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首页> 外文期刊>Journal of bodywork and movement therapies >Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache.
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Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache.

机译:直接与间接技术肌筋膜释放在张力型头痛治疗中的有效性。

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BACKGROUND: Tension-type headache (TTH) is essentially defined as bilateral headache of a pressing or tightening quality without a known medical cause. Myofascial release (MFR) is currently being applied for patients with TTH but its efficacy has not been evaluated formally. OBJECTIVE: To investigate whether direct technique myofascial release (DT-MFR) reduces the frequency of headache more effectively than the indirect technique myofascial release (IDT-MFR) in comparison to a Control Group receiving slow soft stroking. DESIGN: Randomized, controlled, single blinded trial. SETTING: The clinical wing of Myofascial Therapy and Research Foundation, Kerala, India. PARTICIPANTS: 63 patients with episodic or chronic tension-type headache. INTERVENTIONS: DT-MFR, IDT-MFR or Control. The techniques were administered by certified myofascial release practitioners and consisted of 24 sessions per patient over 12 weeks. MAIN OUTCOME MEASURE: Difference in numbers of days with headache between Weeks 1-4 (i.e. 4 weeks prior to start of Intervention) and Weeks 17-20, following 12 weeks of Intervention between Weeks 5-16 as recorded by participants in headache diaries. RESULTS: The number of days with headache per 4 weeks decreased by 7.1 (2.6) [mean (SD)] days in the DT-MFR group compared with 6.7 (1.8) days in the IDT-MFR group and 1.6 (0.5) days in the control group, (P < 0.001). Patients in the DT-MFR Group, IDT-MFR Group and Control Group reported a 59.2%, 54% and 13.3% reduction in their headache frequency in Weeks 17-20 compared to that in Weeks 1-4. CONCLUSIONS: This study provides evidence that Direct Technique or Indirect Technique Myofascial Release is more effective than the Control Intervention for tension headache.
机译:背景:紧张型头痛(TTH)本质上是指没有已知医学原因的紧迫或紧缩质量的双侧头痛。肌筋膜释放(MFR)目前正用于TTH患者,但尚未对其疗效进行正式评估。目的:研究与直接进行缓慢轻抚的对照组相比,直接技术肌筋膜释放(DT-MFR)是否比间接技术肌筋膜释放(IDT-MFR)更有效地减少头痛的发生率。设计:随机,对照,单盲试验。地点:印度喀拉拉邦肌筋膜治疗和研究基金会的临床部门。参与者:63例发作性或慢性紧张性头痛患者。干预措施:DT-MFR,IDT-MFR或对照。该技术由经认证的肌筋膜松解术医师管理,每名患者在12周内进行24次治疗。主要观察指标:参与者在头痛日记中记录的第5周至第16周之间的干预后第1-4周(即开始干预之前的4周)与第17周至第20周之间的头痛天数之间的差异。结果:DT-MFR组每4周头痛的天数减少了7.1(2.6)[平均(SD)]天,而IDT-MFR组为6.7(1.8)天,而IDT-MFR组为1.6(0.5)天对照组(P <0.001)。 DT-MFR组,IDT-MFR组和对照组的患者在第17至20周的头痛频率较第1-4周的患者分别降低了59.2%,54%和13.3%。结论:这项研究提供了证据,表明直接技术或间接技术肌筋膜的释放比控制干预对张力性头痛更有效。

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