Volume : 9, Issue : 5, MAY 2023

EFFECTS OF LASER THERAPY AND ISCHEMIC COMPRESSIONS IN PATIENT WITH TENSION TYPE HEADACHE IN MOBILE OPERATORS

DR. J ANANDH RAJ, MS R AMOOLYA, DR. S VAHEEDHA

Abstract

BACKGROUND: Tension type headache is common disorder in different population. Tension headache is related to my of ascial tenderness and my of ascial trigger points.TTH is defined as pain that is typically pressing or tightening in quality, of mild to moderate intensity, bilateral in location and does not worsen in routine physical activity. Thus, the study intends to analyze the effectiveness of laser therapy and ischemic compressions on reducing peri cranial tenderness and improving sleep quality.

AIM: The aim is to measure the improvement in rate of sleeping and reduction of peri cranial tenderness before and after the treatment. .

METHOD: The study is from total sample size of twenty patients who are suffered with tension type headache. LLLT group consisting of ten patients will treat with of 808nm wavelength with intensity of 5j will be given up to four weeks for about three times a week from 100 sec duration and other group consisting ten patients will treat with ischemic compression up to four weeks for about three times a week which means applying pressure to my of ascial trigger points up to tolerable level, ninety seconds holding the pressure produces best result. The preintervention measures and post-intervention outcomes were measured using peri cranial tenderness scoring and Pittsburgh sleep quality index (PSQI)

RESULT: The two groups showed significant differences in peri cranial tenderness and quality of sleep after the intervention. The statistical significance showed that group B subjects (IC) those of age 16-25 years with tension type headache showed more improvement in quality of sleep and reduction of peri cranial tenderness when compared to group A (LLLT)

CONCLUSION: Understand the pathophysiology and improve the management of TTH by using laser therapy and ischemic compression over my of ascial trigger points. The main outcome measure difference in number of days with headache between five before the treatment and 7-10weeks after the treatment as recorded by participants in headache diaries. The pain is measured by PT scale, rate of sleeping by PSQI. IC is efficacious to increase QOS and to reduce the PT in subjects with tension type headache.

Article : Download PDF

Cite This Article

-

Article No : 7

Number of Downloads : 461

References

1. Dr.debasish chowdhury,Tension type headache Ann indian Acad Neurol,2012 Aug 15:s83-s88.

2. Headache classification subcommittee of international headache Society. The international classification of headache Disorders. Cephalgia (2edition) 2004:24 (suppl 1):1-160. (pubmed) (google scholarr)

3. Headache classification committee of the international headache society. Classification and   diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalgia.1988;8 (suppl 7):1-96.

4. Bendtsen L.central sensitization in tension type headache. possible-pathophysiology mechanisms. Cephalgia. 2000;20:486-508.

5. Jensen R.pathophysiological mechanisms of tension type headache:A review of epidemiological and experimental studies.Cephalgia.1999;19:602-21.

6. OlesonJ,Bousser M-G,Diener H-C,Dodick D,First M,Goadsbypj,et al.New appendix criteria open for a broader concept chronic migraine. Cephalgia. 2006;26:742-6

7. Lyngberg AC,Rassmussen BK, JorgensenT, JensenR.Has the prevalance of migraine and tension type headache changed over a 12 year period?A danish population survey. Eur J Epidemiol. 2005;20:243-9.

8. Rasmussen Bk.Epidemiology of headache. cephalgia. 1995;15:45-68.

9. Lyngberg AC,Russemen BK,Jorgensen T,Jensen R.prognosis Of migraine and tension type headache:Apopulation based follow up study.Neurology.2005;65:580-5.

10. Andlun-sobocki P, jonsson B, wittchen HU,Oleson J.cost      of disorders of brain in europe.Eur J Neurol.2005;12 (suppl 1):1-27.

11. https://my.clevelandclinic.org/health/diseases/8 257-tension-typeheadaches.

12. Stvoner L,Hagen k,jensen R,Katsarava Z,Lipton R,Scher A,et Al.Tge globsl burden of headache:A documentation of headache prevalence and disability worldwide.Cephalgia.2007;27:193-210.(pubmed) (google scholar)

13. Rassmusen Bk,Jensen R,Schroll M,OlesJ. ilInterrelation Between migraine and tension type headache in general Population.Arch neurol. 1992;49:914-8.

14. Rasmussen BK,Jensen R,Olesen J.A population based analysis of the diagnostic criteria of the international headache society. cephalgia. 1991;11:129-34.

15. Ulrich V,Russell MB,Jensen R,Olesen J.A comparison of tension type headache in migraines’ and nonmigraineurs:A population based study.pain.1996;67:50

16. Spierings EL,Ranke AH,HonKoop PC.Precipitating and aggrevating factors for migraine Versus tention type headache.headache.2001;41:554

17. kjerista aaseth, Ragnheld Berling grande, Christofer Lundqvist, Michael       Bjorn russell. The journal of headache and pain15:article 58 .2014.

18. LangemarkM oleson J: pericranial tenderness in tension headache:A blind controlled study.cephalgia 1987,7(4):249255.10.1046/J.1468-2982.1987.0404249.

19. Bendtsen L, Jensen R, Jensen NK, Olesen J: Pressure-controlled palpation: a new technique which increases the reliability of manual palpation. Cephalalgia 1995, 15(3):205–210. 10.1046/j.1468- 2982.1995.015003205.

20. Lars bendsten: central and peripheral sensitization in tension type                headache.2003 dec:7(6),460-5.

21. Gold Ms,Gebhart GF nociceptor sensitization in pain pathogenesis. natural medicine. 2010:16(11) 1248-1257.

22. selye. H(1956)The stress of life.American physiology association,new York ,USA.

23. Miriam tomaz de magalhaes,Light therapy modulates Serotonin levels and blood flow in women with headache:2016 Jan:241(1):40-5.

24. https://www.lasermedicine.co.uk/laser-therapy -services/laser-therapy-for-well-being/lasertherapy- for-stress/

25. Sanjeev kumar bol, Menaka jha, Debashish chowdhury: Advances in understanding of pathophysiology of TTH and its management: year- 2021:volume-69,issue-7,Page:116- 123.

26. Laerke Terring koldind:Muscle stiffness in tension-type headachepatients with pericranial tenderness’ shear wave elastography study:volume 1 1- 6:Date received: 22 January 2018; accepted: 27 January 2018.

27. Mehdi jafari:effect of ischemic compression for cervicogenic headache And elastic behaviour of active trigger point in the sternocleidomastoid Muscle using ultrasound imaging:volume-21, issue-24, october-2017, pages933-939.

28. Albert F Morison: resposiveness of myofascial trigger points to single          And multiple trigger points release massages: 2017sep:96(9):639-645.

29. Asfaque khan: Efficacy of ischemic compression techniques and home exercise program in combination with us amoung computer users with upper trapezius myofascial pain:vol 10:issue 6:jun 2020.

30. pragnya ravichandran: Effectiveness of ischemic compressions on trapezius myofascial trigger points in neck pain: accepted 4^th april20