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

http://dx.doi.org/10.5935/2595-0118.20210058 BrJP, vol.4, n4, p.374-378, 2021
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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

References

Bendtsen L, Jensen R. Tension type headache: the most common, but also the most neglected headache disorder. Curr Opin Neurol. 2006;19(3):305-9.

Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193-210.

Varjão FM, Jorge JH, Nepelenbroek KH, Alencar Júnior FGP. Cefaleia, tipo tensional. Saúde e Pesqu. 2008;1(2):185-91.

ATLAS of Headache Disorders and Resources in the World 2011. 2011.

Petersen CS, Nunes MLT. Cefaleia tensional crônica e psicopatologia. Psicol. 2002;3(2):30-43.

Fact sheet: headache disorders. 2016.

Coeytaux RR, Linville JC. Chronic daily headache in a primary care population: prevalence and headache impact test scores. Headache. 2007;47(1):7-12.

Galdino GS, Albuquerque TIP, Medeiros JLA. Cefaleias primárias: abordagem diagnóstica por médicos não neurologistas. Arq Neuropsiquiatr. 2007;65(3-A):681-4.

Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders. 2004;24(^sSuppl 1):1-160.

Jensen R. Diagnosis, epidemiology and impact of tension-type headache. Curr Pain Headache Rep. 2003;7(6):455-9.

Zwart JA, Dyb G, Hagen K, Svebak S, Stovner LJ, Holmen J. Analgesic overuse among subjects with headache, neck, and low-back pain. Neurology. 2004;62(9):1540-4.

Fernández-de-Las-Peñas C. Myofascial head pain. Curr Pain Headache Rep. 2015;19(7):28.

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. 2006;46(3):454-60.

Simons DG, Travell JG, Simons L. Myofascial Pain and Dysfunction. The Trigger Point Manual. 1999.

Fernández-de-Las-Peñas C, Ge HY, Arendt-Nielsen L, Cuadrado ML, Pareja JA. The local and referred pain from myofascial trigger points in the temporalis muscle contributes to pain profile in chronic tension-type headache. Clin J Pain. 2007;23(9):786-92.

Fernández-de-Las-Peñas C, Alonso-Blanco C, Cuadrado ML, Pareja JA. Myofascial trigger points in the suboccipital muscles in episodic tension type headache. Man Ther. 2006;11(3):225-30.

Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in episodic tension type headache. Headache. 2007;47(5):662-72.

Couppe C, Torelli P, Fuglsang-Frederiksen A, Andersen K, Jensen R. Myofascial trigger points are very prevalent in patients with chronic tension-type headache: a double blinded Controlled Study. Clin J Pain. 2007;23(1):23-7.

Fernández-de-las-Peñas C, Schoenen J. Chronic tension type headache: what’s new?. Curr Opin Neurol. 2009;22(3):254-61.

Bendtsen L, Evers S, Linde M, Mitsikostas DD, Sandrini G, Schoenen J. EFNS. EFNS guideline on the treatment of tension-type headache - report of an EFNS task force. Eur J Neurol. 2010;17(11):1318-25.

Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998;280(18):1569-75.

Rossi P, Di Lorenzo G, Faroni J, Malpezzi MG, Cesarino F, Nappi G. Use of complementary and alternative medicine by patients with chronic tension-type headache: results of a headache clinic survey. Headache. 2006;46(4):622-31.

Hoving JL, Koes BW, de Vet HC, van der Windt DA, Assendelft WJ, Van Mameren H. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial. Ann Intern Med. 2002;136(10):713-22.

Espí López GV, Gómez A. Eficacia del tratamiento en la cefalea tensional. Revisión sistemática. Fisioterapia. 2010;32(1):33-40.

Sousa RC, Matos LKBL. The myofascial release and the treatment of tension headache induced by trigger points. MTP Rehabil J. 2014;12:73-7.

Stallbaum JH, Antunes AGF, Kelling BI, Froemming C, Pokulat GS, Braz MM. A inserção da fisioterapia no tratamento da cefaleia do tipo tensional: uma revisão sistemática. Cinergis. 2013;14(3):172-5.

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64.

Mignelli J, Tollefson LJ, Stefanowicz E. Conservative management of neck and thoracic pain in an adult with neurofibromatosis-1. J Can Chiropr Assoc. 2021;65(1):121-6.

Corum M, Aydin T, Medin Ceylan C, Kesiktas FN. The comparative effects of spinal manipulation, myofascial release and exercise in tension-type headache patients with neck pain: a randomized controlled trial. Complement Ther Clin Pract. 2021;43:101319.

Pérez-Llanes R, Ruiz-Cárdenas JD, Meroño-Gallut AJ, Fernández-Calero MI, Ríos-Díaz J. Effectiveness of suboccipital muscle inhibition combined with interferential current in patients with chronic tension-type headache: a randomised controlled clinical trial. Neurologia. 2020;25(20):S0213-4853.

Shields G, Smith JM. Remedial massage therapy interventions including and excluding sternocleidomastoid, scalene, temporalis, and masseter muscles for chronic tension type headaches: a case series. Int J Ther Massage Bodywork. 2020;13(1):22-31.

Georgoudis G, Felah B, Nikolaidis P, Damigos D. The effect of myofascial release and microwave diathermy combined with acupuncture versus acupuncture therapy in tension-type headache patients: A pragmatic randomized controlled trial. Physiother Res Int. 2018;23(2):e1700.

Moraska AF, Schmiege SJ, Mann JD, Butryn N, Krutsch JP. Responsiveness of myofascial trigger points to single and multiple trigger point release massages: a randomized, placebo-controlled trial. Am J Phys Med Rehabil. 2017;96(9):639-45.

Antunes MD, Favoreto AB, Nacano MS, Morales RC, Nascimento Júnior JR, Oliveira DV. Análise comparativa dos efeitos da massoterapia e pompagem cervical na dor e qualidade de vida em mulheres. ConScientiae Saúde. 2017;16(1):109-15.

Ferragut-Garcías A, Plaza-Manzano G, Rodríguez-Blanco C, Velasco-Roldán O, Pecos-Martín D, Oliva-Pascual-Vaca J. Effectiveness of a treatment involving soft tissue techniques and/or neural mobilization techniques in the management of tension-type headache: a randomized controlled trial. Arch Phys Med Rehabil. 2017;98(2):211-219.e2.

Sousa RC, Silva LFBP, Barradas LPF, Silvia CC, Matos LKBL. Efeitos da liberação miofascial na qualidade e frequência da dor em mulheres com cefaleia do tipo induzida por pontos-gatilho tensional. Fisioterapia Brasil. 2015;16(3):231-5.

Bastos AFC, Melo LG, Rezende AAB, Herrera SDSC, Ueda TK. Intervenção fisioterapêutica na melhoria da qualidade de vida de paciente portador de cefaleia do tipo tensional crônica. Rev Amazônia. 2013;1(1):25-31.

Rodríguez-Fernández AL, Garrido-Santofimia V, Güeita-Rodríguez J, Fernández-de-Las-Peñas C. Effects of burst-type transcutaneous electrical nerve stimulation on cervical range of motion and latent myofascial trigger point pain sensitivity. Arch Phys Med Rehabil. 2011;92(9):1353-8.

Hoffmann CF, Rezende MAA, Clemente C, Araujo AGS. Uso da técnica de energia muscular em mulheres com cervicalgia. Fisioterapia Brasil. 2011;12(4):255-60.

Macedo CSG, Cardoso JR, Prado FM L, Carvalho PG. Eficácia da terapia manual craniana em mulheres com cefaleia. Fisioter Pesq. 2007;14(2):14-20.

Morelli JGS, Rebelatto JR. A eficácia da terapia manual em cefaleicos portadores e não-portadores de degeneração cervical: análise de seis casos. Rev Bras Fisioter. 2007;11(4):325-9.

Morelli JGS, Rebelatto JR. A efetividade de um protocolo fisioterapêutico de terapia manual para o alívio dos pacientes com cefaleia tensional e mudanças da coluna cervical. Fisioter Bras. 2006;7(4):313-6.

Hoffmann J, Teodoroski RCC. A eficácia da pompagem, na coluna cervical, no tratamento da cefaléia do tipo intensional. Rev Ter Man. 2003;2(2):56-60.

Rasmussen BK, Jensen R, Olesen J. Questionnaire versus clinical interview in the diagnosis of headache. Headache. 1991;31(5):290-5.

Macfarlane TV, Blinkhorn AS, Davies RM, Kincey J, Worthington HV. Association between female hormonal factors and orofacial pain: study in the community. Pain. 2002;97(1-2):5-10.

Chaibi A, Russell MB. Manual therapies for primary chronic headaches: a systematic review of randomized controlled trial. J Headache Pain. 2014;15(1):67.

Lenssinck ML, Damen L, Verhagen AP, Berber MY, Passchier J, Koes BW. The effectiveness of physiotherapy and manipulation in patients with tension-type headache: a systematic review. Pain. 2004;112(3):381-8.

Submitted date:
05/02/2021

Accepted date:
09/22/2021

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