Musculoskeletal Diseases Orthopaedics
Conditions
Interventions
conventional treatment
Sponsors
Nada Gamal Saad
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Their age ranged from 30 to 40 years, 2) BMI ranged from 18 to 25 kg /m2. 3) TTH criteria according to Headache Classification Committee of the International Headache Society (HIS 2013) has at least two of the following characteristics: a) Bilateral location. b) Pressing/tightening quality (non-pulsating). c) Mild or moderate intensity. d) Not aggravated by routine physical activity such as walking or climbing stairs. 4) Patients have Trigger points in suboccepital muscle and and trigger points 1, 2 in trapezius muscle The presence of MTrPs will determined using the diagnostic criteria described by Simons 1990, in which five major criteria and at least one of three minor criteria are needed for a clinical diagnosis of MPS, The major criteria were: 1) Regional neck pain. 2) Pain or altered sensation in the expected distribution of referred pain from a myofascial trigger point. 3) Taut band palpable in an accessible muscle. 4) Exquisite spot tenderness at one point along the length of the taut band. 5) Some degree of restricted range of motion (ROM) of cervical when measurable. The minor criteria were: 1) Reproduction of clinical pain or altered sensation by pressure on the tender spot. 2) Elicitation of a local twitch response by transverse snapping palpation at the tender spot or needle insertion into the tender spot of the taut band. 3) Pain alleviated by elongating (stretching) the muscle or by injecting the tender spot (trigger point).
Exclusion criteria
Exclusion criteria: 1) Patients with a history of malignancy 2) Patients who had a history of cervical and cranial Surgery 3) Patients with major psychiatric disorders (major Depression) 4) Patients with uncontrolled hypertension 5) Patient with other causes of headache. 6) Dysfunctions in the temporomandibular joint 7) Headaches associated with high fever, stiff neck, or rash, problems with vision or profound dizziness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| frequency of headache;headache intensirty;Pain Pressure Threshold by pressure algometer | — |
Secondary
| Measure | Time frame |
|---|---|
| function by neck disability index | — |
Countries
Egypt
Contacts
Public ContactNada Saad
practitioner physical therapy
Outcome results
None listed