À2.52 to À0.50; n = 100) or to aerobic exercises in another trial of moderate quality (MD: À1.15/10; 95% CI: À2.1 to À0.20; n = 180). Conclusions: Manual therapy in the short term and neck exercise in the long term may be efficacious to treat adults with cervicogenic headache. More highquality evidence is needed and future results may change the current conclusions. Trial Registration Prospero: #CRD42019135858.

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Section: Resultsmentioning

confidence: 99%

“…If not, appraisal was conducted independently by two authors (A.D. and C.G.) 13,19‐21 . The final score was obtained through consensus.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta‐analyses

Demont

Lafrance

Gaska

et al. 2022

PM&R

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“…Hence, it appears that the same mechanism, i.e., increased tissue temperature, was responsible for the positive treatment effect on ankle ROM observed here as well. As latent TrP causes muscle dysfunction [6,39], the thermal effect of the US-KHz might also explain the demonstrated improvement in the Side Hop Test [6]. Previous studies have shown positive effects of US-MHz frequencies on latent and active TrP in terms of ROM, PPT, pain relief, disability, and quality of life [11,[40][41][42][43][44], however, no studies have as yet compared the effects of low frequency (KHz) and high frequency (MHz) US on TrPs.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, while latent TrPs are not associated with spontaneous discomfort, local and referred symptoms may be provoked by mechanical stimulation, such as finger pressure exerted over the latent TrPs [4]. Similar to active TrPs, latent TrPs may restrict the range of motion (ROM) and may lead to muscle dysfunction, i.e., muscle weakness, muscle imbalance, or altered motor unit recruitment patterns [5,6].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Therapeutic Low-Frequency Ultrasound applied to Myofascial Trigger Points: A Pilot Pre-Post Design Study

2021

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Ultrasound at a frequency of 1 or 3 MHz is frequently used to treat various musculoskeletal conditions, but research on ultrasound operating at 38-50 kHz frequencies (US-KHz) is lacking. Study aimed to evaluate the short-term effect of US-KHz on pain pressure threshold (PPT), ankle dorsiflexion range of motion (ROM), and motor performance (the Side Hop Test) in subjects with a myofascial trigger point (TrP) in the calf muscle. US-KHz was applied to the area of the palpable TrP in the calf muscle for 10 minutes (continuous pulse, transducer head size 19.6 cm2, power 0.75-1.25 w/cm2) in twenty volunteers (18-45 years old). Significant improvements (p<0.001) were noted in the Side Hop Test 24 hours after the intervention. ROM improved significantly after 5 minutes with changes maintained 24 hours later. No change was found in the PPT. This pilot study presents preliminary evidence of the efficacy of US-KHz in treating TrPs. Doi: 10.28991/SciMedJ-2021-0303-5 Full Text: PDF

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“…12 There were multiple clinical studies reporting that pressing on MTrPs could alleviate muscular pain, contributing to increased function and range of movement. [13][14][15] Moreover, pressing could be applied in combination with other therapies to bring more favorable efficacy, for example, alleviate the sore feeling resulted from acupuncture on MTrPs. 16,17 Despite the definite clinical efficacy of pressing treatment, its mechanism has not been clarified yet.…”

Section: Introductionmentioning

confidence: 99%

Pressing Intervention Promotes the Skeletal Muscle Repair of Traumatic Myofascial Trigger Points in Rats

Jiang¹,

Xiang²,

Liú³

et al. 2021

JPR

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Objective: To observe the effect of pressing intervention on the skeletal muscle repair of myofascial trigger points (MTrPs) in rats and explore the mechanism of pressing intervention on the deactivation of trigger points. Methods: Thirty SPF rats were randomly divided into blank group, model group and press group, with 10 rats in each group. The MTrPs models were established by blunt striking plus eccentric exercise, and then evaluated. The press group was given a pressing intervention with a self-made device for 14 days, and the rats in the other two groups were fed normally. Soft tissue tension (STT) D 0.2 and pressure pain threshold (PPT) were measured before and after intervention. The skeletal muscle tissue at MTrPs was extracted and assessed by hematoxylin-eosin (HE) and Masson staining. The expression of collagen I, collagen III, α-smooth muscle actin (α-SMA), myosin heavy chain (MHC) and fibronectin (FN) were detected by Western Blotting. Enzyme linked immunosorbent assay (ELISA) was used to evaluate the expression of substance P (SP), 5-hydroxytryptamine (5-HT), cyclooxygenase 2 (COX-2) and prostaglandin E2 (PGE2). Results: (1) Compared with the blank group, the PPT and D 0.2 reduced (P < 0.05) in the model group; while compared with the model group, the PPT and D 0.2 increased (P < 0.05) in the press group. (2) Compared with the blank group, the model group showed obvious spontaneous potentials with higher amplitude and frequency, which were also much higher than those of the press group (P < 0.05). (3) The HE and Masson staining results showed evident fibrosis in the muscle tissue of the model group, with a larger area of collagen fibers relative to that of the press group (P < 0.05). ( 4) The amount of collagen I, collagen III, FN, α-SMA, SP, 5-HT, COX-2 and PGE2 increased and the content of MHC decreased (P < 0.05) in the model group, as compared to the blank group; while all the substances (P < 0.05), instead of MHC which increased (P < 0.05), in the press group were decreased as compared to the model group. Conclusion:Pressing intervention on the MTrPs in rats can alleviate chronic inflammation, inhibit fibrosis, promote skeletal muscle repair and relieve pain.

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A sonographic comparison of the effect of dry needling and ischemic compression on the active trigger point of the sternocleidomastoid muscle associated with cervicogenic headache: A randomized trial

Cited by 19 publications

References 42 publications

Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta‐analyses

Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta‐analyses

The Effect of Therapeutic Low-Frequency Ultrasound applied to Myofascial Trigger Points: A Pilot Pre-Post Design Study

Pressing Intervention Promotes the Skeletal Muscle Repair of Traumatic Myofascial Trigger Points in Rats

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