치료적 초음파를 결합한 뻗침운동이 긴장성 두통 환자의 목주변 근육에 미치는 즉각적인 효과
Immediate Effects of Combined Stretching Exercise and Therapeutic Ultrasound on the Muscles Around the Neck in Tension-type Headache Patients
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to provide objective and basic data for an effective treatment method by examining changesin the mechanical properties of muscles and the degree of tenderness when a combination of stretching exercise andultrasound therapy is applied to patients with tension headaches. Methods: The participants were classified into two groupsbased on the intervention received: the therapeutic ultrasound combined with suboccipital stretching (n=15, experimentalgroup) and infrared combined with suboccipital stretching (n=15, control group) groups. The intragroup differences inmechanical muscle properties and modified total tenderness score were compared and analyzed. Results: The comparisonand analyses of the changes in muscle tone and stiffness revealed statistically significant intragroup decreases in the uppertrapezius and suboccipitalis in the experimental group. Similarly, the comparison and analyses of the changes in musclestiffness revealed statistically significant intragroup decreases in the upper trapezius in the control group. Conclusion:Therapeutic ultrasound combined with suboccipitalis stretching effectively increased the flexibility of the muscles aroundthe cervical vertebrae and reduced muscle tension and stiffness in tension-type headache patients
Abstract
Purpose: This study aimed to provide objective and basic data for an effective treatment method by examining changesin the mechanical properties of muscles and the degree of tenderness when a combination of stretching exercise andultrasound therapy is applied to patients with tension headaches. Methods: The participants were classified into two groupsbased on the intervention received: the therapeutic ultrasound combined with suboccipital stretching (n=15, experimentalgroup) and infrared combined with suboccipital stretching (n=15, control group) groups. The intragroup differences inmechanical muscle properties and modified total tenderness score were compared and analyzed. Results: The comparisonand analyses of the changes in muscle tone and stiffness revealed statistically significant intragroup decreases in the uppertrapezius and suboccipitalis in the experimental group. Similarly, the comparison and analyses of the changes in musclestiffness revealed statistically significant intragroup decreases in the upper trapezius in the control group. Conclusion:Therapeutic ultrasound combined with suboccipitalis stretching effectively increased the flexibility of the muscles aroundthe cervical vertebrae and reduced muscle tension and stiffness in tension-type headache patients
참고문헌 (32)
- Aaseth, K., "Pericranial tenderness in chronic tension-type headache : The Akershus population-based study of chronic headache", The Journal of Headache and Pain, 15(1), pp.1~7 (2014)[DOI]
- Ajimsha, M., "Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache", Journal of Bodywork and Movement Therapies, 15(4), pp.431~435 (2011)[DOI]
- Alonso-Blanco, C., "Prevalence and anatomical localization of muscle referred pain from active trigger points in head and neck musculature in adults and children with chronic tension-type headache", Pain Medicine, 12(10), pp.1453~1463 (2011)[DOI]
- Antonia, G. C., "Efficacy of manual and manipulative therapy in the perception of pain and cervical motion in patients with tension-type headache : a randomized, controlled clinical trial", Journal of Chiropractic Medicine, 13(1), pp.4~13 (2014)[DOI]
- Aridici, R., "Comparison of the efficacy of dry needling and high-power pain threshold ultrasound therapy with clinical status and sonoelastography in myofascial pain syndrome", American Journal of Physical Medicine & Rehabilitation, 95(10), pp.e149~e158 (2016)[DOI]
- Arnold, M., "Headache classification committee of the international headache society(IHS)the international classification of headache disorders", Cephalalgia, 38(1), pp.1~211 (2018)[DOI]
- Bailey, L., "Parameters representing muscle tone, elasticity and stiffness of biceps brachii in healthy older males : Symmetry and withinsession reliability using the MyotonPRO", Journal of Neurological Disorders, 1(1), pp.1~7 (2013)[DOI]
- Chowdhury, D., "Tension type headache", Annals of Indian Academy of Neurology, 15(Suppl 1), pp.S83~ (2012)[DOI]
- De Deyne, P. G., "Application of passive stretch and its implications for muscle fibers", Physical Therapy, 81(2), pp.819~827 (2001)[DOI]
- de Tommaso, M., "Topographic analysis of laser evoked potentials in chronic tension-type headache : Correlations with clinical features", International Journal of Psychophysiology, 62(1), pp.38~45 (2006)[DOI]
- Espi-Lopez, G. V., "Do manual therapy techniques have a positive effect on quality of life in people with tension-type headache? A randomized controlled trial", European Journal of Physical and Rehabilitation Medicine, 52(4), pp.447~456 (2016)
- Fernández-de-las-Peñas, C., "Myofascial trigger points, neck mobility, and forward head posture in episodic tensiontype headache", The Journal of Head and Face Pain, 47(5), pp.662~672 (2007)[DOI]
- Fernández-de-Las-Peñas, C., "Increased pericranial tenderness, decreased pressure pain threshold, and headache clinical parameters in chronic tension-type headache patients", The Clinical Journal of Pain, 23(4), pp.346~352 (2007)[DOI]
- Fernández-De-Las-Peñas, C., "Referred pain from myofascial trigger points in head and neck–shoulder muscles reproduces head pain features in children with chronic tension type headache", The Journal of Headache and Pain, 12(1), pp.35~43 (2011)[DOI]
- Gabert-Quillen, C. A., "The efficacy of written emotional expression at reducing back and headache pain in college students", doctor, pp.2012
- Gui-Demase, M. S., "Manual therapy associated with topical heat reduces pain and self-medication in patients with tension-type headache", Fisioterapia e Pesquisa, 28, pp.244~251 (2021)[DOI]
- Hamilton, L., "The effects of highvelocity, low-amplitude manipulation and muscle energy technique on suboccipital tenderness", International Journal of Osteopathic Medicine, 10(2-3), pp.42~49 (2007)[DOI]
- Jes, O., "International headache society, the international classification of headache disorders", Headache Classification Committee of the International Headache Society(IHS), 38, pp.18~28 (2018)
- 김인균, "근육 이완 접근과 관절 가동 접근이 긴장성 두통을 가진 두부 전방 전위 자세 환자의 목의 움직임 및 일상생활 편안함에 미치는 영향", 한방재활의학과학회지, 29(1), pp.7~20 (2019), 한방재활의학과학회[DOI]
- Koleva, I. B., "Complex physical prevention and rehabilitation of cervical myofascial pain and headache, due to spine malposition in users(abusers)of smart phones", Highlights on Medicine and Medical Research, 1(12), pp.80~88 (2021)[DOI]
- 이형렬, "뒤통수밑근 이완기법과 병행된 고주파 심부투열이 만성 긴장성 두통 환자들의 압통과 목 가동성 및 기능장애에 미치는 영향", 한국전문물리치료학회지, 24(2), pp.37~47 (2017), 한국전문물리치료학회[DOI]
- Matheus, J. P. C., "Effects of therapeutic ultrasound on the mechanical properties of skeletal muscles after contusion", Brazilian Journal of Physical Therapy, 12, pp.241~247 (2008)[DOI]
- Monzani, L., "Manual therapy for tension-type headache related to quality of work life and work presenteeism : Secondary analysis of a randomized controlled trial", Complementary Therapies in Medicine, 25, pp.86~91 (2016)[DOI]
- Moraska, A. F., "Myofascial trigger point-focused head and neck massage for recurrent tension-type headache : A randomized, placebo-controlled clinical trial", The Clinical Journal of Pain, 31(2), pp.159~ (2015)[DOI]
- 박승규, "초음파치료를 동반한 뒤통수밑근 이완운동이 긴장성 두통 환자의 근육의 기계적인 특성과 목 장애 지수, 두통 영향 검사에 미치는 영향", 대한통합의학회지, 9(4), pp.271~281 (2021), 대한통합의학회
- Park, S. K., "Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache", Journal of Physical Therapy Science, 29(10), pp.1836~1840 (2017)[DOI]
- Robertson, V. J., "A review of therapeutic ultrasound : Effectiveness studies", Physical Therapy, 81(7), pp.1339~1350 (2001)[DOI]
- Stovner, L. J., "The global burden of headache : A documentation of headache prevalence and disability worldwide", Cephalalgia, 27(3), pp.193~210 (2007)[DOI]
- Torelli, P., "Physiotherapy for tension-type headache : A controlled study", Cephalalgia, 24(1), pp.29~36 (2004)[DOI]
- Viir, R., "Repeatability of trapezius muscle tone assessment by a myometric method", Journal of Mechanics in Medicine and Biology, 6(2), pp.215~228 (2006)[DOI]
- Wong, R. A., "A survey of therapeutic ultrasound use by physical therapists who are orthopaedic certified specialists", Physical Therapy, 87(8), pp.986~994 (2007)[DOI]
- Yang, D. J., "Comparison of muscular fatigue and tone of neck according to craniocervical flexion exercise and suboccipital relaxation in cervicogenic headache patients", Journal of Physical Therapy Science, 29(5), pp.869~873 (2017)[DOI]
