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

Ayşe Öz , Ayça Aracı , Ahmet Özşimşek , Hanifegül Taşkıran , Burak Yuluğ

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.

Keywords

Quality of life, Tension-type headache, Temporomandibular joint, Anxiety, Normal joint movement

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

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

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.

Keywords

Yaşam kalitesi, Gerilim tipi baş ağrısı, Temporamandibular eklem, Anksiyete, Normal eklem hareketi

Project Number

YOKTUR

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