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Effect of temporomandibular release and myofascial release techniques on quality of life, depression, and headache in ındividuals with tension-type headache

Year 2024, Volume: 11 Issue: 2, 90 - 102, 09.08.2024
https://doi.org/10.15437/jetr.1198531

Abstract

Purpose: Tension-type headache (TTH) is commonly observed in the community. The aim of our study is to investigate the effectiveness of Temporomandibular Joint Soft Tissue Techniques (TMD-STT) and Myofascial Release (MFR) techniques in individuals with TTH.
Methods: Seventy-three voluntary individuals between the ages of 18-65 diagnosed with TTH according to the International Classification of Headache Disorders (ICHD-3) were included. Participants were divided into three groups based on randomization: Group 1; TMD-STT, Group 2; MFR Group, and Group 3; Control Group. Headache was assessed using the Headache Impact Test-6 (HIT-6); TMJ with the Fonseca Scale; Temporomandibular Range of Motion with a goniometer; quality of life with the SF-36 Quality of Life Scale; depression with the Beck Depression Scale (BDS); and anxiety with the Beck Anxiety Scale (BAS). Evaluations were conducted before treatment and at the end of 4 weeks. Group 1 received TMD-STT (soft tissue mobilization to anterior caudal glide, masseter, and medial pterygoid muscles) and Myofascial Release technique to temporal and suboccipital muscles. In addition to the applications in Group 1, Group 2 received deep posterior cervical fascia relaxation techniques for Trapezius, Rhomboid, Levator Scapula, and Sternocleidomastoid muscles.
Results: Significant improvement in FONSECA and HIT-6 total scores was observed in both TMD-STT and MFR groups compared to the control group (p<0.05).
Conclusion: TMD soft tissue techniques were found to be as effective as myofascial techniques in the treatment of TTH.

Supporting Institution

YOKTUR

Project Number

YOKTUR

Thanks

Dear Managing Editor, Please find enclosed my manuscript (16 pages) with the title “ The Effect Of Temporomandibular Relaxation And Myofascial Relaxation Techniques On Quality Of Life, Depression And Headache In Individuals With Tension Type Headaches ” to be published in Journal of Critical Care.The manuscript has been carefully constructed according to the guidelines of the journal. The manuscript contains valuable information about to examine and compare to effectiveness of Craniosacral Treatment (CST), Myofascial Relaxation Techniques (MFT) and Medication Therapy (MT) on chronic migraineurs using by VAS for pain intensity level, FONSECA for TMD severity, 24 hrqolq for Quality of life, MIDAS for Migraine related disability and Cervikal ROM measurement for mobility of head. The main aim and hypothesis of our study is to examine the effects of TMJ release and myofascial release techniques on quality of life, depression and headache in individuals with tension-type headache. Our secondary purpose is to compare the effectiveness of the TMJ release Technique+Myofascial Release Technique and the TMJ Release Technique alone in individuals with TTH. Study suggested that both TMJ and MRT applications are effective in the treatment of TTH while MFG techniques and TMJ techniques in combined with appropriate exercise regimens could be performed for individuals with TTH who are under the conventional pain treatment. To sum up, we think that our findings could be a reference and they are likely to be of great interest to the scientists and researchers who read your journal. This manuscript describes original work and is not under consideration by any other journal. All authors approved the manuscript and this submission. Thank you for receiving our manuscript and considering it for review. We appreciate your time and look forward to your response. Sincerely Yours, Dr. Ayça ARACI

References

  • Hosseinifar M, Bazghandi R, Azimi Z, Khodadadi Bohlouli B. Effectiveness of Neck Myofascial Release Techniques and Exercise Therapy on Pain Intensity and Disability in Patients with Chronic Tension-Type Headache. Glob J Health Sci. 2016;9:47.
  • Crystal SC, Robbins MS. Epidemiology of tension-type headache. Current Pain and Headache Reports. 2010;14:.449-454.
  • Kamonseki DH, Lopes EP, van der Meer HA, Calixtre LB. Effectiveness of manual therapy in patients with tension-type headache. A systematic review and meta-analysis. Disabil Rehabil. 2022;44:1780-1789.
  • Otman S., Demirel H. SA. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Hacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu Yayınları. 1995
  • Özdinç S, Ata H, Selçuk H, Can HB, Sermenli N, Turan FN. Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Cranio - Journal of Craniomandibular and Sleep Practice. 2020;38:327-332.
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression The difficulties inherent in obtaining.
  • Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri İçin Geçerliği, Güvenirliği. Psikoloji Dergisi.1989:7;3-13
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Archives of general psychiatry.1961:4;561-571.
  • Herranz-Gómez A, García-Pascual I, Montero-Iniesta P, La Touche R, Paris-Alemany A. Effectiveness of exercise and manual therapy as treatment for patients with migraine, tension-type headache or cervicogenic headache: An umbrella and mapping review with meta-meta-analysis. Applied Sciences. 2021;11:6856.
  • Jiang W, Li Z, Wei N, Chang W, Chen W, Sui HJ. Effectiveness of physical therapy on the suboccipital area of patients with tension-type headache: A meta-analysis of randomized controlled trials. Medicine (United States). 2019;98:e15487.
  • Deodato M, Guolo F, Monticco A, Fornari M, Manganotti P, Granato A. Osteopathic manipulative therapy in patients with chronic tension-type headache: A pilot study. Journal of the American Osteopathic Association. 2019:119;682-687.
  • Carrasco-Uribarren A, Mamud-Meroni L, Tarcaya GE, Jiménez-Del-Barrio S, Cabanillas-Barea S, Ceballos-Laita L. Clinical Effectiveness of Craniosacral Therapy in Patients with Headache Disorders: A Systematic Review and Meta-analysis. Pain Management Nursing 2023:7-14.
  • Muñoz-Gómez E, Inglés M, Aguilar-Rodríguez M, Mollà-Casanova S, Sempere-Rubio N, Serra-Añó P, et al. Effect of a Craniosacral Therapy Protocol in People with Migraine: A Randomized Controlled Trial. J Clin Med. 2022;11:759.
  • Olesen J. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders Cephalalgia. 2018:38;1-211.
  • Fernandes G, Franco AL, Gonçalves DA, Speciali JG, Bigal ME, Camparis CM. Temporomandibular disorders, sleep bruxism, and primary headaches are mutually associated. J Orofac Pain. 2013:27;14-20.
  • A.M. B, M. FFR, S. KK, W. F, J. DDDDA, O. M del del M, et al. Comments. Journal of Manual and Manipulative Therapy. 2015;18.
  • Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory psychometricproperties. Journal of Cognitive Psychotherapy.1998:12.2:163
  • Choi W, Woo J, Lee S, Lee S. Effects of treatment of temporomandibular disorders on headache, quality of life, and neck function in patients with tension-type headaches: a randomized controlled study. Physical Therapy Rehabilitation Science. 2020;9;215-221.
  • AGGARWAL AGJKPradnya. Role of myofascial release technique on mobility and function in temporomandibular joint disorder patients with neck pain. Journal of Dental Research & Review,. 2020:7;84-87.
  • Yang M, Rendas-Baum R, Varon SF, Kosinski M. Validation of the Headache Impact Test (HIT-6TM) across episodic and chronic migraine. Cephalalgia. 2011;31;357-361.
  • Yalinay Dikmen P, Bozdağ M, Güneş M, Koşak S, Taşdelen B, Uluduz D, et al. Reliability and validity of turkish version of headache impact test (Hit-6) in patients with migraine. Noropsikiyatri Arsivi. 2021;58;300.
  • Caspersen N, Hirsvang JR, Kroell L, Jadidi F, Baad-Hansen L, Svensson P, et al. Is there a relation between tension-type headache, temporomandibular disorders and sleep? Pain Res Treat. 2013:2013;845684.
  • Viegas RG de S, Bussadori SK, Vicente IVR dos S, Teixeira VP, Bozzella MA, Gonçalves MLL, et al. Evaluation of primary headache associated with temporomandibular dysfunction in adolescents from Santos, SP, Brazil: an observational study. J Phys Ther Sci. 2018:30;1372-1376.
  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (Sf-36): I. conceptual framework and item selection. Med Care. 1992;30;473-483.
  • De Sousa RC, De Matos LKBL. The myofascial release and the treatment of tension headache induced by trigger points. Manual Therapy, Posturology Rehabilitation Journal. 2014:12;73-77.
  • Espí-López GV, López-Bueno L, Vicente-Herrero MT, Martinez-Arnau FM, Monzani L. Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial. International Journal of Osteopathic Medicine. 2016;22;11-20.
  • Espí-López G V., Gómez-Conesa A, Gómez AA, Martínez JB, Pascual-Vaca ÁO, Blanco CR. Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial. J Bodyw Mov Ther. 2014:18;576-585.
  • Memmedova F, Emre U, Yalın OÖ, Doğan OC. Evaluation of temporomandibular joint disorder in headache patients. Neurological Sciences. 2021:42;1-7.
  • Raju PS, Reddy S V, Venkat R, Sachin G, Seela BS. A Study to Evaluate the Effectiveness of Continuous Ultrasound Therapy in Healing of Pressure Sores-A Prospective Randomized Clinical Trial. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal. 2017;11:136.
  • Ghodrati M, Mosallanezhad Z, Shati M, Noroozi M, Moghadam AN, Rostami M, et al. Adding Temporomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: A randomized clinical study. J Bodyw Mov Ther. 2020:24;202-212.
  • Carrasco-Uribarren A, Mamud-Meroni L, Tarcaya GE, Jiménez-Del-Barrio S, Cabanillas-Barea S, Ceballos-Laita L. Clinical Effectiveness of Craniosacral Therapy in Patients with Headache Disorders: A Systematic Review and Meta-analysis. Pain Management Nursing. 2024:25;21-28.
  • Kwon SH, Chung EJ, Lee J, Kim SW, Lee BH. The effect of hamstring relaxation program on headache, pressure pain threshold, and range of motion in patients with tension headache: A randomized controlled trial. Int J Environ Res Public Health. 2021:18;10137.
  • Muñoz-Gómez E, Inglés M, Aguilar-Rodríguez M, Mollà-Casanova S, Sempere-Rubio N, Serra-Añó P, et al. Effect of a Craniosacral Therapy Protocol in People with Migraine: A Randomized Controlled Trial. J Clin Med. 2022:11;759.
  • Wagner B de A, Moreira Filho PF, Bernardo VG. Association of bruxism and anxiety symptoms among military firefighters with frequent episodic tension type headache and temporomandibular disorders. Arq Neuropsiquiatr. 2019:77;478-484.

Gerilim Tipi Baş Ağrısı Olan Bireylerde Temporomandibular Gevşetme Ve Miyofasial Gevşetme Tekniklerinin Yaşam Kalitesi, Depresyon Ve Baş Ağrısı Üzerine Etkisi

Year 2024, Volume: 11 Issue: 2, 90 - 102, 09.08.2024
https://doi.org/10.15437/jetr.1198531

Abstract

Amaç: Gerilim tipi baş ağrısı (GTBA) toplumda sıklıkla görülmektedir. Çalışmamızın amacı GTBA olan bireylerde temporomandibular eklem (TME) Yumuşak Doku Teknikleri (TME-YDT) ve miyofasial gevşetme (MFG) teknikliklerinin etkinliğini incelemektir.
Yöntem: Uluslararası Baş Ağrısı Derneğinin Baş ağrısı sınıflandırması (ICHD-3)’na göre 18-65 yaşları arası GTBA tanısı alan 73 gönüllü birey dahil edildi. Bireyler randomizasyon metoduna göre Grup 1; TME-YDT, Grup 2; MFG Grubu ve Grup 3; Kontrol Grubu olmak üzere 3’e ayrıldı. Baş ağrısı, Headache Impact Test-6(HIT-6) ile; TMED Fonseca Ölçeği ile; Temporomandibular EHA cetvel yardımı ile; servikal EHA gonyometre ile; yaşam kalitesi, SF-36 Yaşam Kalite Ölçeği ile; depresyon, Beck Depresyon Ölçeği (BDÖ) ile; Anksiyete, Beck Anksiyete Ölçeği (BAÖ) ile değerlendirildi. Değerlendirmeler tedavi öncesi ve 4 haftalık tedavi sonunda yapıldı. Grup 1’e TME- YDT (anterior kaudal glide, masseter ve medial pterygoid kaslarına yumuşak doku mobilizasyonu), Temporal ve Suboksipital kaslara miyofasial gevşetme tekniği uygulandı. Grup 2’ye grup 1’e yapılan uygulamalara ek olarak Trapez, Rhomboid, Levator Scapula ve Sternocleidomasteideus kaslarına ve derin posterior servikal fasya gevşetme teknikleri uygulandı.
Bulgular: Hem TME hem de MFG gruplarının FONSECA ve HIT6 total skorlarında meydana gelen değişimin kontrol grubuna göre anlamlı şekilde yüksek olduğu görüldü(p<0,05).
Sonuç: GTBA tedavisinde TME yumuşak doku tekniklerinin miyofasial teknikler kadar etkili olduğu bulundu.

Project Number

YOKTUR

References

  • Hosseinifar M, Bazghandi R, Azimi Z, Khodadadi Bohlouli B. Effectiveness of Neck Myofascial Release Techniques and Exercise Therapy on Pain Intensity and Disability in Patients with Chronic Tension-Type Headache. Glob J Health Sci. 2016;9:47.
  • Crystal SC, Robbins MS. Epidemiology of tension-type headache. Current Pain and Headache Reports. 2010;14:.449-454.
  • Kamonseki DH, Lopes EP, van der Meer HA, Calixtre LB. Effectiveness of manual therapy in patients with tension-type headache. A systematic review and meta-analysis. Disabil Rehabil. 2022;44:1780-1789.
  • Otman S., Demirel H. SA. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Hacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu Yayınları. 1995
  • Özdinç S, Ata H, Selçuk H, Can HB, Sermenli N, Turan FN. Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Cranio - Journal of Craniomandibular and Sleep Practice. 2020;38:327-332.
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression The difficulties inherent in obtaining.
  • Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri İçin Geçerliği, Güvenirliği. Psikoloji Dergisi.1989:7;3-13
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Archives of general psychiatry.1961:4;561-571.
  • Herranz-Gómez A, García-Pascual I, Montero-Iniesta P, La Touche R, Paris-Alemany A. Effectiveness of exercise and manual therapy as treatment for patients with migraine, tension-type headache or cervicogenic headache: An umbrella and mapping review with meta-meta-analysis. Applied Sciences. 2021;11:6856.
  • Jiang W, Li Z, Wei N, Chang W, Chen W, Sui HJ. Effectiveness of physical therapy on the suboccipital area of patients with tension-type headache: A meta-analysis of randomized controlled trials. Medicine (United States). 2019;98:e15487.
  • Deodato M, Guolo F, Monticco A, Fornari M, Manganotti P, Granato A. Osteopathic manipulative therapy in patients with chronic tension-type headache: A pilot study. Journal of the American Osteopathic Association. 2019:119;682-687.
  • Carrasco-Uribarren A, Mamud-Meroni L, Tarcaya GE, Jiménez-Del-Barrio S, Cabanillas-Barea S, Ceballos-Laita L. Clinical Effectiveness of Craniosacral Therapy in Patients with Headache Disorders: A Systematic Review and Meta-analysis. Pain Management Nursing 2023:7-14.
  • Muñoz-Gómez E, Inglés M, Aguilar-Rodríguez M, Mollà-Casanova S, Sempere-Rubio N, Serra-Añó P, et al. Effect of a Craniosacral Therapy Protocol in People with Migraine: A Randomized Controlled Trial. J Clin Med. 2022;11:759.
  • Olesen J. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders Cephalalgia. 2018:38;1-211.
  • Fernandes G, Franco AL, Gonçalves DA, Speciali JG, Bigal ME, Camparis CM. Temporomandibular disorders, sleep bruxism, and primary headaches are mutually associated. J Orofac Pain. 2013:27;14-20.
  • A.M. B, M. FFR, S. KK, W. F, J. DDDDA, O. M del del M, et al. Comments. Journal of Manual and Manipulative Therapy. 2015;18.
  • Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory psychometricproperties. Journal of Cognitive Psychotherapy.1998:12.2:163
  • Choi W, Woo J, Lee S, Lee S. Effects of treatment of temporomandibular disorders on headache, quality of life, and neck function in patients with tension-type headaches: a randomized controlled study. Physical Therapy Rehabilitation Science. 2020;9;215-221.
  • AGGARWAL AGJKPradnya. Role of myofascial release technique on mobility and function in temporomandibular joint disorder patients with neck pain. Journal of Dental Research & Review,. 2020:7;84-87.
  • Yang M, Rendas-Baum R, Varon SF, Kosinski M. Validation of the Headache Impact Test (HIT-6TM) across episodic and chronic migraine. Cephalalgia. 2011;31;357-361.
  • Yalinay Dikmen P, Bozdağ M, Güneş M, Koşak S, Taşdelen B, Uluduz D, et al. Reliability and validity of turkish version of headache impact test (Hit-6) in patients with migraine. Noropsikiyatri Arsivi. 2021;58;300.
  • Caspersen N, Hirsvang JR, Kroell L, Jadidi F, Baad-Hansen L, Svensson P, et al. Is there a relation between tension-type headache, temporomandibular disorders and sleep? Pain Res Treat. 2013:2013;845684.
  • Viegas RG de S, Bussadori SK, Vicente IVR dos S, Teixeira VP, Bozzella MA, Gonçalves MLL, et al. Evaluation of primary headache associated with temporomandibular dysfunction in adolescents from Santos, SP, Brazil: an observational study. J Phys Ther Sci. 2018:30;1372-1376.
  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (Sf-36): I. conceptual framework and item selection. Med Care. 1992;30;473-483.
  • De Sousa RC, De Matos LKBL. The myofascial release and the treatment of tension headache induced by trigger points. Manual Therapy, Posturology Rehabilitation Journal. 2014:12;73-77.
  • Espí-López GV, López-Bueno L, Vicente-Herrero MT, Martinez-Arnau FM, Monzani L. Efficacy of manual therapy on anxiety and depression in patients with tension-type headache. A randomized controlled clinical trial. International Journal of Osteopathic Medicine. 2016;22;11-20.
  • Espí-López G V., Gómez-Conesa A, Gómez AA, Martínez JB, Pascual-Vaca ÁO, Blanco CR. Treatment of tension-type headache with articulatory and suboccipital soft tissue therapy: A double-blind, randomized, placebo-controlled clinical trial. J Bodyw Mov Ther. 2014:18;576-585.
  • Memmedova F, Emre U, Yalın OÖ, Doğan OC. Evaluation of temporomandibular joint disorder in headache patients. Neurological Sciences. 2021:42;1-7.
  • Raju PS, Reddy S V, Venkat R, Sachin G, Seela BS. A Study to Evaluate the Effectiveness of Continuous Ultrasound Therapy in Healing of Pressure Sores-A Prospective Randomized Clinical Trial. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal. 2017;11:136.
  • Ghodrati M, Mosallanezhad Z, Shati M, Noroozi M, Moghadam AN, Rostami M, et al. Adding Temporomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: A randomized clinical study. J Bodyw Mov Ther. 2020:24;202-212.
  • Carrasco-Uribarren A, Mamud-Meroni L, Tarcaya GE, Jiménez-Del-Barrio S, Cabanillas-Barea S, Ceballos-Laita L. Clinical Effectiveness of Craniosacral Therapy in Patients with Headache Disorders: A Systematic Review and Meta-analysis. Pain Management Nursing. 2024:25;21-28.
  • Kwon SH, Chung EJ, Lee J, Kim SW, Lee BH. The effect of hamstring relaxation program on headache, pressure pain threshold, and range of motion in patients with tension headache: A randomized controlled trial. Int J Environ Res Public Health. 2021:18;10137.
  • Muñoz-Gómez E, Inglés M, Aguilar-Rodríguez M, Mollà-Casanova S, Sempere-Rubio N, Serra-Añó P, et al. Effect of a Craniosacral Therapy Protocol in People with Migraine: A Randomized Controlled Trial. J Clin Med. 2022:11;759.
  • Wagner B de A, Moreira Filho PF, Bernardo VG. Association of bruxism and anxiety symptoms among military firefighters with frequent episodic tension type headache and temporomandibular disorders. Arq Neuropsiquiatr. 2019:77;478-484.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Ayşe Öz 0000-0002-7494-3867

Ayça Aracı 0000-0002-1089-3370

Ahmet Özşimşek 0000-0003-0696-6749

Hanifegül Taşkıran 0000-0002-9428-5347

Burak Yuluğ 0000-0002-9704-6173

Project Number YOKTUR
Publication Date August 9, 2024
Submission Date November 3, 2022
Published in Issue Year 2024 Volume: 11 Issue: 2

Cite

Vancouver Öz A, Aracı A, Özşimşek A, Taşkıran H, Yuluğ B. Effect of temporomandibular release and myofascial release techniques on quality of life, depression, and headache in ındividuals with tension-type headache. JETR. 2024;11(2):90-102.