Sedighi Asefeh, Nakhostin Ansari Noureddin, Naghdi Soofia
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2017 Oct;21(4):810-814. doi: 10.1016/j.jbmt.2017.01.002. Epub 2017 Jan 6.
The purpose of this study was to compare the acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache.
Thirty participants (8 men, 22 women) aged 19-60 years (mean age ± SD, 39 ± 10 y) with a clinical diagnosis of cervicogenic headache were randomly divided into superficial and deep groups. Headache index, trigger points tenderness, cervical range of motion (CROM), functional rating index was assessed at baseline, immediate and 1 week after the treatment.
Two approaches of dry needling showed reduction in headache index and trigger points tenderness. Deep dry needling showed greater improvement of cervical range of motion (p < 0.001) and functional rating index (p < 0.01).
The application of dry needling into trigger points of suboccipital and upper trapezius muscles induces significant improvement of headache index, trigger points tenderness, functional rating index and range of motion in patients with cervicogenic headache. Deep dry needling had greater effects on CROM and function.
本研究旨在比较对颈源性头痛患者枕下肌和上斜方肌触发点进行浅干针疗法和深干针疗法的急性效果。
30名年龄在19 - 60岁（平均年龄±标准差，39±10岁）、临床诊断为颈源性头痛的参与者（8名男性，22名女性）被随机分为浅组和深组。在基线、治疗后即刻和治疗后1周评估头痛指数、触发点压痛、颈椎活动范围（CROM）、功能评定指数。
两种干针疗法均使头痛指数和触发点压痛降低。深干针疗法在改善颈椎活动范围（p < 0.001）和功能评定指数（p < 0.01）方面表现更佳。
对枕下肌和上斜方肌触发点进行干针疗法可使颈源性头痛患者的头痛指数、触发点压痛、功能评定指数和活动范围得到显著改善。深干针疗法对颈椎活动范围和功能的影响更大。
