Gagnon Peter, Dunning James, Bliton Paul, Charlebois Casey, Henry Nathan, Gorby Patrick, Mourad Firas
American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy Montgomery Alabama USA.
Physical Therapy of Boulder Boulder Colorado USA.
Clin Case Rep. 2024 Apr 30;12(5):e8858. doi: 10.1002/ccr3.8858. eCollection 2024 May.
The use of DN to the muscular trigger points and distal periosteal enthesis of the levator scapulae may be a useful adjunct intervention within a multi-modal plan of care for the management of work-related chronic tension-type headaches associated with LSS.
Chronic tension-type headaches (CTTH) have a lifetime prevalence of 42% and account for more lost workdays than migraine headaches. Dry needling (DN) is being increasingly used by physical therapists in the management of CTTH; however, to date, the supporting evidence is limited. The purpose of this case report was to describe how three sessions of DN targeting myofascial trigger points in the levator scapulae (LS) muscle and its distal enthesis was used to treat a 63-year-old male patient who presented with work-related CTTH associated with levator scapulae syndrome (LSS). The patient was treated for five visits over the course of 2 months. At discharge and 6-month follow-up, the patient reported full resolution of symptoms. Self-report outcomes included the numeric pain rating scale and the Neck Disability Index. The use of DN to the LS muscle and its distal enthesis may be a valuable addition to a multi-modal plan of care in the treatment of work-related CTTH associated with LSS.
对肩胛提肌的肌肉触发点和远端骨膜附着点进行干针治疗，可能是与肩胛提肌综合征相关的工作相关性慢性紧张型头痛多模式护理计划中的一种有用辅助干预措施。
慢性紧张型头痛（CTTH）的终生患病率为42%，导致的工作日损失比偏头痛更多。物理治疗师在CTTH的管理中越来越多地使用干针治疗（DN）；然而，迄今为止，支持证据有限。本病例报告的目的是描述针对肩胛提肌（LS）及其远端附着点的肌筋膜触发点进行三次干针治疗，如何用于治疗一名63岁男性患者，该患者患有与肩胛提肌综合征（LSS）相关的工作相关性CTTH。患者在2个月内接受了5次治疗。出院时和6个月随访时，患者报告症状完全缓解。自我报告的结果包括数字疼痛评分量表和颈部残疾指数。对LS肌肉及其远端附着点进行干针治疗，可能是治疗与LSS相关的工作相关性CTTH的多模式护理计划中的一项有价值的补充。
