Myofascial Trigger Points and Their Relationship to Headache Clinical Parameters in Chronic Tension‐Type Headache

Fernández‐de‐las‐Peñas, César; Alonso‐Blanco, Cristina; Cuadrado, María‐Luz; Gerwin, Robert D.; Pareja, Juan A.

doi:10.1111/j.1526-4610.2006.00440.x

Cited by 201 publications

(165 citation statements)

References 16 publications

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“…examination tests (Lous and Olesen 1982;Langemark and Olesen 1987;Bovim 1992;Hatch et al 1992;Garrett et al 1993;Jensen et al 1993;Kidd and Nelson 1993;Watson and Trott 1993;Jensen 1996;Lipchik et al 1996;Sand et al 1997;Zwart 1997;Ashina et al 1999;Jull et al 1999Jull et al , 2007Neufeld et al 2000;Dumas et al 2001;Mørk et al 2003;Giacomini et al 2004;Fernández-de-las-Peñas et al 2006;Fernández-de-Las-Peñas et al 2006a, 2006b, 2007Sandrini et al 2006;Zito et al 2006;Amiri et al 2007;Glaros et al 2007Glaros et al , 2007Ogince et al 2007;Hall et al 2008Hall et al , 2010Hall et al , 2010Bevilaqua-Grossi et al 2009;Peddireddy et al 2009;Uthaikhup et al 2009;Sohn et al 2010Sohn et al , 2013Stuginski-Barbosa et al 2010;Melo et al 2012;Watson and Drummond 2012;Marchand et al 2014;Tali et al 2014). …”

Section: A C C E P T E D Accepted Manuscriptunclassified

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

et al. 2016

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Section: A C C E P T E D Accepted Manuscriptunclassified

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

et al. 2016

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“…For instance, in a patient with frequent episodic tension type headache where the peripheral input is mainly dominant, a manual therapy approach including inactivation of active trigger points in the upper trapezius, 47 sternocleidomastoid ( Fig. 1), 48 temporalis, 49 suboccipital (Fig. 2), 50 extra-ocular superior oblique 51 or extraocular lateral rectus 52 muscles (Fig.…”

Section: Manual Therapy Strategies For Headachesmentioning

confidence: 99%

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Fernández‐de‐las‐Peñas

Courtney

2013

Journal of Manual & Manipulative Therapy

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In recent years, there has been an increasing knowledge in the pathogenesis and better management of chronic headaches. Current scientific evidence supports the role of manual therapies in the management of tension type and cervicogenic headache, but the results are still conflicting. These inconsistent results can be related to the fact that maybe not all manual therapies are appropriate for all types of headaches; or maybe not all patients with headache will benefit from manual therapies. There are preliminary data suggesting that patients with a lower degree of sensitization will benefit to a greater extent from manual therapies, although more studies are needed. In fact, there is evidence demonstrating the presence of peripheral and central sensitization in chronic headaches, particularly in tension type. Clinical management of patients with headache needs to extend beyond local tissue-based pathology, to incorporate strategies directed at normalizing central nervous system sensitivity. In such a scenario, this paper exposes some examples of manual therapies for tension type and cervicogenic headache, based on a nociceptive pain rationale, for modulating central nervous system hypersensitivity: trigger point therapy, joint mobilization, joint manipulation, exercise, and cognitive pain approaches.

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“…In addition, they demonstrated that active as compared with latent MTrPs in the head and neck muscles examined were associated with greater headache intensity and frequency. 13,14 Both Fernandez-de-las-Penas et al and Danish researchers observed that active MTrPs were significantly more frequent in patients with CTTH than in control persons. [13][14][15] A group of Korean researchers also found a significantly greater number of active MTrPs in patients with CTTH as compared to those with episodic tension-type headache, with no active MTrPs in the control group.…”

Section: Introductionmentioning

confidence: 96%

“…• Minor criteria: 13,14 They demonstrated in blinded controlled studies of patients with CTTH recruited from a hospital neurology department that palpation of active MTrPs in the upper trapezius, suboccipital, sternocleidomastoid and temporalis muscles produced referred pain which reproduced the patient's usual headache. In addition, they demonstrated that active as compared with latent MTrPs in the head and neck muscles examined were associated with greater headache intensity and frequency.…”

Section: Introductionmentioning

confidence: 99%

Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane

Joseph

Hitchcock

Meyer

et al. 2016

South African Family Practice

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Background:The management of patients presenting with chronic tension-type headache (CTTH) can be challenging for primary health care practitioners. As with most chronic pain disorders, a multimodal management approach is frequently required. It has been postulated that myofascial pain syndrome (MPS) and its hallmark myofascial trigger points (MTrPs) found in specific muscle tissues may play a role in the chronic pain experienced by patients with CTTH. Little is known about the prevalence of MTrPs in patients with CTTH, in primary health care settings on the African continent. This study therefore aimed to investigate the prevalence of active MTrP's in specific head and neck muscles/muscle groups in patients with CTTH. Methods: A prospective, cross-sectional and descriptive study was done in two primary health care facilities situated in Tshwane, South Africa. The sample included 97 adult patients with CTTH. Five head and neck muscles/muscle groups were examined bilaterally for active MTrPs. Outcome measures were the prevalence and distribution of active MTrPs in these patients. Results: Active MTrPs were found in 95.9% of the patients, the majority (74.2%) having four or more active MTrPs. The temporalis muscles and suboccipital muscle group exhibited the highest number of active MTrPs (prevalence 87.6% and 80.4% respectively). Conclusion: Our study suggests a strong association between MPS and CTTH in patients, presenting in the primary health care setting. This indicates the importance of a musculoskeletal assessment of neck and pericranial muscles in patients with CTTH. This can assist in determining the most appropriate treatment strategy in these patients.

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Myofascial Trigger Points and Their Relationship to Headache Clinical Parameters in Chronic Tension‐Type Headache

Cited by 201 publications

References 16 publications

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

International consensus on the most useful physical examination tests used by physiotherapists for patients with headache: A Delphi study

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane

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