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Effectiveness of suboccipital muscle inhibition combined with interferential current in patients with chronic tension-type headache: a randomised controlled clinical trial.
Pérez-Llanes, R; Ruiz-Cárdenas, J D; Meroño-Gallut, A J; Fernández-Calero, M I; Ríos-Díaz, J.
Afiliación
  • Pérez-Llanes R; Physical Therapy Department, Faculty of Health Sciences, Catholic University of Murcia, Murcia, Spain.
  • Ruiz-Cárdenas JD; ECOFISTEM Research Group Physical Therapy Department, Faculty of Health Sciences, Catholic University of Murcia, Murcia, Spain. Electronic address: jdruiz@ucam.edu.
  • Meroño-Gallut AJ; CEO Health Center Tú, Bienestar 360°, San Javier, Murcia, Spain.
  • Fernández-Calero MI; INGRIS Research Group, Physical Therapy Department, Faculty of Health Sciences, Catholic University of Murcia, Murcia, Spain.
  • Ríos-Díaz J; Physical Therapy Research Group (INFIS), Fundación San Juan de Dios, Centro de Ciencias de la Salud San Rafael, Universidad Antonio de Nebrija, Madrid, Spain.
Neurologia (Engl Ed) ; 37(9): 717-725, 2022.
Article en En | MEDLINE | ID: mdl-34583886
INTRODUCTION: Manual therapy has been shown to reduce self-reported symptoms in patients with chronic tension-type headache (CTTH). However, simultaneous application of suboccipital muscle inhibition and interferential current has not previously been investigated. This study evaluates the effectiveness of combined treatment with suboccipital muscle inhibition and interferential current compared to standard treatment for pain, disability, and headache impact in patients with CTTH. METHODS: Patients were randomly allocated to receive either standard treatment (n = 13) or the experimental treatment (n = 12), consisting of 20 minutes of suboccipital muscle inhibition plus interferential current twice weekly for 4 weeks. The primary outcome was improvement in pain, and secondary outcomes included improvement in headache-related disability and reduction in headache impact, which were assessed at baseline and at 4 weeks by a blinded rater. RESULTS: Statistical analysis showed improvements in the experimental treatment group at 4 weeks for headache-related disability (Neck Disability Index: Hedges' g = 1.01, P = .001; and Headache Disability Inventory: Hedges' g = 0.48, P = .022) and headache impact (6-item Headache Impact Test: Hedges' g = 0.15, P = .037) but not for self-reported pain (numerical rating scale: Hedges' g = 1.13, P = .18). CONCLUSIONS: Combined treatment with suboccipital muscle inhibition and interferential current in patients with CTTH did not significantly improve self-reported pain but did reduce disability and the impact of headache on daily life at 4 weeks. These improvements exceed the minimum clinically important difference, demonstrating the clinical relevance of our findings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cefalea de Tipo Tensional / Manipulaciones Musculoesqueléticas Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline Límite: Humans Idioma: En Revista: Neurologia (Engl Ed) Año: 2022 Tipo del documento: Article País de afiliación: España Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cefalea de Tipo Tensional / Manipulaciones Musculoesqueléticas Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline Límite: Humans Idioma: En Revista: Neurologia (Engl Ed) Año: 2022 Tipo del documento: Article País de afiliación: España Pais de publicación: España