Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane

Background: The management of patients presenting with chronic tension-type headache (CTTH) can be challenging for primary health care practitioners. As with most chronic pain disorders, a multimodal management approach is frequently required. It has been postulated that myofascial pain syndrome (MP...

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Autores principales:	K. Joseph, S. A. Hitchcock, H. P. Meyer, M. M. Geyser, P. J. Becker
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2016
Materias:	chronic pain disorders chronic tension type headache (ctth) myofascial pain syndrome (mps) myofascial trigger points (mtrps) primary headache Medicine R
Acceso en línea:	https://doaj.org/article/8c2b2b3a47b04d2caedbd4b8429dbeab
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spelling	oai:doaj.org-article:8c2b2b3a47b04d2caedbd4b8429dbeab2021-11-24T07:44:18ZActive myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane2078-61902078-620410.4102/safp.v58i4.5441https://doaj.org/article/8c2b2b3a47b04d2caedbd4b8429dbeab2016-08-01T00:00:00Zhttps://safpj.co.za/index.php/safpj/article/view/5441https://doaj.org/toc/2078-6190https://doaj.org/toc/2078-6204Background: The management of patients presenting with chronic tension-type headache (CTTH) can be challenging for primary health care practitioners. As with most chronic pain disorders, a multimodal management approach is frequently required. It has been postulated that myofascial pain syndrome (MPS) and its hallmark myofascial trigger points (MTrPs) found in specific muscle tissues may play a role in the chronic pain experienced by patients with CTTH. Little is known about the prevalence of MTrPs in patients with CTTH, in primary health care settings on the African continent. This study therefore aimed to investigate the prevalence of active MTrP’s in specific head and neck muscles/muscle groups in patients with CTTH. Methods: A prospective, cross-sectional and descriptive study was done in two primary health care facilities situated in Tshwane, South Africa. The sample included 97 adult patients with CTTH. Five head and neck muscles/muscle groups were examined bilaterally for active MTrPs. Outcome measures were the prevalence and distribution of active MTrPs in these patients. Results: Active MTrPs were found in 95.9% of the patients, the majority (74.2%) having four or more active MTrPs. The temporalis muscles and suboccipital muscle group exhibited the highest number of active MTrPs (prevalence 87.6% and 80.4% respectively). Conclusion: Our study suggests a strong association between MPS and CTTH in patients, presenting in the primary health care setting. This indicates the importance of a musculoskeletal assessment of neck and pericranial muscles in patients with CTTH. This can assist in determining the most appropriate treatment strategy in these patients.K. JosephS. A. HitchcockH. P. MeyerM. M. GeyserP. J. BeckerAOSISarticlechronic pain disorderschronic tension type headache (ctth)myofascial pain syndrome (mps)myofascial trigger points (mtrps)primary headacheMedicineRENSouth African Family Practice, Vol 58, Iss 4 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic pain disorders chronic tension type headache (ctth) myofascial pain syndrome (mps) myofascial trigger points (mtrps) primary headache Medicine R
spellingShingle	chronic pain disorders chronic tension type headache (ctth) myofascial pain syndrome (mps) myofascial trigger points (mtrps) primary headache Medicine R K. Joseph S. A. Hitchcock H. P. Meyer M. M. Geyser P. J. Becker Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane
description	Background: The management of patients presenting with chronic tension-type headache (CTTH) can be challenging for primary health care practitioners. As with most chronic pain disorders, a multimodal management approach is frequently required. It has been postulated that myofascial pain syndrome (MPS) and its hallmark myofascial trigger points (MTrPs) found in specific muscle tissues may play a role in the chronic pain experienced by patients with CTTH. Little is known about the prevalence of MTrPs in patients with CTTH, in primary health care settings on the African continent. This study therefore aimed to investigate the prevalence of active MTrP’s in specific head and neck muscles/muscle groups in patients with CTTH. Methods: A prospective, cross-sectional and descriptive study was done in two primary health care facilities situated in Tshwane, South Africa. The sample included 97 adult patients with CTTH. Five head and neck muscles/muscle groups were examined bilaterally for active MTrPs. Outcome measures were the prevalence and distribution of active MTrPs in these patients. Results: Active MTrPs were found in 95.9% of the patients, the majority (74.2%) having four or more active MTrPs. The temporalis muscles and suboccipital muscle group exhibited the highest number of active MTrPs (prevalence 87.6% and 80.4% respectively). Conclusion: Our study suggests a strong association between MPS and CTTH in patients, presenting in the primary health care setting. This indicates the importance of a musculoskeletal assessment of neck and pericranial muscles in patients with CTTH. This can assist in determining the most appropriate treatment strategy in these patients.
format	article
author	K. Joseph S. A. Hitchcock H. P. Meyer M. M. Geyser P. J. Becker
author_facet	K. Joseph S. A. Hitchcock H. P. Meyer M. M. Geyser P. J. Becker
author_sort	K. Joseph
title	Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane
title_short	Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane
title_full	Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane
title_fullStr	Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane
title_full_unstemmed	Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane
title_sort	active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in tshwane
publisher	AOSIS
publishDate	2016
url	https://doaj.org/article/8c2b2b3a47b04d2caedbd4b8429dbeab
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Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane

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