The Impact of Clinical Pilates Exercises on Tension-Type Headaches: A Case Series

Leite, Agathe; Matignon, Antoine; Marlot, Léa; Coelho, Ana Varela; Lopes, Sofia; Brochado, Gabriela

doi:10.3390/bs13020105

Cited by 3 publications

(3 citation statements)

References 39 publications

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“…There are studies about the neck suggesting the use of CPE in patients with neck pain and sagittal cervical disorientation, but their number is very small [ 37 ]. Leite et al, in a case series, reported that the clinical Pilates program can induce positive effects on pain intensity, daily life function and negative emotional states related to tension-type headaches [ 22 ]. Studies examining the effect of CPE on headaches are quite limited.…”

Section: Discussionmentioning

confidence: 99%

“…In light of the studies conducted, it is thought that a holistic exercise approach involving the entire spine, such as clinical Pilates, may be more effective in CHA instead of exercises that only concern the cervical region. There is a case series reporting that the Pilates exercise program can induce positive effects on disorders related to tension-type headaches [ 22 ]. However, there are no studies examining the effectiveness of clinical Pilates in CHA.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Cervical Mobilization with Clinical Pilates Exercises on Pain, Muscle Stiffness and Head and Neck Blood Flow in Cervicogenic Headache: Randomized Controlled Trial

Uzun,

İkidağ,

Ekmekyapar Fırat

et al. 2024

Medicina

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Background and Objectives: Physiotherapy approaches are used to eliminate the problems caused by cervicogenic headache (CHA), known as secondary headache associated with the structures of the upper cervical region. This study aimed to investigate the effects of cervical mobilization (CM) with clinical Pilates exercises (CPE) on pain, muscle stiffness and head–neck blood flow in CGH. Materials and Methods: A total of 25 patients participated in this randomized controlled study and were randomized into either the CM group or the CM+CPE group. All treatment methods were applied 3 days a week for 6 weeks. The outcome measure was headache intensity and frequency, the number of analgesics, muscle stiffness and vertebral artery (VA) and internal carotid artery (ICA) blood flow. Headache intensity was measured by a visual analogue scale, muscle stiffness by a myotonometer and blood flow by Doppler US. Evaluations were repeated after 6 weeks of treatment. Within-group comparisons were made by the Wilcoxon signed rank test, and between-group comparisons were made by the Mann–Whitney U test. Results: After treatments in the two groups, headache intensity and frequency and the number of analgesics decreased, the muscle stiffness of the suboccipital, upper trapezius and sternocleidomastoid (SCM) muscles decreased, and the blood flow of the ICA and VA increased (p < 0.05). There was a significant difference between the groups in terms of headache intensity (p = 0.025) and muscle stiffness in SKM (p = 0.044) in favor of the CM+CPE group. Conclusions: Non-pharmacological treatment approaches have an important role in CHA related to the upper cervical region. This study suggests that it would be beneficial to add CM in combination with CPE to the non-pharmacological treatment of patients with CHA.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effects of Cervical Mobilization with Clinical Pilates Exercises on Pain, Muscle Stiffness and Head and Neck Blood Flow in Cervicogenic Headache: Randomized Controlled Trial

Uzun,

İkidağ,

Ekmekyapar Fırat

et al. 2024

Medicina

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“…Only one participant did not show improvement in functional disability attributed to pain in the cervical region. Regarding negative emotional states, six individuals reported improvements, while one individual noted a decline in sleep quality following the program [44].…”

Section: Tension-type Headachementioning

confidence: 99%

Beyond conventional therapies: exploring the role of Pilates in neurological physical therapy – a review of the latest research

Maleszewska,

Żmijewska,

Nowak

et al. 2024

J Educ Health Sport

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Pilates exercise method, characterized by its holistic approach, underscores core stability, strength, and flexibility, coupled with meticulous muscle control, optimal posture, and focused attention on breathing. Widely embraced in both general and clinical fitness realms, this study aims to evaluate the integration of Pilates into physical therapy practices for patients with neurological disorders. Existing studies indicate the potential efficacy of Pilates in diverse rehabilitation contexts. However, neurological disorders, specifically multiple sclerosis (MS) and Parkinson's disease (PD), have been the primary focus. While systematic reviews and meta-analyses suggest Pilates as a plausible option in physiotherapy for PD and MS patients, a paucity of research on this subject necessitates a comprehensive review of recent original studies. Analysis of gathered data suggests that Pilates, when incorporated, may yield benefits for patients with various neurological disorders. Consideration of Pilates as a supplementary element to physical activity for those with PD and MS emerges as a reasonable proposition. The study also encourages contemplation of Pilates in rehabilitation research across a broader spectrum of neurological disorders. Subsequent investigations, incorporating relevant considerations, will contribute to a nuanced understanding of Pilates' potential benefits and its comparative advantages over traditional interventions for neurological disorders.

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Chronic neck pain and combined tension headache: a unified effective treatment approach

Golovacheva,

Golovacheva

2024

RJTAO

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A clinical case of a patient with chronic musculoskeletal neck pain (CNP) in combination with tension headache (TH) and increased anxiety is described. The combination of these conditions is common in neurological practice. The disorders mentioned are pathogenetically related and mutually reinforce each other. In this respect, a unified comprehensive approach is required for the successful treatment of patients of this category, which is demonstrated using a clinical case from our own practice. The factors for the development and chronicity of CNP, TH are shown: misconceptions about the disease, catastrophizing the pain, increased anxiety, stress, a sedentary lifestyle, prolonged time spent at the computer, long static postures. Before contacting the Clinic for Nervous Diseases of Sechenov University (СNВ), no effect of the therapy was observed, as the factors for the development and chronicity of the pain were not assessed and not corrected, pharmacotherapy (painkillers, group B vitamins) was used in combination with ineffective non-drug treatment methods (massage, physiotherapy). An educational programme for the patient about the causes of the disease and its prognosis was not implemented, and the patient was not suggested to undergo a course of therapeutic exercise or cognitive behavioural therapy (CBT), the patient was not given any recommendations on ergonomics and physical activity during the day. In the СNB, the patient was offered a comprehensive treatment approach that included educational talks, CBT, kinesiotherapy, taping and Nimesil (nimesulide) administration. CBT is a proven effective psychological method for the treatment of CNP and TH that aims to develop accurate, realistic beliefs about the disease and adaptive behaviour in a patient, as well as skills to overcome pain and increased anxiety. In the treatment of chronic NP, it is recommended to combine CBT with kinesiotherapy, a scientifically proven effective non-pharmacological treatment method. Kinesiotherapy includes therapeutic exercises, education on correct posture and recommendations on ergonomics and lifestyle. Nimesil (nimesulide), a non-steroidal anti-inflammatory drug that is widely used in Russian neurological practice and has proven efficacy and safety in the treatment of musculoskeletal pain, was chosen as pharmacotherapy. It is important to mention that nimesulide was prescribed to the patient from the first days of treatment simultaneously with the start of kinesiotherapy and CBT. Against the background of pharmacotherapy, the patient experienced rapid pain relief, which contributed to adherence to recommendations to increase physical activity, ergonomics and therapeutic exercise, as well as CBT. The complex treatment helped the patient relatively quickly and effectively. After 10 days of treatment, he reported a 50 % reduction in pain and an increase in functional activity. After 2 months, the pain had completely subsided and daily activity and quality of life increased. Six months of follow-up showed the sustainability of therapeutic results achieved.

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The Impact of Clinical Pilates Exercises on Tension-Type Headaches: A Case Series

Cited by 3 publications

References 39 publications

The Effects of Cervical Mobilization with Clinical Pilates Exercises on Pain, Muscle Stiffness and Head and Neck Blood Flow in Cervicogenic Headache: Randomized Controlled Trial

The Effects of Cervical Mobilization with Clinical Pilates Exercises on Pain, Muscle Stiffness and Head and Neck Blood Flow in Cervicogenic Headache: Randomized Controlled Trial

Beyond conventional therapies: exploring the role of Pilates in neurological physical therapy – a review of the latest research

Chronic neck pain and combined tension headache: a unified effective treatment approach

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