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A Randomized Controlled Trial to Study the Effects of Suboccipital Muscle Release Technique versus Neck Isometrics for Tension Headache in Medical Students
Author(s):
1. Zubair Ahmed: Rawalpindi Medical University
2. Mahrukh Anwar Abbasi: Foundation University Medical College
3. Durnave Azid: Shifa College of Medicine Islamabad
4. Fatima Noor: Foundation University Medical College
5. Maryam Abrar: Dubai Medical University
6. Sumble sindhu mahessar: People’s university of medical and health sciences
7. Zuhaa Zahid: Foundation University Medical College
8. Fathima Farzana: GSM Medical Center LLC
9. Aliyah Usman Qureshi: Rawalpindi Medical University
Abstract:
Background: Headaches are a prevalent concern among medical students, often attributed to stress, long study hours, and poor posture. Evidence is present to support the influence of sub-occipital muscle release technique and neck isometrics on reduction in tension type headache intensity among medical students. Objective: To compare and determine the effects of sub-occipital muscle release and neck isometrics in reducing headache intensity among medical students. Data Collection Procedure: A total of 40 participants with tension type headache were selected according to the inclusion criteria. Participants were divided into two groups, i.e. Group A and Group B, with 20 participants in each group. Sample size was calculated using Open Epi calculator. Non-probability convenient sampling was used for recruitment and then subjects were randomly allocated to both groups by sealed envelope method. Sub-occipital muscle release technique was performed in Group A. Group B was instructed to perform neck isometrics. These interventions were performed over a period of 4 weeks. Measurements were taken at baseline and 4 weeks after treatment. NPRS and HDI scales were used to assess the headache intensity. The overall duration of study was 6 months. Independent Sample T-test was used for between group analysis and Paired Sample T-test was used for within group analysis. Results: Between group analysis showed no significant difference in effects of Sub- occipital Muscle Release and Neck Isometrics with P-value > 0.05. Within group analysis demonstrated that both techniques were effective in reducing the headache intensity among medical students with P-value <0.05 in both groups. Conclusions: The results concluded that while both interventions demonstrated efficacy within their respective groups, there is not sufficient evidence to conclude that one intervention is significantly superior to the other.
Page(s): 385-401
Published: Journal: International Journal of Membrane Science and Technology, Volume: 11, Issue: 1, Year: 2024
Keywords:
Tension type headache , Neck Isometrics , SubOccipital Muscle Release Technique
References:
[1] Classification Headache .2018 .Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia, 38(1) : 1-211.
[2] Friedman MH,Nelson AJ .1996 .neck pain review: traditional and new perspectives. J Orthop Sports Phys Ther, 24(4) : 268-78.
[3] Mekhora K,Liston CB,Nanthavanij S,Cole JH .2000 .The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome. International Journal of Industrial Ergonomics, 26 : 367-79.
[4] Noor T,Sajjad A,Asma A .2016 .Frequency, character and predisposing factor of headache among students of medical college of Karachi. J Pak Med Assoc, 66(2) : 159-64.
[5] Nejati P,Lotfian S,Moezy A,Nejati M. .2015 .The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health, 28(2) : 295-303.
[6] Nicholson GG,Gaston J .2001 .Cervical headache. J Orthop Sports Phys Ther, 31(4) : 184-93.
[7] Pereira M,Comans T,Sjøgaard G,Straker L,Melloh M,O'Leary S M .2019 .The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity: A cluster-randomized trial. Scand J Work Environ Health, 45(1) : 42-52.
[8] George T,Tadi P.,Anatomy P.,Island (FL): StatPearls Publishing Copyright P. .2023 .. , : .
[9] YH. Suboccipital Sung,Muscles Sung,Dizziness Cervicogenic .2022 .. Medicina (Kaunas), 58(12) : .
[10] Jiang W,Li Z,Wei N,Chang W,Chen W,Sui HJ .2019 .Effectiveness of physical therapy on the suboccipital area of patients with tension-type headache: A meta-analysis of randomized controlled trials. Medicine (Baltimore), 98(19) : e15487.
[11] Pérez-Llanes R,Ruiz-Cárdenas JD,Meroño-Gallut AJ,Fernández-Calero MI,Ríos- MI .2022 .Effectiveness of suboccipital muscle inhibition combined with interferential current in patients with chronic tension-type headache: a randomised controlled clinical trial. Neurología (English Edition), 37(9) : 717-25.
[12] Monzani L,Espí-López GV,Zurriaga R,Andersen LL .2016 .Manual therapy for tension- type headache related to quality of work life and work presenteeism: Secondary analysis of a randomized controlled trial. Complement Ther Med, 25 : 86-91.
[13] Rameani E,Arab A .2017 .The Effect of Suboccipital Myofascial Release Technique on Cervical Muscle Strength of Patients With Cervicogenic Headache. Physical Treatments - Specific Physical Therapy, 7 : 19-28.
[14] Cumplido-Trasmonte C,Fernández-González P,Alguacil-Diego IM,Molina-Rueda F IM .2021 .Manual therapy in adults with tension-type headache: A systematic review. Neurologia (Engl Ed), 36(7) : 537-47.
[15] Choi W. .2021 .Effect of 4 Weeks of Cervical Deep Muscle Flexion Exercise on Headache and Sleep Disorder in Patients with Tension Headache and Forward Head Posture. Int J Environ Res Public Health, 18(7) : .
[16] Iqbal ZA,Alghadir AH,Anwer S. .2021 .Efficacy of Deep Cervical Flexor Muscle Training on Neck Pain, Functional Disability, and Muscle Endurance in School Teachers: A Clinical Trial. Biomed Res Int, : 7190808.
[17] Kim JY,Kwag KI. .2016 .Clinical effects of deep cervical flexor muscle activation in patients with chronic neck pain. J Phys Ther Sci, 28(1) : 269-73.
[18] Jull GA,O'Leary SP,Falla DL .2008 .Clinical Assessment of the Deep Cervical Flexor Muscles: The Craniocervical Flexion Test. Journal of Manipulative and Physiological Therapeutics, 31(7) : 525-33.
[19] Cumplido Trasmonte C,Fernández-González P,Alguacil I,Molina-Rueda F I .2018 .Terapia manual en adultos con cefalea tensional: revisión sistemática. Neurología, 36 : .
[20] Blomgren J,Strandell E,Jull G,Vikman I,Röijezon U. .2018 .Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review. BMC Musculoskeletal Disorders, 19(1) : 415.
[21] Falla D,Jull G,Dall'Alba P,Rainoldi A,Merletti R. .2003 .An Electromyographic Analysis of the Deep Cervical Flexor Muscles in Performance of Craniocervical Flexion. Physical Therapy, 83(10) : 899-906.
[22] Yang J,Yang M,Lin Q,Fu J,Xi R. .2022 .Effects of isometric training on the treatment of patients with neck pain: A meta-analysis. Medicine (Baltimore), 101(39) : e30864.
[23] Espi-Lopez GV,Ingles M,Carrasco-Fernandez JJ,Serra-Añó P,Copete-Fajardo L,Gonzalez-Gerez JJ .2022 .Effects of Foam Rolling vs. Manual Therapy in Patients with Tension-Type Headache: A Randomized Pilot Study. J Clin Med, 11(7) : .
[24] Pérez-Martínez C,Gogorza-Arroitaonandia K,Heredia-Rizo AM,Salas-González J,Oliva-Pascual-Vaca Á .2020 .INYBI: A New Tool for SelfMyofascial Release of the Suboccipital Muscles in Patients With Chronic Non-Specific Neck Pain: A Randomized Controlled Trial. Spine (Phila Pa, 45(21) : E1367-e75.
[25] Espí-López GV,Gómez-Conesa A,Gómez AA,Martínez JB,Pascual-Vaca AO,Blanco CR .2014 .Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial. J Bodyw Mov Ther, 18(4) : 576-85.
[26] Jacobson GP,Ramadan NM,Aggarwal SK,Newman CW .1994 .The Henry Ford Hospital Headache Disability Inventory (HDI). Neurology, 44(5) : 837-42.
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