The Effect of Muscle Energy Technique on Headache, Upper Cervical Rotation and Deep Upper Cervical Muscle Thickness in Cervicogenic Headache (Randomized Clinical Trial)

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Keywords

Headache Index
Muscle Energy Technique
Cervicogenic Headache
Deep Muscle
Thickness

How to Cite

AbaspourO., Akbari M., RezasoltaniA., & AhmadiA. (2020). The Effect of Muscle Energy Technique on Headache, Upper Cervical Rotation and Deep Upper Cervical Muscle Thickness in Cervicogenic Headache (Randomized Clinical Trial). Iranian Red Crescent Medical Journal, 22(4). Retrieved from https://ircmj.org/index.php/IRCMJ/article/view/386

Abstract

Background: Cervicogenic headache (CGH) is a disabling condition associated with musculoskeletal impairment of the cervical region. There is limited evidence for the efficacy of muscle energy technique (MET) on CGH.

Objectives: The present study aimed to assess the effect of MET on CGH patients.

Methods: In this single-blinded, randomized, controlled study, thirty subjects with CGH aged 18 - 55years were randomly assigned into two groups, intervention group (MET in cervical muscles + infrared (IR) radiation) and control group (IR). Both groups received these interventions for 6 sessions, 3 times a week for two weeks. Outcome measures included headache index, upper cervical rotation range of motion (ROM), and deep upper cervical muscles thickness.

Results: In the intragroup analysis, the headache index and upper cervical rotation ROM were significantly different in the two groups (P < 0.05), but in the intergroup analysis, only left upper cervical rotation ROM was significantly different (P < 0.05). Additionally, all muscles thickness had no significant difference in intragroup and intergroup analyses (P > 0.05). The effect size was large in the MET group than that in the control group for ROM and headache index (d > 0.7), but this was less than medium for muscle thickness in the two groups (d < 0.5).

Conclusions: MET + IR is a suitable and durable approach for CGH treatment and increase of upper cervical rotation ROM rather than IR alone, but this approach cannot change the muscles thickness significantly in 2 weeks.

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References

  1. Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. doi: 10.1177/0333102413485658. [PubMed: 23771276].
  2. Nilsson N. The prevalence of cervicogenic headache in a random population sample of 20-59 year olds. Spine (Phila Pa 1976). 1995;20(17):1884-8. doi: 10.1097/00007632-199509000-00008. [PubMed: 8560336].
  3. Pfaffenrath V, Kaube H. Diagnostics of cervicogenic headache. Funct Neurol. 1990;5(2):159-64.
  4. Jull G, Amiri M, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches. Cephalalgia. 2007;27(7):793-802. doi: 10.1111/j.1468-2982.2007.01345.x. [PubMed: 17598761].
  5. Zito G, Jull G, Story I. Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache. Man Ther. 2006;11(2):118-29. doi: 10.1016/j.math.2005.04.007. [PubMed: 16027027].
  6. Amiri M, Jull G, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 2: subjects with concurrent headache types. Cephalalgia. 2007;27(8):891-8. doi: 10.1111/j.1468-2982.2007.01346.x. [PubMed: 17608813].
  7. Hall TM, Briffa K, Hopper D, Robinson KW. The relationship between cervicogenic headache and impairment determined by the flexion-rotation test. J Manipulative Physiol Ther. 2010;33(9):666-71. doi: 10.1016/j.jmpt.2010.09.002. [PubMed: 21109057].
  8. Ogince M, Hall T, Robinson K, Blackmore AM. The diagnostic validity of the cervical flexion-rotation test in C1/2-related cervicogenic headache. Man Ther. 2007;12(3):256-62. doi: 10.1016/j.math.2006.06.016. [PubMed: 17112768].
  9. Schenk R, Adelman K, Rousselle J. The effects of muscle energy technique on cervical range of motion. J Manual Manipulative Ther. 2013;2(4):149-55. doi: 10.1179/jmt.1994.2.4.149.
  10. Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine (Phila Pa 1976). 2002;27(17):1835-43. discussion 1843. doi: 10.1097/00007632-200209010-00004. [PubMed: 12221344].
  11. Chaibi A, Russell MB. Manual therapies for cervicogenic headache: A systematic review. J Headache Pain. 2012;13(5):351-9. doi: 10.1007/s10194-012-0436-7. [PubMed: 22460941]. [PubMed Central: PMC3381059].
  12. Di Fabio RP. Manipulation of the cervical spine: Risks and benefits. Phys Ther. 1999;79(1):50-65. [PubMed: 9920191].
  13. Chaitow L. Muscle energy techniques. 3rd ed. London: Churchill Living stone; 2006.
  14. Greenman PE. Principles of manual medicine. Lippincott Williams & Wilkins; 2003.
  15. Roberts BL. Soft tissue manipulation: Neuromuscular and muscle energy techniques. J Neurosci Nurs. 1997;29(2):123-7. doi: 10.1097/01376517-199704000-00006. [PubMed: 9140847].
  16. Greenman PE. Manual and manipulative therapy in whiplash injuries7. 1993.
  17. Jalal Y, Ahmad A, Rahman AU, Daud M; Irfanullah; Aneela. Effectiveness of muscle energy technique on cervical range of motion and pain. J Pak Med Assoc. 2018;68(5):811-3. [PubMed: 29885191].
  18. Nambi G, Sharma R, Inbasekaran D, Vaghesiya A, Bhatt U. Difference in effect between ischemic compression and muscle energy technique on upper trepezius myofascial trigger points: Comparative study. Int J Health Allied Sci. 2013;2(1):17. doi: 10.4103/2278-344x.110570.
  19. Hamilton L, Boswell C, Fryer G. The effects of high-velocity, low-amplitude manipulation and muscle energy technique on suboccipital tenderness. Int J Osteopathic Med. 2007;10(2-3):42-9. doi: 10.1016/j.ijosm.2007.08.002.
  20. Lenssinck ML, Damen L, Verhagen AP, Berger 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. doi: 10.1016/j.pain.2004.09.026. [PubMed: 15561394].
  21. Franke H, Fryer G, Ostelo RW, Kamper SJ. Muscle energy technique for non-specific low-back pain. Cochrane Database Syst Rev. 2015;(2). CD009852. doi: 10.1002/14651858.CD009852.pub2. [PubMed: 25723574].
  22. Selkow NM, Grindstaff TL, Cross KM, Pugh K, Hertel J, Saliba S. Short-term effect of muscle energy technique on pain in individuals with non-specific lumbopelvic pain: A pilot study. J Man Manip Ther. 2009;17(1):E14-8. doi: 10.1179/jmt.2009.17.1.14E. [PubMed: 20046557]. [PubMed Central: PMC2704351].
  23. Youssef EF, Shanb AS. Mobilization versus massage therapy in the treatment of cervicogenic headache: A clinical study. J Back Musculoskelet Rehabil. 2013;26(1):17-24. doi: 10.3233/BMR-2012-0344. [PubMed: 23411644].
  24. Uthaikhup S, Assapun J, Kothan S, Watcharasaksilp K, Elliott JM. Structural changes of the cervical muscles in elder women with cervicogenic headache. Musculoskelet Sci Pract. 2017;29:1-6. doi: 10.1016/j.msksp.2017.02.002. [PubMed: 28259769].
  25. Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: diagnostic criteria. The Cervicogenic Headache International Study Group. Headache. 1998;38(6):442-5. doi: 10.1046/j.1526-4610.1998.3806442.x. [PubMed: 9664748].
  26. Schulz KF, Grimes DA. Generation of allocation sequences in randomised trials: Chance, not choice. Lancet. 2002;359(9305):515-9. doi: 10.1016/S0140-6736(02)07683-3. [PubMed: 11853818].
  27. Rezasoltani A, Ali-Reza A, Khosro KK, Abbass R. Preliminary study of neck muscle size and strength measurements in females with chronic non-specific neck pain and healthy control subjects. Man Ther. 2010;15(4):400-3. doi: 10.1016/j.math.2010.02.010. [PubMed: 20430684].
  28. Niere K, Robinson P. Determination of manipulative physiotherapy treatment outcome in headache patients. Man Ther. 1997;2(4):199-205. doi: 10.1054/math.1997.0300. [PubMed: 11440533].
  29. Norkin CC, White DJ. Measurement of joint motion: A guide to goniometry. FA Davis; 2016.
  30. Hall TM, Briffa K, Hopper D, Robinson K. Comparative analysis and diagnostic accuracy of the cervical flexion-rotation test. J Headache Pain. 2010;11(5):391-7. doi: 10.1007/s10194-010-0222-3. [PubMed: 20508964]. [PubMed Central: PMC3452271].
  31. Rezasoltani A, Kallinen M, Malkia E, Vihko V. Neck semispinalis capitis muscle size in sitting and prone positions measured by real-time ultrasonography. Clin Rehabil. 1998;12(1):36-44. doi: 10.1191/026921598673972662. [PubMed: 9549024].
  32. Abaspour O, Javanshir K, Amiri M, Karimlou M. Relationship between cross sectional area of Longus Colli muscle and pain laterality in patients with cervicogenic headache. J Back Musculoskelet Rehabil. 2015;28(2):393-9. doi: 10.3233/BMR-140532. [PubMed: 25271200].
  33. Tsai SR, Hamblin MR. Biological effects and medical applications of infrared radiation. J Photochem Photobiol B. 2017;170:197-207. doi: 10.1016/j.jphotobiol.2017.04.014. [PubMed: 28441605]. [PubMed Central: PMC5505738].
  34. Robertson V, Ward A, Low J, Reed A, MCSP D. Electrotherapy explained: Principles and practice. Elsevier Health Sciences; 2006.
  35. Gale GD, Rothbart PJ, Li Y. Infrared therapy for chronic low back pain: A randomized, controlled trial. Pain Res Manag. 2006;11(3):193-6. doi: 10.1155/2006/876920. [PubMed: 16960636]. [PubMed Central: PMC2539004].
  36. Fryer G, Ruszkowski W. The influence of contraction duration in muscle energy technique applied to the atlanto-axial joint. J Osteopathic Med. 2004;7(2):79-84. doi: 10.1016/s1443-8461(04)80016-9.
  37. Kawaldeep K, Sonia S. Efficacy of muscle energy technique with deep heating (mwd) in non-specific neck pain. J Med Med Res. 2015;3:12-7.
  38. Mahajan R, Kataria C, Bansal K. Comparative effectiveness of muscle energy technique and static stretching for treatment of subacute mechanical neck pain. Int J Health Rehab Sci. 2012;1(1):16. doi: 10.5455/ijhrs.00000004.
  39. Burns DK, Wells MR. Gross range of motion in the cervical spine: The effects of osteopathic muscle energy technique in asymptomatic subjects. J Am Osteopath Assoc. 2006;106(3):137-42. [PubMed: 16585381].
  40. Kashyap R, Iqbal A, Alghadir AH. Controlled intervention to compare the efficacies of manual pressure release and the muscle energy technique for treating mechanical neck pain due to upper trapezius trigger points. J Pain Res. 2018;11:3151-60. doi: 10.2147/JPR.S172711. [PubMed: 30588067]. [PubMed Central: PMC6296190].
  41. Cassidy JD, Lopes AA, Yong-Hing K. The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: A randomized controlled trial. J Manipulative Physiol Ther. 1992;15(9):570-5. [PubMed: 1469341].
  42. Nagrale AV, Glynn P, Joshi A, Ramteke G. The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: A randomized controlled trial. J Man Manip Ther. 2010;18(1):37-43. doi: 10.1179/106698110X12595770849605. [PubMed: 21655422]. [PubMed Central: PMC3103119].
  43. Quinn C, Chandler C, Moraska A. Massage therapy and frequency of chronic tension headaches. Am J Public Health. 2002;92(10):1657-61. doi: 10.2105/ajph.92.10.1657. [PubMed: 12356617]. [PubMed Central: PMC1447303].
  44. Toro-Velasco C, Arroyo-Morales M, Fernandez-de-Las-Penas C, Cleland JA, Barrero-Hernandez FJ. Short-term effects of manual therapy on heart rate variability, mood state, and pressure pain sensitivity in patients with chronic tension-type headache: A pilot study. J Manipulative Physiol Ther. 2009;32(7):527-35. doi: 10.1016/j.jmpt.2009.08.011. [PubMed: 19748404].
  45. Sadria G, Hosseini M, Rezasoltani A, Akbarzadeh Bagheban A, Davari A, Seifolahi A. A comparison of the effect of the active release and muscle energy techniques on the latent trigger points of the upper trapezius. J Bodyw Mov Ther. 2017;21(4):920-5. doi: 10.1016/j.jbmt.2016.10.005. [PubMed: 29037649].
  46. Uhlig Y, Weber BR, Grob D, Muntener M. Fiber composition and fiber transformations in neck muscles of patients with dysfunction of the cervical spine. J Orthop Res. 1995;13(2):240-9. doi: 10.1002/jor.1100130212. [PubMed: 7722761].
  47. Parmar S, Shyam A, Sabnis S, Sancheti P. The effect of isolytic contraction and passive manual stretching on pain and knee range of motion after hip surgery: A prospective, double-blinded, randomized study. Hong Kong Physiother J. 2011;29(1):25-30. doi: 10.1016/j.hkpj.2011.02.004.