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This randomized controlled trial compared the effects of Muscle Energy Technique (MET) with and without Myofascial Release (MFR) in patients with cervicogenic headache. Forty participants aged 20-40 years were randomly assigned into two groups: MET only and MET combined with MFR. The intervention was delivered over five sessions across two weeks. Outcomes included pain intensity (VAS), cervical range of motion, and disability (Neck Disability Index), assessed at baseline and post-intervention. The study evaluated which intervention produced greater improvements in pain, function, and cervical mobility.
This randomized controlled trial was conducted to compare the effects of Muscle Energy Technique (MET) with and without Myofascial Release (MFR) in patients with cervicogenic headache. Cervicogenic headache is a secondary headache arising from dysfunctions of the cervical spine and associated muscular structures.
A total of 40 participants aged between 20 and 40 years were recruited and randomly allocated into two equal groups. Group A received Muscle Energy Technique alone, while Group B received a combination of Muscle Energy Technique and Myofascial Release. The intervention was delivered over five treatment sessions within a period of two weeks.
Outcome measures included pain intensity assessed using the Visual Analogue Scale (VAS), cervical range of motion measured with a goniometer, and functional disability assessed using the Neck Disability Index (NDI). Assessments were performed at baseline and after completion of the intervention period.
The objective of the study was to determine whether the addition of Myofascial Release to Muscle Energy Technique provides superior improvements in pain reduction, cervical mobility, and functional disability compared to Muscle Energy Technique alone in patients with cervicogenic headache.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Muscle Energy Technique (MET) | Active Comparator | Participants in this group received Muscle Energy Technique (MET) alone. The intervention was applied over five treatment sessions within two weeks. This group served as the comparison group to evaluate the effects of MET without Myofascial Release. |
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| Muscle Energy Technique (MET) + Myofascial Release (MFR) | Experimental | Participants in this group received a combination of Muscle Energy Technique (MET) and Myofascial Release (MFR). The intervention was delivered over five treatment sessions within two weeks to evaluate its combined effect on pain, cervical range of motion, and disability. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Muscle Energy Technique (MET) | Procedure | Muscle Energy Technique (MET) was applied to the cervical region muscles using isometric contractions followed by passive stretching. The technique was performed in a controlled manner to improve muscle flexibility, reduce pain, and enhance cervical mobility over five treatment sessions within two weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity (Viscual Analogue Scale) | Pain intensity was assessed using the Visual Analogue Scale (VAS). The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates worst possible pain. Higher scores indicate greater pain intensity. | Baseline and 2 weeks post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical Range of Motion | Cervical range of motion was assessed using a goniometer to measure flexion, extension, lateral flexion, and rotation of the cervical spine. | Baseline and 2 weeks post-intervention |
| Neck Disability Measured by Neck Disability Index (NDI) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Lahore | Lahore | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Result | Samreen Z, Waseem I, Mustansar A. Muscle Energy Technique With and Without Myofascial Release in Patients with Cervicogenic Headache. Insights in Journal of Health Research. 2025. https://doi.org/10.71000/vy8k2r11 |
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| ID | Term |
|---|---|
| D051298 | Post-Traumatic Headache |
| ID | Term |
|---|---|
| D051271 | Headache Disorders, Secondary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000089803 | Myofascial Release Therapy |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
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This study used a parallel-group randomized controlled design. Participants were randomly allocated into two groups: one receiving Muscle Energy Technique (MET) alone and the other receiving a combination of Muscle Energy Technique and Myofascial Release (MFR). Both interventions were delivered over a fixed treatment period, and outcomes were compared between groups after completion of the intervention.
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| Myofascial Release (MFR) | Procedure | Sustained manual pressure applied to cervical and upper trapezius muscles to release fascial restrictions. |
|
Functional disability was assessed using the Neck Disability Index (NDI). The scale ranges from 0 to 50, where higher scores indicate greater disability related to neck pain. |
| Baseline and 2 weeks post-intervention |
| D009422 | Nervous System Diseases |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |