A pilot study on non-invasive treatment of migraine: The self-myofascial release
https://doi.org/10.4081/ejtm.2021.9646
Accepted: 3 February 2021
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The aims of this paper was to determine the effect of self-myofascial release (SMFR) on postural stability and to analyze if it can influence migraine condition. Twenty-five subjects (age 49.7± 12.5) affected by migraine were enrolled. Assessments included a stabilometric analysis in order to evaluate balance and plantar support, with eyes open (OE) and closed (CE); cervical ROM measurement; evaluation of upper limb strength through handgrip. All the analysis were carried out before and after the administration of a single SMFR protocol, using medium density small balls laid in the three most painful trigger points in migraine patients: trapezius, sternocleidomastoids and suboccipital muscles. Performing a T test for paired samples, there was a significant increase in two ranges of the stabilometric analysis: ellipse surface, both with open and closed eyes (p value EO = 0.05; p value EC = 0.04) and length of the sway path, but just with closed eyes (p value = 0.05). SMFR might have a positive impact on postural stability in subjects with migraine. Further investigation should be conducted to confirm the hypothesis.
Kalichman L, Ben David C. Effect of Self- Myofascial Release on Myofascial Pain, Muscle Flexibility, and Strength: A Narrative Review. 2017 Apr;21(2):446-451. DOI: https://doi.org/10.1016/j.jbmt.2016.11.006
Rutherford G, Manning P, Newton JL. Understanding Muscle Dysfunction in Chronic Fatigue Syndrome. J Aging Res. 2016;2016: 2497348. DOI: https://doi.org/10.1155/2016/2497348
Burstein R, Noseda R, Borsook D. Migraine: Multiple Processes, Complex Pathophysiology. J Neurosci. 2015 Apr 29;35(17):6619-29. DOI: https://doi.org/10.1523/JNEUROSCI.0373-15.2015
Liang Z, Galea, O, Thomas L, Jull G, Treleaven J. Cervical Musculoskeletal Impairments in Migraine and Tension Type Headache: A Systematic Review and Meta-Analysis. Musculoskelet Sci Pract. 2019 Jul;42:67-83. DOI: https://doi.org/10.1016/j.msksp.2019.04.007
Baraldi C, Gherpelli C, Alicandri Ciufelli M, Monzani D, Pini LA, Pani L.,Guerzoni S. A Case- Control Study of Visually Evoked Postural Responses in Childhood with Primary Headaches. Neurol Sci. 2020 Feb;41(2):305-311. DOI: https://doi.org/10.1007/s10072-019-04072-2
Blaschek A, Milde-Busch A, Straube A, chankin C, Langhagen T, Jahn K, Schröder SA, Reiter K, von Kries R, Heinen F. Self-Reported Muscle Pain in Adolescents with Migraine and Tension-Type Headache. Cephalalgia. 2012 Feb;32(3):241-9. DOI: https://doi.org/10.1177/0333102411434808
Beardsley C, Škarabot J. Effects of Self-Myofascial Release: A Systematic Review. J Bodyw Mov Ther. 2015 Oct;19(4):747-58. DOI: https://doi.org/10.1016/j.jbmt.2015.08.007
Langevin HM, Sherma, KJ. Pathophysiological Model for Chronic Low Back Pain Integrating Connective Tissue and Nervous System Mechanisms Med Hypotheses. 2007;68(1):74-80. DOI: https://doi.org/10.1016/j.mehy.2006.06.033
Fernández-de-las-Peñas C, Cuadrado M, Pareja J. Myofascial Trigger Points, Neck Mobility and Forward Head Posture in Unilateral Migraine. Cephalalgia. 2006 Sep;26(9):1061-70. DOI: https://doi.org/10.1111/j.1468-2982.2006.01162.x
Langevin HM, Storch KN, Cipolla MJ, White SL, Buttolph TR, Taatjes DJ. Fibroblast Spreading Induced by Connective Tissue Stretch Involves Intracellular Redistribution of α- and β-Actin. Histochem Cell Biol. 2006, May;125(5):487-95. DOI: https://doi.org/10.1007/s00418-005-0138-1
Kreis TE, Birchmeier W. Stress Fiber Sarcomeres of Fibroblasts Are Contractile. Cell. 1980 Nov;22(2 Pt 2):555-61. DOI: https://doi.org/10.1016/0092-8674(80)90365-7
Ingber D. Mechanobiology and Diseases of Mechanotransduction. Ann Med. 2003;35(8):564-77. DOI: https://doi.org/10.1080/07853890310016333
McAnulty RJ. Fibroblasts and Myofibroblasts: Their Source, Function and Role in Disease. Int J Biochem Cell Biol. 2007;39(4):666-71. DOI: https://doi.org/10.1016/j.biocel.2006.11.005
Stecco A, Meneghini A, Stern R.; Stecco C, Imamura M. Ultrasonography in Myofascial Neck Pain: Randomized Clinical Trial for Diagnosis and Follow-Up. Surg Radiol Anat. 2014 Apr;36(3):243- 53. DOI: https://doi.org/10.1007/s00276-013-1185-2
Schleip R, Klingler W, Lehmann-Horn F. Active Fascial Contractility: Fascia May Be Able to Contract in a Smooth Muscle-like Manner and Thereby Influence Musculoskeletal Dynamics. Med Hypotheses. 2005;65(2):273-7. DOI: https://doi.org/10.1016/j.mehy.2005.03.005
Porter KE, Turner NA. Cardiac Fibroblasts: At the Heart of Myocardial Remodeling. Pharmacol Ther. 2009;123(2):255-78. DOI: https://doi.org/10.1016/j.pharmthera.2009.05.002
Schleip R, Duerselen L, Vleeming A, Naylor IL, Lehmann-Horn F, Zorn A, Jaeger H, Klingler W. Strain Hardening of Fascia: Static Stretching of Dense Fibrous Connective Tissues Can Induce a Temporary Stiffness Increase Accompanied by Enhanced Matrix Hydration. J Bodyw Mov Ther. 2012, Jan;16(1):94-100. DOI: https://doi.org/10.1016/j.jbmt.2011.09.003
Fernández-de-las-Peñas C, Florencio LL, Plaza- Manzano G, Arias-Buría JL. Clinical Reasoning Behind Non-Pharmacological Interventions for the Management of Headaches: A Narrative Literature Review. Int J Environ Res Public Health. 2020 Jun 9;17(11):4126. DOI: https://doi.org/10.3390/ijerph17114126
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd Edition (Beta Version). Cephalalgia. Jul;33(9):629-808. DOI: https://doi.org/10.1177/0333102413485658
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(2):106-12. doi: 10.1179/106698108790818468. DOI: https://doi.org/10.1179/106698108790818468
Hou C.-R, Tsai L-C, Cheng K-F, Chung K-C, Hong C-Z. Immediate Effects of Various Physical Therapeutic Modalities on Cervical Myofascial Pain and Trigger-Point Sensitivity. Arch Phys Med Rehabil. 2002 Oct;83(10):1406-14. doi: 10.1053 /apmr.2002.34834. DOI: https://doi.org/10.1053/apmr.2002.34834
Fernandez-de-las-Penas C, Alonso-Blanco C, Cuadrado ML, Gerwin RD, Pareja JA. Myofascial Trigger Points and Their Relationship to Headache Clinical Parameters in Chronic Tension-Type Headache. 2006 Sep;46(8):1264-72. doi: 10.1111/j.1526-4610.2006.00440.x. DOI: https://doi.org/10.1111/j.1526-4610.2006.00440.x
Alonso-Blanco C, de-la-Llave-Rincón AI, Fernández-de-las-Peñas C. Muscle Trigger Point Therapy in Tension-Type Headache. Expert Rev Neurother. 2012 Mar;12(3):315-22. doi: 10.1586/ern.11.13. DOI: https://doi.org/10.1586/ern.11.13
Fernández-de-las-Peñas, C.; Ge, H.-Y.; Alonso- Blanco, C.; González-Iglesias, J.; Arendt-Nielsen, L. Referred Pain Areas of Active Myofascial Trigger Points in Head, Neck, and Shoulder Muscles, in Chronic Tension Type Headache. J Bodyw Mov Ther. 2010, Oct;14(4):391-6. doi: 10.1016/j.jbmt.2009.06.008. DOI: https://doi.org/10.1016/j.jbmt.2009.06.008
Moraska AF, Stenerson L, Butryn N, Krutsch JP, Schmiege SJ, Mann JD. Myofascial Trigger Point- Focused Head and Neck Massage for Recurrent Tension-Type Headache: A Randomized, Placebo- Controlled Clinical Trial. Clin J Pain. Feb; 31(2):159-68. doi: 10.1097/AJP.0000000000 000091.
Connolly G, Hammer RL, Powell JA, O’Connor PL. A Single Bout of Foam Rolling Increases Flexibility of the Hip Adductor Muscles without Compromising Strength. Int J Exerc Sci. 2020 Aug 1;13(7):938-949.
Patti A, Bianco A, Şahin N, Sekulic D, Paoli A, Iovane A, Messina G, Gagey PM, Palma A. Postural Control and Balance in a Cohort of Healthy People Living in Europe: An Observational Study. Medicine (Baltimore). 2018 Dec;97(52):e13835. doi: 10.1097/MD.0000000000013835. DOI: https://doi.org/10.1097/MD.0000000000013835
Carvalho GF, Schwarz A, Szikszay TM, Adamczyk WM, Bevilaqua-Grossi D, Luedtke K. Physical Therapy and Migraine: Musculoskeletal and Balance Dysfunctions and Their Relevance for Clinical Practice. Braz J Phys Ther. Jul-Aug 2020;24(4):306-317. doi: 10.1016/j.bjpt.2019.11.0 01.
Messina G, Giustino V, Martines F, Rizzo S, Pirino, A, Scoppa F. Orofacial Muscles Activity in Children with Swallowing Dysfunction and Removable Functional Appliances. Eur J Transl Myol. 2019, Aug 27;29(3):8267. DOI: https://doi.org/10.4081/ejtm.2019.8267
WuH,LiuM,ZhangQ,LiuL,MengG,BaoX,Gu Y, Zhang S, Sun S, Wang X, Zhou M, Jia Q, Song K, Niu K Reference values for handgrip strength: data from the Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIH) cohort study. Age Ageing. 2020 Feb 27;49(2):233-238.
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