经皮纤维松解术治疗紧张型头痛的疗效:一项随机对照试验。
Effects of diacutaneous fibrolysis in patients with tension-type headache: A randomized controlled trial.
机构信息
Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
Department of Basic Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
出版信息
PLoS One. 2023 Mar 27;18(3):e0273877. doi: 10.1371/journal.pone.0273877. eCollection 2023.
BACKGROUND
Manual therapy appears to be effective for the relief of tension-type headache (TTH), just as diacutaneous fibrolysis (DF) has shown to be a beneficial technique for the relief of symptoms in other dysfunctions. However, no studies have evaluated the potential beneficial effect of DF in TTH. The aim of this study is to analyze the effect of three sessions of DF in patients with TTH.
METHODS
Randomized controlled trial in 86 subjects (43 intervention/ 43 control group). The headache frequency, the headache intensity, the pressure pain thresholds (PPTs) at trapeziometacarpal joint, upper trapezius, suboccipital, frontal and temporal muscles, parietal sutures and the cervical mobility were measured at baseline, at the end of the third intervention and one-month after the last intervention.
RESULTS
Statistically significant differences with p values <0.05 were observed between groups in favor of the intervention group in the one-month follow-up in the following variables: headache frequency, headache intensity, flexion, extension, right and left side-bending, right and left rotation, PPTs in left trapeziometacarpal joint, right suboccipital muscle, right and left temporal muscle, left frontal muscle and right and left parietal.
CONCLUSIONS
DF provides a beneficial effect in reducing headache frequency, relieving pain, and improving cervical mobility in patients with TTH.
背景
手法治疗似乎对缓解紧张型头痛(TTH)有效,正如皮内纤维松解术(DF)对缓解其他功能障碍的症状显示出有益的效果一样。然而,目前尚无研究评估 DF 对 TTH 的潜在有益效果。本研究旨在分析 DF 对 TTH 患者的三次治疗的效果。
方法
对 86 名受试者(43 名干预组/43 名对照组)进行随机对照试验。在基线、第三次干预结束时和最后一次干预后一个月,测量头痛频率、头痛强度、腕掌关节、上斜方肌、枕下、额部和颞部肌肉、顶骨缝和颈椎活动度的压痛阈值(PPTs)。
结果
在一个月的随访中,组间存在具有统计学意义的差异(p 值<0.05),干预组在以下变量方面具有优势:头痛频率、头痛强度、屈伸、左右侧屈、左右旋转、左侧腕掌关节 PPTs、右侧枕下肌、右侧和左侧颞肌、左侧额肌以及右侧和左侧顶骨。
结论
DF 可有效减少 TTH 患者的头痛频率、缓解疼痛,并改善颈椎活动度。