Review Article

Myofascial Release for the Treatment of Tension-Type, Cervicogenic Headache or Migraine: A Systematic Review and Meta-Analysis

Table 1

General studies’ characteristics and intervention characteristics and outcome measures.

ReferencesCountryDisease typeParticipant (male/female)Age (years)Interventions and timeIntervention length, frequency, and durationNeeded outcomes
SumEGCGEGCGEGCGEGCG

Xiong et al. [24]ChinaCGH12462 (27/35)62 (29/33)41.6 ± 7.838.7 ± 6.3MFR + Mulligan’s mobilization + drug therapyDrug therapyThe control group was treated with the same basic drugs + for 10 days, and fascia manual release combined with dynamic joint loosening was treated once a dayCelecoxib gum 200 mg once a day, eperisone hydrochloride tablet 50 mg 3 times a day, compound danshen tablet 960 mg 3 times a day. The duration of treatment was 10 daysPain (VAS)

Shrivastava et al. [25]IndiaCGH3015 (unspecified)15 (unspecified)MFR + physiotherapy programPhysiotherapy programFive times a week for six weeksFive times a week for six weeksPain (VAS), disability (NDI)

Shabbir et al. [26]PakistanCGH2211 (3/8)11 (4/7)30.63 ± 4.9033.18 ± 3.62MFR + physiotherapy programSNAG technique + Physiotherapy programThree times a week for six weeksThree times a week for six weeksPain (NRS) disability (NDI)

Espí-López et al. [27]SpainMigraine4623 (1/22)23 (7/16)33.9 ± 11.533.9 ± 11.5MFR + physiotherapy program (30 min)Physiotherapy program (30 min)8 weeks, 4 sessions (once every 15 days)8 weeks, 4 sessions (once every 15 days)Disability (HIT-6,MIDAS)

Hosseinifar et al. [28]IranTTH3015 (female)15 (female)25.06 ± 7.6429.33 ± 11.63MFR + exercise (45 minutes)No interventionFour times a week for three weeksPain (NRS) disability (HDI)

Cho et al. [29]KoreaTTH6016 (5/11)17 (5/12)33.23 ± 8.7438.07 ± 10.94MFR (15 minutes)No interventionTwice a week, 4 weeks/twice a week, 4 weeks + 3 extra training sessions at homeDisability (NDI)
15 (4/11)35.56 ± 8.57MFR (15 minutes) + exercise

Corum et al. [30]TurkeyTTH3015 (4/11)12 (4/8)30.7 ± 8.032.5 ± 6.5MFR (10 minutes) + exerciseExerciseMFR for twice a week and exercise for three times a week, 4 weeksThree times a week, 4 weeksPain (VAS), disability (NDI,HIT-6)
Azhdari et al. [31]IranTTH2412 (5/7)12 (4/8)43.1641.41MFR + mobilization + drug therapy (30 min)Drug therapyThree therapy sessions for one weekNortriptyline 50 qsh and valporae Na 200 mg BIDPain (NRS) disability (NDI)

Cho et al. [32]KoreaTTH4514 (3/11)13 (3/10)36.60 ± 8.3339.07 ± 10.99MFR (15 minutes)No interventionTwice a week, 4 weeks/twice a week, 4 weeks + 3 extra training sessions at homeDisability (HIT-6)
14 (4/10)36.00 ± 8.47MFR (15 minutes) + exercise

Mosallanezhad et al. [33]USAMigraine4020 (12/8)20 (12/8)40.4 ± 11.237.45 ± 8.9MFR + stretch (20 minutes)Placebo-controlThree times a week for two weeksThree times a week for two weeksPain (VAS) disability (NDI)

CGH, cervicogenic headache; TTH, tension-type headache; EG, experiment group; CG, control group; MFR, myofascial release; VAS, visual analog scale; NDI, neck disability index; HIT-6, Headache Impact Test; MIDAS, migraine disability assessment; HDI, head disability index; NRS, numerical rating scale.