Short-term effects of instrument-assisted soft tissue mobilization compared to algometry pressure release in tension-type headache: a randomized placebo-controlled trial

To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and pressure algometry with sham ultrasound (control group) on the clinical measures of headache, pressure pain threshold (PPT) of upper trapezius and suboccipital muscles and cervical alignment in patients with ten...

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Bibliographic Details
Published in:The Journal of manual & manipulative therapy 2023-05, Vol.31 (3), p.174-183
Main Authors: Ramadan, Sherif Moustafa, El Gharieb, Hussein Awad, Labib, Awatef Mohamed, Embaby, Eman Ahmed
Format: Article
Language:English
Subjects:
Cervical alignment
Female
Headache
Humans
instrument-assisted soft tissue mobilization
Male
manual therapy
Massage - methods
myofascial trigger points
Neck
Pain Threshold - physiology
Tension-type headache
Tension-Type Headache - diagnosis
Tension-Type Headache - therapy
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Summary:To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and pressure algometry with sham ultrasound (control group) on the clinical measures of headache, pressure pain threshold (PPT) of upper trapezius and suboccipital muscles and cervical alignment in patients with tension type headache (TTH). Seventy-two patients with TTH of both genders were randomly allocated to 3 experimental groups: a) the IASTM group (n=24), b) pressure algometry group (n=24), and c) sham ultrasound control group (n=24). Headache frequency and disability, pressure pain threshold of upper trapezius and suboccipital muscles, cervical lordosis angle (CA) and anterior head translation (AHT) were measured four weeks before and after intervention. Moreover, headache frequency was followed up for two more weeks after intervention.   Statistically significant improvements (P
ISSN:1066-9817
2042-6186
DOI:10.1080/10669817.2022.2082637