Espi-Lopez Gemma V, Ingles Marta, Carrasco-Fernandez Juan J, Serra-Añó Pilar, Copete-Fajardo Luis, Gonzalez-Gerez Juan Jose, Saavedra-Hernandez Manuel, Marques-Sule Elena
Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain.
Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almería, c/Carretera de Sacramento s/n, La Cañada, 04120 Almería, Spain.
J Clin Med. 2022 Mar 23;11(7):1778. doi: 10.3390/jcm11071778.
This study compares the effect of foam rolling (FR) vs. manual therapy (MT) on pain, pressure pain threshold (PPT), headache disability (HDI) and impact of headache (HIT-6) in patients with tension-type headache (TTH).
A total of 38 participants with TTH were randomly assigned to an FR group (FRG, = 13), an MT group (MTG, = 13) or a control group (CG, = 12). FRG received FR treatment; MTG received MT techniques; CG received a placebo treatment. The treatment lasted one month. Outcome measures were assessed at baseline, post-intervention and follow-up.
Both FRG and MTG showed significant improvements in all variables after the treatment, but the intervention effect was maintained only for functional disability ( = 0.002 and = 0.005, respectively), overall disability ( = 0.007; = 0.030) and HIT-6 ( = 0.002; = 0.001) at follow-up. After treatment, FRG and MTG presented a significantly higher PPT in right ( = 0.044; = 0.009) and left suboccipital ( = 0.004; = 0.021). MTG showed a significantly lower HIT-6 than CG ( = 0.008). No differences between FRG and MTG were found in any variable.
Both FR and MT are effective treatments for the improvement of clinical symptoms in TTH. Further studies are needed to confirm our findings in a larger population.
本研究比较了泡沫轴放松（FR）与手法治疗（MT）对紧张型头痛（TTH）患者的疼痛、压痛阈值（PPT）、头痛残疾程度（HDI）和头痛影响（HIT - 6）的影响。
共有38名TTH患者被随机分配到FR组（FRG，n = 13）、MT组（MTG，n = 13）或对照组（CG，n = 12）。FRG接受FR治疗；MTG接受MT技术治疗；CG接受安慰剂治疗。治疗持续1个月。在基线、干预后和随访时评估结果指标。
治疗后，FRG和MTG在所有变量上均有显著改善，但随访时干预效果仅在功能残疾（分别为P = 0.002和P = 0.005）、总体残疾（P = 0.007；P = 0.030）和HIT - 6（P = 0.002；P = 0.001）方面得以维持。治疗后，FRG和MTG在右侧（P = 0.044；P = 0.009）和左侧枕下（P = 0.004；P = 0.021）的PPT显著更高。MTG的HIT - 6显著低于CG（P = 0.008）。在任何变量上，FRG和MTG之间均未发现差异。
FR和MT都是改善TTH临床症状的有效治疗方法。需要进一步研究以在更大规模人群中证实我们的发现。
