[논문]Effects of Myofascial Release and Posture Correction Exercise on the Neck Movement and the Quality of Sleep in Patients with Chronic Tension-Type Headaches

Cho, Sunghak

doi:10.20540/jiaptr.2019.10.4.1897

Effects of Myofascial Release and Posture Correction Exercise on the Neck Movement and the Quality of Sleep in Patients with Chronic Tension-Type Headaches 원문보기

Journal of international academy of physical therapy research, v.10 no.4, 2019년, pp.1897 - 1902

Cho, Sunghak (Department of Physical Therapy, Kaya University)

Abstract ▼ AI-Helper

Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward. Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients. Design: Observer-blind study Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target's condition was blinded to take measurements only before and after intervention. Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility. Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.

주제어

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문제 정의

The aim of this study was to investigate the effects of ATrP reduction and posture correction in effectively improving neck function and sleep quality symptoms of CTTH.

제안 방법

The Wilcoxon signed-rank test was used for intra-groups, pre and post comparison on the ATrP, ROM, NDI and PSQI was used to assess the impact of the MFR technique and FHP correction exercise. The One–way analysis of variance (one–way ANOVA) was used to compare the intervention effect in the MFR group, the MFREx group, and the control group.
7 N/cm² in the Newtonian value. The area for measurement was confined to suboccipital muscles ranging from the lower part of the rear of the head to around C2 of the cervical vertebrae area, using a force plate with a size of 1cm² placed for 10 seconds on 30 spots in total - based on the spinous process, five spots each on the left and right inferior nuchal lines, another five spots each on the left and right side of C1, and the other five spots each on the left and right side of C2 (Fig 1). A sustained pressure of about 10 seconds on the suboccipital muscular trigger points lead to referred pain,⁶ which was assessed as “active” if the patient was familiar with it in his/her everyday life.
¹³ were used. To maximize the effect of the correction exercises, the subjects were instructed to do an additional, three times a week at home, exercise for a total of five of exercise sessions per week.
Treatment This research study was conducted with 60 CTTH patients who voluntarily agreed to participate and understood the purpose and procedure of the study. Participants were recruited through a recruitment notice in a hospital at five places, located in Busan.

대상 데이터

Treatment This research study was conducted with 60 CTTH patients who voluntarily agreed to participate and understood the purpose and procedure of the study. Participants were recruited through a recruitment notice in a hospital at five places, located in Busan. Subjects were those diagnosed with CTTH by neurologists based on the criteria of the International Headache Society (2013)³ and subject to participation: Patients with chronic headaches lasting longer than 3 months and symptoms that persist for more than 15 days in a month.
The study was randomized into three groups of 20 people per group. The treatment groups were divided into two groups: myofascial release (MFR) group, myofascial release with exercise (MFREx) group.

이론/모형

The One–way analysis of variance (one–way ANOVA) was used to compare the intervention effect in the MFR group, the MFREx group, and the control group. The Tukey test for multiple comparison was used for the post hoc test. The level of .

성능/효과

The MFR group in the suboccipital muscle area of this study decreased from 7.34 pre-intervention ATrP to 3.42 post–intervention average, resulting in a 53% reduction in ATrP in one month.
The results of this study show that the application of MFR effectively reduces ATrP in the suboccipital muscle region, which contributes to the improvement of neck function and sleep quality. Combined with the MFR and the correction exercise, the neck mobility was more effective.

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