The effect of trigger point management by positional release therapy on tension type headache

NeuroRehabilitation. 2012;30(4):333-9. doi: 10.3233/NRE-2012-0764.


Objective: The aim of this study was to compare the effectiveness of trigger points' management by Positional Release Therapy (PRT) and routine medical therapy in treatment of Tension Type Headache.

Background: Tension Type Headache is the most frequent headache with the basis of myofascial and trigger point disorders. PRT is an indirect technique that treats trigger points.

Method: 30 Patients with active trigger points in cervical muscles entered to the study. They were randomly assigned to PRT or medical therapy group. Headache frequency, intensity and duration and tablet count were recorded by use of a daily headache diary. Sensitivity of trigger points was assessed by numeric pain intensity and by use of a digital force gauge (FG 5020).

Results: Both groups showed significant reduction in headache frequency and duration and tablet count after treatment phase. However, the reduction of study variables was persisted only in PRT group after follow up phase. There was no significant reduction in headache intensity, neither in PRT and nor in medication group. Sensitivity of trigger points was significantly reduced. In comparison of the two study groups, there was no significant difference in headache frequency, intensity, duration and tablet count (p> 0.05).

Conclusion: Both procedures were equally effective according to the study. Thus, PRT can be a treatment choice for patients with T.T.H.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Disease Management*
  • Double-Blind Method
  • Female
  • Follow-Up Studies
  • Humans
  • Injections / methods
  • Male
  • Middle Aged
  • Pain Measurement
  • Tension-Type Headache / drug therapy*
  • Tension-Type Headache / rehabilitation*
  • Treatment Outcome
  • Trigger Points / physiology*