The effectiveness of sternocleidomastoid muscle dry needling in patients with cervicogenic headache

Document Type : Original Article

Authors

1 Department of Physical Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Tehran, Iran

2 Department of Physical Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences; Department of Physiotherapy, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

3 Department of Epidemiology and Statistics, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Cervicogenic headache (CGH) is a secondary headache with a cervical source that radiates pain to the head or face. Accordingly, one reason of CGH is myofascial trigger points. The purpose of this study was to investigate the effect of one session dry needling (DN) of myofascial trigger points of the sternocleidomastoid (SCM) muscle in patients with CGH. Materials and Methods: In this before-and-after clinical trial, 16 females aged 18–60 years with a clinical diagnosis of CGH were enrolled. All of the patients received one session DN into the myofascial trigger points of the SCM muscle. Headache index (HI), headache duration, headache frequency, and headache disability index (HDI) were assessed at 2 weeks before and 2 weeks after the intervention. This study was registered in Clinical Trials as IRCT20181109041599N1. Results: One session DN into myofascial trigger points of the SCM muscle showed a significant improvement in HI (P < 0.001). Duration and frequency of headache as well as HDI significantly reduced after intervention (P < 0.001). Conclusion: One session DN into myofascial trigger points of the SCM muscle was effective on improvement of HI, headache duration, headache frequency, and HDI in patients with CGH.

Highlights

1.
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38:1-211.  Back to cited text no. 1
    
2.
Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: Diagnostic criteria. The Cervicogenic Headache International Study Group. Headache 1998;38:442-5.  Back to cited text no. 2
    
3.
Vincent MB. Cervicogenic headache: A review comparison with migraine, tension-type headache, and whiplash. Curr Pain Headache Rep 2010;14:238-43.  Back to cited text no. 3
    
4.
Sjaastad O, Fredriksen TA. Cervicogenic headache: Criteria, classification and epidemiology. Clin Exp Rheumatol 2000;18:S3-6.  Back to cited text no. 4
    
5.
Hagen K, Einarsen C, Zwart JA, Svebak S, Bovim G. The co-occurrence of headache and musculoskeletal symptoms amongst 51 050 adults in Norway. Eur J Neurol 2002;9:527-33.  Back to cited text no. 5
    
6.
Knackstedt H, Bansevicius D, Aaseth K, Grande RB, Lundqvist C, Russell MB. Cervicogenic headache in the general population: The Akershus study of chronic headache. Cephalalgia 2010;30:1468-76.  Back to cited text no. 6
    
7.
Fernández-de-Las-Peñas C, Simons D, Cuadrado ML, Pareja J. The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck. Curr Pain Headache Rep 2007;11:365-72.  Back to cited text no. 7
    
8.
Bogduk N. Cervicogenic headache: Anatomic basis and pathophysiologic mechanisms. Curr Pain Headache Rep 2001;5:382-6.  Back to cited text no. 8
    
9.
Jaeger B. Are “cervicogenic” headaches due to myofascial pain and cervical spine dysfunction? Cephalalgia 1989;9:157-64.  Back to cited text no. 9
    
10.
Simons DG, Travell JG, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol. No. 1. Williams & Wilkins;1999.  Back to cited text no. 10
    
11.
Fernández-de-las-Peñas C, Cuadrado ML, Arendt-Nielsen L, Simons DG, Pareja JA. Myofascial trigger points and sensitization: An updated pain model for tension-type headache. Cephalalgia 2007;27:383-93.  Back to cited text no. 11
    
12.
Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia 2006;26:1061-70.  Back to cited text no. 12
    
13.
Calandre EP, Hidalgo J, Garcia-Leiva JM, Rico-Villademoros F, Delgado-Rodriguez A. Myofascial trigger points in cluster headache patients: A case series. Head Face Med 2008;4:32.  Back to cited text no. 13
    
14.
Davidoff RA. Trigger points and myofascial pain: Toward understanding how they affect headaches. Cephalalgia 1998;18:436-48.  Back to cited text no. 14
    
15.
Roth JK, Roth RS, Weintraub JR, Simons DG. Cervicogenic headache caused by myofascial trigger points in the sternocleidomastoid: A case report. Cephalalgia 2007;27:375-80.  Back to cited text no. 15
    
16.
Cibulka MT. Sternocleidomastoid muscle imbalance in a patient with recurrent headache. Man Ther 2006;11:78-82.  Back to cited text no. 16
    
17.
Bodes-Pardo G, Pecos-Martín D, Gallego-Izquierdo T, Salom-Moreno J, Fernández-de-Las-Peñas C, Ortega-Santiago R. Manual treatment for cervicogenic headache and active trigger point in the sternocleidomastoid muscle: A pilot randomized clinical trial. J Manipulative Physiol Ther 2013;36:403-11.  Back to cited text no. 17
    
18.
Jafari M, Bahrpeyma F, Togha M. Effect of ischemic compression for cervicogenic headache and elastic behavior of active trigger point in the sternocleidomastoid muscle using ultrasound imaging. J Bodyw Mov Ther 2017;21:933-9.  Back to cited text no. 18
    
19.
Dommerholt J, Mayoral del Moral O, Gröbli C. Trigger point dry needling. J Man Manip Ther 2006;14:70E-87.  Back to cited text no. 19
    
20.
Sedighi A, Nakhostin Ansari N, Naghdi S. Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache. J Bodyw Mov Ther 2017;21:810-4.  Back to cited text no. 20
    
21.
Sillevis R, Wyss K. Effectiveness of dry needling to the sternocleidomastoid muscle. Manual Therapy, and Exercise to Reduce Pain and Improve Function in Subjects with Chronic Cervicogenic Headaches: A Retrospective Case Series. Ann Case Report 2020;14:423.  Back to cited text no. 21
    
22.
Togha M, Bahrpeyma F, Jafari M, Nasiri A. A sonographic comparison of the effect of dry needling and ischemic compression on the active trigger point of the sternocleidomastoid muscle associated with cervicogenic headache: A randomized trial. J Back Musculoskelet Rehabil. 2020;33 (5):749-759.  Back to cited text no. 22
    
23.
Karakurum B, Karaalin O, Coskun O, Dora B, Uçler S, Inan L. The 'dry-needle technique': Intramuscular stimulation in tension-type headache. Cephalalgia 2001;21:813-7.  Back to cited text no. 23
    
24.
Sajadinejad M, Mohammadi N, Ashgahzadeh N. The evaluation of psychometric properties of headache disability inventory in the headache patients. J Shahrekord Univ Med Sci 2007;9:55-62.  Back to cited text no. 24
    
25.
Jacobson GP, Ramadan NM, Aggarwal SK, Newman CW. The Henry Ford hospital headache disability inventory (HDI). Neurology 1994;44:837-42.  Back to cited text no. 25
    
26.
Andrasik F, Lipchik GL, McCrory DC, Wittrock DA. Outcome measurement in behavioral headache research: Headache parameters and psychosocial outcomes. Headache 2005;45:429-37.  Back to cited text no. 26
    
27.
Cagnie B, Dewitte V, Barbe T, Timmermans F, Delrue N, Meeus M. Physiologic effects of dry needling. Curr Pain Headache Rep 2013;17:348.  Back to cited text no. 27
    
28.
Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: An application of muscle pain concepts to myofascial pain syndrome. J Bodyw Mov Ther 2008;12:371-84.  Back to cited text no. 28
    
29.
Moraska A, Chandler C. Changes in clinical parameters in patients with tension-type headache following massage therapy: A pilot study. J Man Manip Ther 2008;16:106-12.  Back to cited text no. 29
    
30.
Sullivan GM, Feinn R. Using effect size-or why the P value is not enough. J Grad Med Educ 2012;4:279-82.  Back to cited text no. 30
    

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