Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

Moraska, Albert; Chandler, Clint

doi:10.1179/106698108790818468

Cited by 55 publications

(37 citation statements)

References 42 publications

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“…However this treatment method cannot be adapted by physiotherapists and the risks are relatively higher when injecting in to muscles such as suboccipitals and sternocleidomastoid in which case only a well experienced physician could do the procedure. Massage therapy in association with myofascial release of active trigger points were administered to the patients with CTTH who also had myofascial trigger points (Moraska and Chandler 2008) However in this study only the neck muscles were primarily targeted and the cranial muscles were not considered, moreover one may not want to discount the general analgesic effect of massage in the relief of headache. Hence the contribution from the myofascial trigger point component alone towards the headache would still not be clear.…”

Section: Discussionmentioning

confidence: 99%

“…A detailed search in EMBASE, CINAHL, PEDro, and PUBMED from its inception until 2009 and with the search terms chronic tension type headache and myofascial trigger points revealed that until date myofascial trigger points have been associated with chronic tension type headache, predominantly in terms of diagnostic value (Fernandez-de-Las-Penas et al, (2006a) ;Fernandez-de-Las-Penas et al, (2006b);Fernandez-de-Las-Penas C et al, (2007a);Fernandez-de-Las-Penas et al, (2007b); Marcus et al, 1999). There are very few studies that have targeted myofascial trigger points as an entity in the management perspective of CTTH (Norman et al, 2009;Moraska and Chandler 2008). There is further need for evidence in the light of screening all the myofascial trigger points that has been shown to refer pain to the head (Simons et al, 1999) and further treat them using standard myofascial release methods and evaluate its effect in the relief of symptoms from headache.…”

Section: Introductionmentioning

confidence: 99%

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Chronic Tension Type Headache and the Impact of Myofascial Trigger Point Release in the Short Term Relief of Headache

Doraisamy¹,

Anshul²,

Gnanamuthu³

2010

GJHS

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Purpose: This study investigated the effect of myofascial release in relieving the symptoms of Chronic Tension Type Headache (CTTH) Methods: The study used a convenience sampling pretest-post test design. 31 people (7 men and 24 women, age range 18-58 years, mean age 32 years) with CTTH participated in the study. The headache sample was screened for MTrP in the cranial and pericranial muscles and was treated with myofascial release therapy. The outcomes were measured in terms of the number of headache days in a week and the headache pain level measured in visual analog scale (VAS). Analysis: The analysis was done using paired 't' test at 95% confidence interval Results: The study showed significant improvements in reduction of the number of headache days (p < 0.001) and the headache pain level (p < 0.001) following treatment. Conclusion and Implications: Myofascial release therapy to the trigger points in people with CTTH has a positive influence in decreasing pain intensity and frequency in CTTH sufferers. In future, during management of CTTH screening for myofascial trigger points and concomitant treatment using myofascial release could be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Chronic Tension Type Headache and the Impact of Myofascial Trigger Point Release in the Short Term Relief of Headache

Doraisamy¹,

Anshul²,

Gnanamuthu³

2010

GJHS

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“…They reported significant differences in frequency, duration and intensity of headache. Moraska and Chandler [18] studied the effects of massage focused on relieving myofacial trigger point activity on headache disability inventory with frequency, intensity, and duration of pain in 18 persons with TTH during 6 week treatment period and 3 week follow-up. They reported that the headache frequency, pain intensity, and pain duration improved significantly after massage approaches.…”

Section: Discussionmentioning

confidence: 99%

Effects of relaxation approach with self-exercise on head posture, static postural stability, and headache in persons with tension-type headache

Park

2016

PTRS

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Objective: Tension-type headache is caused by hormones, foods, irritants, stress, obesity, fatigue, and neck and head trigger points-prolonged abnormal posture. The purpose of this study was to evaluate the effects of relaxation approach on head posture, static postural stability, and headache in persons with tension-type headache. Design: Randomized controlled trial. Methods: Thirty-five persons with tension-type headache participated in this study. This study was a pretest-posttest with a control group design for a duration of 4 weeks (60 min/3 times/1 wk). The participants were randomly allocated to the relaxation approach group (n=18) and the control group with conventional rehabilitation including thermotherapy and transcutaneous electrical stimulation for the same period (n=17). Outcome measures involved forward head posture (FHP), foot pressure, neck disability index (NDI), and six-item headache impact test (HIT-6). Results: Relaxation approach and control groups improved significantly in the amount of forward head posture, neck disability index, and six-item headache impact test scores after training (p<0.05). The control group was found to be significantly different in the amount of FHP, backward foot pressure, NDI, and HIT-6 after training compared to before training (p<0.05). The relaxation approach group significantly improved in forward head posture, neck disability index, and six-item headache impact test compared with control group after training (p<0.05). Neck disability index and six-item headache impact test significantly improved after training compared with before training in the control group (p<0.05). However, the foot pressure was not significantly different between relaxation approach and control groups. Conclusions: This study suggests that treatment with relaxation approach combined with self-exercise would be effective in reducing the amount of forward head posture, neck disability and headache impacts.

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“…Subject stress, depression, and anxiety were measured using standardized tests at study start and at 3-week intervals throughout the study. Primary and secondary headache measures from subjects in this study have been previously reported 32 . The Institutional Review Board at the Boulder College of Massage Therapy approved this study; all subjects signed an informed consent prior to study enrollment.…”

Section: Methodsmentioning

confidence: 99%

“…Each massage session was separated by at least 48 hours. Details of the massage procedure have been described previously 32 and are briefly summarized in Table 1.…”

Section: Massage Protocolmentioning

confidence: 99%

Changes in Psychological Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

Moraska¹,

Chandler²

2009

Journal of Manual & Manipulative Therapy

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T ension-type headache (TTh) is a dull aching headache that affects a large percentage of the population to varying degrees; it frequently resolves with time or over-the-counter analgesics. however, for some individuals, the regularity of headache persists to a clinical condition that is recognized as either episodic or chronic, the difference based primarily on the frequency of attack with the episodic form occurring fewer than 15 days per month and the chronic form 15 or more days per month 1 . The episodic form of TTh affects between 20-42% of the population while the chronic form affects 2.5-3% 2,3 . The authors of a recent review article concluded that worldwide disability attributable to headache is greater for TTh than other classifications including migraine headache 4 . The personal burden associated with these clinical forms of TTh can be substantial as it encompasses physical suffering alongside the personal economic effect from lost work days, which in turn perpetuate psychological symptoms such as stress, anxiety, and depression. Yet while TTh is the most prevalent form of headache and has a considerable impact on quality of life, treatment avenues have been under-investigated 5 . Moreover, due to the pervasive nature of TTh, pain measures alone that are typically used in the current literature provide incomplete information about the impact of headache on these associated psychological aspects.On average, perceived stress is higher in individuals who report chronic daily headache than in a healthy population 6 . Although recurrent TTh sufferers have similar physiological responses to laboratory stressors, they report a greater number of everyday stresses or daily "hassles" than do matched non-headache control subjects 7,8 . Furthermore, stressful events are appraised as more stressful for recurrent TTh sufferers than for headachefree subjects 7 . Stress is also the most frequent headache trigger with 88% of patients from the general population in urban and rural areas reporting this variable as a cause for ensuing headache 9 . Finally, stress has been noted to exacerbate headache symptoms; and minor everyday stressors, rather than major life abstract: Investigations into complementary and alternative medicine (CAM) approaches to address stress, depression, and anxiety of those experiencing chronic pain are rare. The objective of this pilot study was to assess the value of a structured massage therapy program, with a focus on myofascial trigger points, on psychological measures associated with tension-type headache. Participants were enrolled in an open-label trial using a baseline control with four 3-week phases: baseline, massage (two 3-week periods) and a followup phase. Eighteen subjects with episodic or chronic tension-type headache were enrolled and evaluated at 3-week intervals using the State-Trait Anxiety Inventory, Beck Depression Inventory, and the Perceived Stress Scale. The Daily Stress Inventory was administered over 7-day periods during baseline and the final week of massage. Twice we...

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Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

Cited by 55 publications

References 42 publications

Chronic Tension Type Headache and the Impact of Myofascial Trigger Point Release in the Short Term Relief of Headache

Chronic Tension Type Headache and the Impact of Myofascial Trigger Point Release in the Short Term Relief of Headache

Effects of relaxation approach with self-exercise on head posture, static postural stability, and headache in persons with tension-type headache

Changes in Psychological Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study

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