Carlsson J, Fahlcrantz A, Augustinsson L E
Department of Neurology, University of Göteborg, Sweden.
Cephalalgia. 1990 Jun;10(3):131-41. doi: 10.1046/j.1468-2982.1990.1003131.x.
Sixty-two female patients with chronic tension headache were randomized into two treatment groups--acupuncture and physiotherapy. The intensity of headache, muscle tenderness and neck mobility was assessed before and after treatment. Thirty healthy women were used for comparison. Before treatment it was found that muscle tenderness was increased and neck rotation was reduced in the patient group compared with controls. There was a significant correlation between the intensity of headache and muscle tenderness. After treatment, the intensity of headache and muscle tenderness were reduced in both treatment groups. The headache was more improved in the physiotherapy group, and there was a marked reduction in the intake of analgesics. The tenderness was reduced in all muscles tested in the physiotherapy group but only in some of the muscles after acupuncture. The limitation of neck rotation was not influenced by either treatment.
62名患有慢性紧张性头痛的女性患者被随机分为两个治疗组——针灸组和理疗组。在治疗前后对头痛强度、肌肉压痛和颈部活动度进行了评估。选取30名健康女性作为对照。治疗前发现，与对照组相比，患者组的肌肉压痛增加，颈部旋转度降低。头痛强度与肌肉压痛之间存在显著相关性。治疗后，两个治疗组的头痛强度和肌肉压痛均降低。理疗组的头痛改善更为明显，且镇痛药的摄入量显著减少。理疗组所有测试肌肉的压痛均减轻，而针灸组仅部分肌肉的压痛减轻。两种治疗方法均未影响颈部旋转受限情况。
