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KMID : 1035420210090040271
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Journal of The Korean Society of Integrative Medicine
2021 Volume.9 No. 4 p.271 ~ p.281
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The Effect of Combined Suboccipitalis Release Exercise and Therapeutic Ultrasound on Mechanical Properties of Cervical Muscles and Neck Disability Index in Tension-Type Headache Patients
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Park Seung-Kyu
Park Sam-Heon
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Abstract
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PURPOSE : The purpose of this study was applying muscle relaxation exercise and ultrasound therapy, we intend to present an effective treatment method for tension headache patients by comparatively analyzing the muscle mechanical properties, the headache effect index, and the neck disorder index.
METHOD : The subjects were divided into the following three groups according to the intervention received: therapeutic ultrasound (n=15, group 1), placebo therapeutic ultrasound combined with suboccipital release (n=15, group 2), and therapeutic ultrasound combined with suboccipital release (n=15, group 3). The intragroup and intergroup differences in muscle mechanical properties and neck disability index and headache impact test were compared and analyzed.
RESULT : The comparison and analysis of the changes in muscle tone and post hoc analysis revealed statistically significant intragroup decreases in the suboccipitalis and upper trapezius in groups Ⅰ and Ⅲ, and statistically significant intergroup differences in the upper trapezius, with greater changes in group Ⅲ than in group Ⅱ, and in the suboccipitalis, with greater changes in groupⅢ than in groups Ⅰand Ⅱ. The comparison and analysis of the change in muscle stiffness and post hoc analysis revealed a statistically significant intra group decrease in the upper trapezius in group Ⅰand suboccipitalis in group Ⅲ, and a statistically significant intergroup difference in both muscles, with greater change in group Ⅲ than in group Ⅱ. The comparison and analysis of change in neck disability index and post hoc analysis revealed a statistically significant intragroup decrease in all the three groups and a statistically significant intergroup difference, with greater change in group Ⅲ than in groups Ⅰ and Ⅱ. The comparison and analysis of change in headache impact test and post hoc analysis revealed a statistically significant intragroup decrease in all the three groups and a statistically significant intergroup difference, with greater change in group Ⅲ than in groups Ⅰ and Ⅱ.
CONCLUSION : The therapeutic ultrasound and suboccipital muscle release exercise effectively increased the flexibility of the muscles around the cervical vertebrae and reduced muscle tension and stiffness in tension type headache patients.
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KEYWORD
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neck disability index, suboccipital release tension type headache, therapeutic ultrasound
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