Trigger points in the suboccipital muscles and forward head posture in tension-type headache

Headache
César Fernández-de-las-PeñasJuan A Pareja

Abstract

To assess the presence of trigger points (TrPs) in the suboccipital muscles and forward head posture (FHP) in subjects with chronic tension-type headache (CTTH) and in healthy subjects, and to evaluate the relationship of TrPs and FHP with headache intensity, duration, and frequency. Tension-type headache (TTH) is a prototypical headache in which myofascial TrPs in the cervical and pericranial musculature can play an important role. A blinded, controlled pilot study. Twenty CTTH subjects and 20 matched controls without headache participated. TrPs were identified by eliciting referred pain with palpation, and increased referred pain with muscle contraction. Side-view pictures of each subject were taken in sitting and standing positions, in order to assess FHP by measuring the craniovertebral angle. Both measures were taken by a blinded assessor. A headache diary was kept for 4 weeks in order to assess headache intensity, frequency, and duration. Sixty-five percent (13/20) CTTH subjects showed active TrPs and 35% (7/20) had latent TrPs in the suboccipital muscles. Six (30%) controls also had latent TrPs. Differences in the presence of suboccipital muscle TrPs between both the groups were significant for active TrPs (P < .001) but...Continue Reading

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Citations

Sep 27, 2007·Current Pain and Headache Reports·César Fernández-de-Las-PeñasJuan Pareja
Sep 4, 2008·Current Pain and Headache Reports·Karen R Lucas
Sep 30, 2010·Current Pain and Headache Reports·Andrew BlumenfeldJessica Brower
Jul 8, 2011·Current Pain and Headache Reports·Lars Bendtsen, César Fernández-de-la-Peñas
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Aug 22, 2006·Cephalalgia : an International Journal of Headache·C Fernández-de-Las-PeñasJ A Pareja
Mar 23, 2007·Cephalalgia : an International Journal of Headache·C Fernández-de-Las-PeñasJ A Pareja
Mar 16, 2007·Cephalalgia : an International Journal of Headache·C Fernández-de-las-PeñasJ A Pareja
Mar 23, 2007·Cephalalgia : an International Journal of Headache·J K RothD G Simons
May 8, 2008·Cephalalgia : an International Journal of Headache·C Fernández-de-las-PeñasD Farina
Jun 14, 2008·Cephalalgia : an International Journal of Headache·C Fernández-de-Las-Peñas
Dec 11, 2008·The Journal of Manual & Manipulative Therapy·Kristín BriemMaria Thorsteinsdottir
Jan 3, 2009·The Journal of Manual & Manipulative Therapy·Albert Moraska, Clint Chandler
Nov 22, 2013·The Journal of Orthopaedic and Sports Physical Therapy·René CastienJoost Dekker
Mar 21, 2007·The Journal of Orthopaedic and Sports Physical Therapy·César Fernandez-de-las-PeñasJuan Carlos Miangolarra-Page
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Sep 21, 2010·Journal of Bodywork and Movement Therapies·César Fernández-de-Las-PeñasLars Arendt-Nielsen
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Dec 21, 2007·Lancet Neurology·Arnaud Fumal, Jean Schoenen
Aug 22, 2006·European Journal of Pain : EJP·César Fernández-de-Las-PeñasJuan A Pareja
May 16, 2007·Headache·César Fernández-de-Las-PeñasJuan A Pareja
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Dec 7, 2013·Cranio : the Journal of Craniomandibular Practice·Alberto Marcos Heredia-RizoAntonio Luque-Carrasco

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