Tension Type Headache, Myofascial Release Therapy , Post Isometric Relaxation Technique

Study Overview
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Brief Summary
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COMPARATIVE EFFECTS OF MYOFASCIAL RELEASE THERAPY AND POST ISOMETRIC RELAXATION TECHNIQUE ON PAIN AND FUNCTIONAL DISABILITY IN PATIENTS WITH TENSION-TYPE HEADACHE

Detailed Description
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Tension-type headache (TTH) is the most common type of primary headache, typically presenting as a bilateral, non-throbbing headache with mild to moderate intensity. Patients with tension-type headache often report band-like tightness and increased tenderness of the pericranial muscles. Use of myofascial release technique and post isometric relaxation technique is believed to reduce the pain and improve the functional disability.

Official Title
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Comparative Effect of Myofascial Release Therapy and Post Isometric Relaxation Technique on Pain and Functional Disability in Patients With Tension Type Headache

Conditions
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Neck Pain

Intervention / Treatment
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* Other: Myofascial release therapy therapy
* Other: Post isometric relaxation technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Age range 25-45years14 Both male and females Suffer from tension type headache more than three months Head pain on bilateral location may suffer from photophobia, phonophobia Pericranial tiredness not getting enough exercise or sleep Exclusion Criteria: • History of teeth clenching or grinding Cardiovascular disease Pregnancy arthritis in the neck being overweight

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: To compare the effects of myofascial release therapy and post isometric relaxation technique on pain and functional disability in patients with tension type headache
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Myofascial release therapy<br>This group will receive routine physical therapy with myofascial release therapy.This protocol will be given for 3 alternative days per week. Each session will be of 40 minutes. Data will be calculated at baseline , at 2nd and at 4th week. | Other: Myofascial release therapy therapy<br>* Group A was treated with myofascial release therapy and routine physical therapy. For routine physical therapy subjects will first applied TENS, hot pack and neck isometric exercises then myofascial release therapy will be given. For myofascial release therapy subjects was in the supine or possibly sitting position, the examiner was seated at the head of the table, the examiner was used his right thumb to palpate (using flat palpation) the upper trapezius muscles from medial to lateral to establish if any MTrPs are present. The entire mass of the upper trapezius muscle is lifted by the supraspinatus muscle and grasped with a pincer grasp. The muscles at this point rotate between the thumb and forefinger to detect the delicate location of the trigger point. Treatment session longs for 10 minutes of myofascial release on each side<br>|
| Experimental: post isometric relaxation technique<br>This group will receive routine physical therapy with post isometric relaxation technique.This protocol will be given for 3 alternative days per week. Each session will be of 40 minutes. Data will be calculated at baseline , at 2nd and at 4th week. | Other: Post isometric relaxation technique<br>* This group will receive routine physical therapy with myofascial release therapy.This protocol will be given for 3 alternative days per week. Each session will be of 40 minutes. Data will be calculated at baseline , at 2nd and at 4th week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numerical pain rating scale | The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). | at the end of 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Myofascial release therapy