PMID- 33517104 OWN - NLM STAT- MEDLINE DCOM- 20210504 LR - 20210504 IS - 1873-6947 (Electronic) IS - 1744-3881 (Linking) VI - 43 DP - 2021 May TI - The comparative effects of spinal manipulation, myofascial release and exercise in tension-type headache patients with neck pain: A randomized controlled trial. PG - 101319 LID - S1744-3881(21)00018-9 [pii] LID - 10.1016/j.ctcp.2021.101319 [doi] AB - OBJECTIVES: To evaluate the effects of two manual treatment methods on pain, disability, and pressure pain threshold (PPT) in tension-type headache (TTH) patients with and neck pain. METHODS: Forty-five patients with TTH were randomly assigned to one of three groups and received eight sessions treatment: manipulation plus exercise (manipulation), suboccipital inhibition plus exercise (myofascial release), and exercise only (control). Headache frequency, pain severity (VAS-headache, VAS-neck pain) and headache and neck disability (HIT-6 and NDI, respectively) were measured at baseline, posttreatment, and at the third month follow-up. PPT was also evaluated on the temporalis muscle. RESULTS: Manipulation group was statistically better than myofascial release group in terms of headache frequency, headache severity, and PPT scores. Also, manipulation group showed statistically significant improvements in all outcome criteria when compared control group. CONCLUSIONS: Manipulation and exercise, in addition to pharmacologic treatment in TTH patients with cervical dysfunction appear to be a promising approach. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Corum, Mustafa AU - Corum M AD - Department of Physical Medicine and Rehabilitation, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey. Electronic address: mustafacorum@gmail.com. FAU - Aydin, Tugba AU - Aydin T AD - Department of Physical Medicine and Rehabilitation, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey. Electronic address: drtugbaaydin@gmail.com. FAU - Medin Ceylan, Cansin AU - Medin Ceylan C AD - Department of Physical Medicine and Rehabilitation, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey. Electronic address: cansinmedin@hotmail.com. FAU - Kesiktas, Fatma Nur AU - Kesiktas FN AD - Department of Physical Medicine and Rehabilitation, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey. Electronic address: nur.kesiktas@gmail.com. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20210124 PL - England TA - Complement Ther Clin Pract JT - Complementary therapies in clinical practice JID - 101225531 MH - Humans MH - *Manipulation, Osteopathic MH - *Manipulation, Spinal MH - Massage MH - Neck Pain/therapy MH - *Tension-Type Headache/therapy OTO - NOTNLM OT - Exercise therapy OT - Headache OT - Manipulation OT - Pain threshold EDAT- 2021/02/01 06:00 MHDA- 2021/05/05 06:00 CRDT- 2021/01/31 20:31 PHST- 2020/09/14 00:00 [received] PHST- 2020/11/19 00:00 [revised] PHST- 2021/01/21 00:00 [accepted] PHST- 2021/02/01 06:00 [pubmed] PHST- 2021/05/05 06:00 [medline] PHST- 2021/01/31 20:31 [entrez] AID - S1744-3881(21)00018-9 [pii] AID - 10.1016/j.ctcp.2021.101319 [doi] PST - ppublish SO - Complement Ther Clin Pract. 2021 May;43:101319. doi: 10.1016/j.ctcp.2021.101319. Epub 2021 Jan 24.