Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210058
Brazilian Journal of Pain
Review Article

Efficiency of myofascial release in patients with tension-type headaches: integrative review

Eficácia da liberação miofascial em pacientes com cefaleias do tipo tensional: revisão integrativa

Marcela Galdina Silva; Victor Augusto Alves Bento; Daisilene Baena Castillo

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Abstract

BACKGROUND AND OBJECTIVES: Headaches are the most common neurological symptom and the most frequent medical complaint, with tension-type pain being one of the most reported forms, being considered a public health problem. Among the manual therapies indicated for the treatment of tension type headaches (TTH) is myofascial release (MRL), which consists of releasing muscle and fascia tension, through techniques that deactivate trigger points (TP). Thus, the objective of this integrative review is to determine the effectiveness of physical therapy using MRL in the treatment of TP-induced TTH.

CONTENTS: The guiding question of the study was: “What is the effect of manual therapy using myofascial release as a treatment in patients with tension-type headaches”? Searches were performed in LILACS and Pubmed/Medline databases until August 2021. Sixteen studies published between 2003 and 2021 were included in this integrative review, including case reports and clinical trials, presenting a total of 481 patients.

CONCLUSION: It was possible to conclude that the MRL technique showed positive results as a treatment for TTH through the reduction of pain, intensity and frequency.

Keywords

Musculoskeletal manipulations, Tension-type headache, Trigger points

Resumo

JUSTIFICATIVA E OBJETIVOS: As cefaleias se constituem no sintoma neurológico mais comum e de queixa médica mais frequente, sendo a dor de tipo tensional uma das formas mais relatadas e um problema público de saúde. Entre as terapias manuais indicadas ao tratamento da cefaleia de tipo tensional (CTT), está a liberação miofascial (LM), que consiste na liberação da tensão do músculo e da fáscia por meio de técnicas para desativação de pontos-gatilhos (PG). O objetivo deste estudo foi determinar a eficácia da fisioterapia utilizando a LM no tratamento das CTT induzidas por PG.

CONTEÚDO: A questão norteadora do estudo foi: “Qual o efeito da terapia manual utilizando a liberação miofascial como tratamento em pacientes com cefaleias do tipo tensional”? As buscas foram realizadas nas bases de dados LILACS e Pubmed/Medline até agosto de 2021. Foram incluídos nessa revisão 16 estudos publicados entre 2003 e 2021, sendo relatos de caso e ensaios clínicos, com um total de 481 pacientes.

CONCLUSÃO: A técnica de LM apresentou resultados positivos como tratamento para CTT, pela diminuição intensidade e frequência da dor.

Palavras-chave

Cefaleia do tipo tensional, Manipulações musculoesqueléticas, Pontos-gatilho

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Submitted date:
05/02/2021

Accepted date:
09/22/2021

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