This case study investigated the effect of osteopathic myofascial remodeling treatment on improving the frequency, duration, and intensity of tension-type headaches as well as head-forward posture of a client who has been suffering chronic headaches for the last 5 years since a motor vehicle accident.
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Summary
Tension-type headache (TTH) is the most common type of headache that internationally affect all age groups. Tension in the pericranial myofascial tissues and associated dural structure may contribute to the conversion from episodic to chronic TTH (CTTH). Head forward (HF) posture can also contribute to the increased tension in the pericranial tissues. This case study investigated the effect of osteopathic myofascial remodeling (MFR) treatment on improving the frequency, duration, and intensity of TTH as well as HF posture of a client who has been suffering CTTH for the last 5 years since a motor vehicle accident (MVA).
The MFR treatment used in this study aimed to address not only the pericranial myofascial tissues but also other areas that can affect the fascial tension of the head, neck, and thorax based on specific assessments. Three 75-minute sessions were provided with a 1-week interval between sessions. The frequency, duration, and intensity of the TTH were the primary outcome measures and were recorded by the client using a headache diary. The HF posture was the secondary outcome measure and was measured using an electronic goniometer.
The result showed improvement of both the primary and secondary outcome measures after each session compared to the baseline measures. It will be worth investigating if a longer-term treatment or adding other forms of therapy such as cranial, exercise, or neurobehavioural therapy would yield more clinically significant results.
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