Effect of Sub Occipital Release, Myofascial Release with Iastm Tool on Cervicogenic Headache

Venkatasan Naveen Kumar, S. Saini, T. Palekar, Nidhi Chandra
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Abstract

Background: Headache referred to upper cervical vertebra i.e. (c2, c3) along with soft tissues termed ascervicogenic headache. Difficult to diagnose and treat as the cause is not clear. It is accompanied by neckpain and stiffness.Objective: This study is to evaluate the effect of sub occipital release and myofascial release with IASTMtool on cervicogenic headache.Methodology: In this randomised controlled study (RCT) 153 subjects were approached individuals whofulfilled inclusion criteria n =34 subjects were taken for the study. The demographic data of subjects alongwith the pain (Visual analogue scale (VAS)), headache intensity (Headache disability index), cervical flexionrotation test (CFRT) and cervical range of motion was evaluated. The subjects were assigned randomly bychit method in experimental group (N=17) and conventional group (N=17). In the experimental group: suboccipital release, MFR with IASTM and exercises and in conventional group: sub occipital release, MFRmanually and exercises were given for twelve sessions i.e. three sessions in a week to each group.Results: In the present study experimental and conventional group showed significant changes in postintervention (p<0.05).when compared between the groups none of the outcome measures was significantstatistically but showed clinical significance in both the groups in pain, range of motion headache intensityand CFRTConclusion: This study showed that sub occipital release and myo fascial release with IASTM tool waseffective on cervicogenic headache.
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枕下松解、肌筋膜松解配合Iastm工具治疗颈源性头痛的效果
背景:头痛指的是上颈椎,即(c2, c3)以及被称为子宫颈源性头痛的软组织。由于病因不明,难以诊断和治疗。伴有颈部疼痛和僵硬。目的:评价IASTMtool枕下释放和肌筋膜释放治疗颈源性头痛的效果。方法:在这项随机对照研究(RCT)中,153名符合纳入标准的受试者被纳入研究。评估受试者的人口学数据,包括疼痛(视觉模拟量表(VAS))、头痛强度(头痛残疾指数)、颈椎屈曲旋转试验(CFRT)和颈椎活动度。按分组法随机分为实验组(N=17)和常规组(N=17)。实验组:枕下松解、MFR + IASTM +运动;常规组:枕下松解、MFR +运动,共12次,即每组每周3次。结果:实验组与常规组干预后差异有统计学意义(p<0.05)。两组间比较结果均无统计学意义,但两组在疼痛、运动范围头痛强度和cfrt上均有临床意义。结论:本研究显示IASTM工具下枕下松解和肌筋膜松解对颈源性头痛有效。
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