Mohammadi Zahra, Shafizadegan Zohreh, Tarrahi Mohammad Javad, Taheri Navid
Department of Physical Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Adv Biomed Res. 2021 Feb 26;10:10. doi: 10.4103/abr.abr_138_20. eCollection 2021.
Cervicogenic headache (CGH) is a secondary headache with a cervical source that radiates pain to the head or face. Accordingly, one reason of CGH is myofascial trigger points. The purpose of this study was to investigate the effect of one session dry needling (DN) of myofascial trigger points of the sternocleidomastoid (SCM) muscle in patients with CGH.
In this before-and-after clinical trial, 16 females aged 18-60 years with a clinical diagnosis of CGH were enrolled. All of the patients received one session DN into the myofascial trigger points of the SCM muscle. Headache index (HI), headache duration, headache frequency, and headache disability index (HDI) were assessed at 2 weeks before and 2 weeks after the intervention. This study was registered in Clinical Trials as IRCT20181109041599N1.
One session DN into myofascial trigger points of the SCM muscle showed a significant improvement in HI ( < 0.001). Duration and frequency of headache as well as HDI significantly reduced after intervention ( < 0.001).
One session DN into myofascial trigger points of the SCM muscle was effective on improvement of HI, headache duration, headache frequency, and HDI in patients with CGH.
颈源性头痛（CGH）是一种由颈部根源引发疼痛并放射至头部或面部的继发性头痛。因此，颈源性头痛的一个原因是肌筋膜触发点。本研究的目的是调查对颈源性头痛患者的胸锁乳突肌（SCM）肌筋膜触发点进行单次干针疗法（DN）的效果。
在这项前后对照临床试验中，纳入了16名年龄在18至60岁之间、临床诊断为颈源性头痛的女性患者。所有患者均接受了一次针对胸锁乳突肌肌筋膜触发点的干针疗法。在干预前2周和干预后2周评估头痛指数（HI）、头痛持续时间、头痛频率和头痛残疾指数（HDI）。本研究已在临床试验注册中心注册，注册号为IRCT20181109041599N1。
对胸锁乳突肌肌筋膜触发点进行单次干针疗法后，头痛指数有显著改善（<0.001）。干预后头痛的持续时间、频率以及头痛残疾指数均显著降低（<0.001）。
对颈源性头痛患者的胸锁乳突肌肌筋膜触发点进行单次干针疗法，对改善头痛指数、头痛持续时间、头痛频率和头痛残疾指数有效。
