The Investigation of the effects of deep dry needling into trigger points of temporalis, sternocleidomastoid and upper trapezius on females with episodic tension type headache
Researcher Bulletin of Medical Sciences,
Vol. 25 No. 1 (2020),
21 September 2020
Introduction: Tension type headache is the most common type of headache that is associated with myofascial pain syndrome and trigger points. The aim of this study was to evaluate the efficacy of deep dry needling into trigger points of temporalis, sternocleidomastoid and upper trapezius muscles of females with episodic tension type headache.
Materials and Methods: The study was a clinical randomized, single-blind, parallel-group trial in which 24 participants were allocated into two groups. The first group received dry needling with passive stretching treatment and the second group (control group) received only passive stretching. Subjects were asked to record headache indices (headache intensity and frequency) for 4 weeks before treatment. Headache intensity and frequency and quality of life (SF-36) were measured at baseline and 4 weeks after the intervention.
Results: In the dry needling group, the intensity and frequency of headache and physical functioning scores of quality of life questionnaire were significantly improved after treatment (p <0.05).
Conclusion: Due to the positive effects of deep dry needling and passive stretching in females with episodic tension type headache, the use of deep dry needling into trigger points of head and neck musculature is recommended in the presence of episodic tension type headache.
- Myofascial pain syndrome; Tension type headache; Dry needling, Trigger points; passive stretching
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2. Sertel M, Bakar Y, Şimşek TT. The effect of body awareness therapy and aerobic exercises on pain and quality of life in the patients with tension type headache. African Journal of Traditional, Complementary and Alternative Medicines. 2017;14(2):288-310.
3. Arnold M. Headache classification committee of the international headache society (IHS) the international classification of headache disorders. Cephalalgia. 2018;38(1):1-211.
4. Abboud J, Marchand A-A, Sorra K, Descarreaux M. Musculoskeletal physical outcome measures in individuals with tension-type headache: a scoping review. Cephalalgia. 2013;33(16):1319-36.
5. Romero-Morales C, Jaén-Crespo G, Rodríguez-Sanz D, Sanz-Corbalán I, López-López D, Calvo-Lobo C. Comparison of Pressure Pain Thresholds in Upper Trapezius and Temporalis Muscles Trigger Points Between Tension Type Headache and Healthy Participants: A Case–Control Study. Journal of manipulative and physiological therapeutics. 2017;40(8):609-14.
6. Karadaş Ö, Gül HL, İnan LE. Lidocaine injection of pericranial myofascial trigger points in the treatment of frequent episodic tension-type headache. The journal of headache and pain. 2013;14(1):44.
7. Sheet HF. Lifting The Burden. 2006.
8. Olesen J. International Classification of Headache Disorders, (ICHD-2): current status and future revisions. SAGE Publications Sage UK: London, England; 2006.
9. France S, Bown J, Nowosilskyj M, Mott M, Rand S, Walters J. Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: a systematic review. Cephalalgia. 2014;34(12):994-1003.
10. Schulman EA. Overview of tension-type headache. Current pain and headache reports. 2001;5(5):454-62.
11. Jensen R, Rasmussen B. Muscular disorders in tension‐type headache. Cephalalgia. 1996;16(2):97-103.
12. Bendtsen L, Ashina S, Moore A, Steiner T. Muscles and their role in episodic tension‐type headache: implications for treatment. European Journal of Pain. 2016;20(2):166-75.
13. Fernández‐de‐las‐Peñas C, Alonso‐Blanco C, Cuadrado ML, Gerwin RD, Pareja JA. Trigger points in the suboccipital muscles and forward head posture in tension‐type headache. Headache: The Journal of Head and Face Pain. 2006;46(3):454-60.
14. Kamali F, Mohamadi M, Fakheri L, Mohammadnejad F. Dry needling versus friction massage to treat tension type headache: a randomized clinical trial. Journal of bodywork and movement therapies. 2019;23(1):89-93.
15. Fernández-de-las-Peñas C, Cuadrado ML, Barriga FJ, Pareja JA. Active Muscle Trigger Points as Sign of Sensitization in Chronic Primary Headaches. Journal of Musculoskeletal Pain. 2009;17(2):155-61.
16. Fernández-De-Las-Peñas C, Fernández-Mayoralas DM, Ortega-Santiago R, Ambite-Quesada S, Palacios-Cena D, Pareja JA. 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. 2011;12(1):35-43.
17. Couppé C, Torelli P, Fuglsang-Frederiksen A, Andersen KV, Jensen R. Myofascial trigger points are very prevalent in patients with chronic tension-type headache: a double-blinded controlled study. The Clinical journal of pain. 2007;23(1):23-7.
18. Esenyel M, Caglar N, Aldemir T. Treatment of myofascial pain. American journal of physical medicine & rehabilitation. 2000;79(1):48-52.
19. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual: Lippincott Williams & Wilkins; 1983.
20. Dommerholt J, de las Penas CF. Trigger Point Dry Needling E-Book: An Evidence and Clinical-Based Approach: Elsevier Health Sciences; 2018.
21. Kim S-D. Effects of yoga exercises for headaches: a systematic review of randomized controlled trials. Journal of physical therapy science. 2015;27(7):2377-80.
22. Choi S-Y, Choi J-H. The effects of cervical traction, cranial rhythmic impulse, and Mckenzie exercise on headache and cervical muscle stiffness in episodic tension-type headache patients. Journal of physical therapy science. 2016;28(3):837-43.
23. Fernández-De-Las-Peñas C, Cuadrado ML. Dry needling for headaches presenting active trigger points. Taylor & Francis; 2016.
24. Berrigan WA, Whitehair CL, Zorowitz RD. Acute spinal epidural hematoma as a complication of dry needling: a case report. PM&R. 2019;11(3):313-6.
25. Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. The Journal of the American Board of Family Medicine. 2010;23(5):640-6.
26. Cagnie B, Dewitte V, Barbe T, Timmermans F, Delrue N, Meeus M. Physiologic effects of dry needling. Current pain and headache reports. 2013;17(8):348.
27. Pourahmadi M, Mohseni-Bandpei MA, Keshtkar A, Koes BW, Fernández-de-Las-Peñas C, Dommerholt J, et al. Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review. Chiropractic & manual therapies. 2019;27(1):43.
28. Ghanbari A, Rahimijaberi A, Mohamadi M, Abbasi L, Sarvestani FK. The effect of trigger point management by positional release therapy on tension type headache. NeuroRehabilitation. 2012;30(4):333-9.
29. Motamed N, Ayatollahi A, Zare N, Sadeghi Hassanabadi A. Validity and reliability of the Persian translation of the SF-36 version 2 questionnaire. 2005.
30. Fuh J-L, Wang S-J. Comparison of Short Form-36 and Migraine Disability Assessment questionnaire in patients with migraine. The Clinical journal of pain. 2006;22(6):564-8.
31. Domingues RB, Duarte H, Rocha NP, Teixeira AL. Neurotrophic factors in tension-type headache. Arquivos de neuro-psiquiatria. 2015;73(5):420-4.
32. Hojat M, Shapurian R, Mehryar AH. Psychometric properties of a Persian version of the short form of the Beck Depression Inventory for Iranian college students. Psychological reports. 1986;59(1):331-8.
33. Hong C-Z. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. American journal of physical medicine & rehabilitation. 1994;73(4):256-63.
34. Gaubeca-Gilarranz A, Fernández-de-las-Peñas C, Medina-Torres JR, Seoane-Ruiz JM, Company-Palonés A, Cleland JA, et al. Effectiveness of dry needling of rectus abdominis trigger points for the treatment of primary dysmenorrhoea: a randomised parallel-group trial. Acupuncture in Medicine. 2018;36(5):302-10.
35. Benito-de-Pedro M, Becerro-de-Bengoa-Vallejo R, Elena Losa-Iglesias M, Rodríguez-Sanz D, López-López D, Palomo-López P, et al. Effectiveness of deep dry needling vs ischemic compression in the latent myofascial trigger points of the shortened triceps surae from triathletes on ankle dorsiflexion, dynamic, and static plantar pressure distribution: A clinical trial. Pain Medicine. 2020;21(2):e172-e81.
36. Cerezo-Téllez E, Lacomba MT, Fuentes-Gallardo I, Mayoral del Moral O, Rodrigo-Medina B, Gutiérrez Ortega C. Dry needling of the trapezius muscle in office workers with neck pain: a randomized clinical trial. Journal of Manual & Manipulative Therapy. 2016;24(4):223-32.
37. Cerezo-Téllez E, Torres-Lacomba M, Fuentes-Gallardo I, Perez-Muñoz M, Mayoral-del-Moral O, Lluch-Girbés E, et al. Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. Pain. 2016;157(9):1905-17.
38. Bendtsen L. Central sensitization in tension-type headache—possible pathophysiological mechanisms. Cephalalgia. 2000;20(5):486-508.
39. Arendt-Nielsen L, Castaldo M, Mechelli F, Fernández-de-las-Peñas C. Muscle triggers as a possible source of pain in a subgroup of tension-type headache patients? The Clinical journal of pain. 2016;32(8):711-8.
40. Sohn J, Choi H, Lee S, Jun A. Differences in cervical musculoskeletal impairment between episodic and chronic tension-type headache. Cephalalgia. 2010;30(12):1514-23.
41. Fernández‐de‐las‐Peñas C, Alonso‐Blanco C, Cuadrado ML, Gerwin RD, Pareja JA. Myofascial trigger points and their relationship to headache clinical parameters in chronic tension‐type headache. Headache: The Journal of Head and Face Pain. 2006;46(8):1264-72.
42. Karakurum B, Karaalin O, Coskun Ö, Dora B, Üçler S, Inan L. The ‘dry-needle technique’: intramuscular stimulation in tension-type headache. Cephalalgia. 2001;21(8):813-7.
43. Gildir S, Tüzün EH, Eroğlu G, Eker L. A randomized trial of trigger point dry needling versus sham needling for chronic tension-type headache. Medicine. 2019;98(8).
44. Moraska A, Chandler C. Changes in psychological parameters in patients with tension-type headache following massage therapy: a pilot study. Journal of Manual & Manipulative Therapy. 2009;17(2):86-94.
45. Moraska A, Chandler C. Changes in clinical parameters in patients with tension-type headache following massage therapy: a pilot study. Journal of Manual & Manipulative Therapy. 2008;16(2):106-12.
46. Dommerholt J. Dry needling—peripheral and central considerations. Journal of Manual & Manipulative Therapy. 2011;19(4):223-7.
47. Haefeli M, Elfering A. Pain assessment. European Spine Journal. 2006;15(1):S17-S24.
48. Wanderley D, Valença MM, Neto JJdSC, Martins JV, Raposo MCF, de Oliveira DA. Contract-relax technique compared to static stretching in treating migraine in women: A randomized pilot trial. Journal of Bodywork and Movement Therapies. 2019.
49. Solomon GD, Skobieranda FG, Gragg LA. Quality of life and well‐being of headache patients: measurement by the medical outcomes study instrument. Headache: The Journal of Head and Face Pain. 1993;33(7):351-8.
50. Bigal ME, Bigal JM, Betti M, Bordini CA, Speciali JG. Evaluation of the impact of migraine and episodic tension‐type headache on the quality of life and performance of a university student population. Headache: The Journal of Head and Face Pain. 2001;41(7):710-9.
51. Holroyd KA, Stensland M, Lipchik GL, Hill KR, O'Donnell FS, Cordingley G. Psychosocial correlates and impact of chronic tension‐type headaches. Headache: The Journal of Head and Face Pain. 2000;40(1):3-16.
52. Landi F, Russo A, Liperoti R, Danese P, Maiorana E, Pahor M, et al. Daily pain and functional decline among old-old adults living in the community: results from the ilSIRENTE Study. Journal of pain and symptom management. 2009;38(3):350-7.
53. Balottin U, Fusar Poli P, Termine C, Molteni S, Galli F. Psychopathological symptoms in child and adolescent migraine and tension-type headache: a meta-analysis. Cephalalgia. 2013;33(2):112-22.
54. Cunha ACV, Burke TN, França FJR, Marques AP. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics. 2008;63(6):763-70.
55. Noormohammadpour P, Tayyebi F, Mansournia MA, Sharafi E, Kordi R. A concise rehabilitation protocol for sub-acute and chronic non-specific neck pain. Journal of bodywork and movement therapies. 2017;21(3):472-80.
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