Myofascial Release Therapy Research Articles

Multimodal approach of electrotherapy versus myofascial release in patients with chronic mechanical neck pain: a randomized controlled trial

IntroductionTo investigate and compare the effect of the multimodal approach of electrotherapy and myofascial release on pain, range of motion, and functional restriction in patients with chronic mechanical neck pain.MethodsOverall, 60 patients of both genders, aged 18–40 years, with chronic mechanical neck pain were diagnosed by an orthopaedist in Shoubra General Hospital, Cairo, Egypt. They were randomly assigned into 3 groups. In group A, 20 patients received multimodal approach of electrotherapy (low level laser therapy, interferential therapy, ultrasound, and non-guideline approach in the form of stretch and strength) 3 times a week for 4 weeks. In group B, 20 patients received myofascial release therapy and non-guideline approach in the form of stretch and strength 3 times a week for 4 weeks. In group C, 20 patients received traditional therapeutic exercises in the form of stretch and strength 3 times a week for 4 weeks. All patients in all groups were evaluated pre- and post-treatment through visual analogue scale, cervical range of motion (CROM) device, and neck disability index to assess pain, CROM, and functional restriction.ResultsMultiple pairwise comparison tests (post-hoc tests) revealed that there was no significant difference between the effect of multimodal approach of electrotherapy (group A) and myofascial release therapy (group B) on pain intensity level, CROM, or functional restriction. However, these turned out significantly more effective than traditional therapeutic exercises (group C).ConclusionsBoth multimodal approach of electrotherapy and myofascial release therapy are effective in treating patients with chronic mechanical neck pain.

Therapeutic efficacy of myofascial trigger point release therapy combined with self- stretching versus self- stretching alone for the management of unilateral heel pain- comparative study

Heel pain is a common foot problem. Pain usually occurs under the heel or just behind it, where the Achilles tendon connects to the heel bone. Sometimes it can affect the side of the heel. Aim of the study: To evaluate the effectiveness of myofascial trigger point release therapy combined with self-stretching protocol versus self-stretching protocol alone for treating patients with unilateral heel pain. Methodology: A pre - test and post- test experimental study design. Group A (study group) - Patients treated with myofascial trigger point release therapy combined with self – stretching protocol. Group B (control group) - Patients treated with self- stretching protocol alone. A sample of 30 patients were randomly selected according to pre- determined inclusion criteria and divided into Group A (Study group -15 patients) and Group B (Control group – 15 patients). Both groups were evaluated using Visual Analogue Scale and Foot Function Index for every consecutive session. First day pre- test measurement was taken and the outcome was assessed at the end of the week, parameters was assessed Results: The mean value of VAS group A (1.13) p

Effects of Myofascial Release on Pressure Pain Thresholds in Patients With Neck Pain: A Single-Blind Randomized Controlled Trial.

This study aimed to investigate the efficacy of myofascial release therapy (MRT) for improving pressure pain thresholds (PPTs) and pain in patients with mechanical neck pain. Forty-one participants with neck pain were randomly allocated to either a MRT group (five sessions) or a physical therapy (PT) group (ten sessions) for 2 wks. The multimodal PT program included ultrasound therapy (US), transcutaneous electric nerve stimulation, and massage. Visual analog scale (VAS) and PPTs in suboccipital and upper trapezius muscles were measured at baseline, at the end of treatment, and at 1 month follow-up. At the end of treatment, significant mean differences in VAS (-0.99, 95% confidence interval [CI] = -1.82 to -0.16), in both left (0.28, 95% CI = 0.06 to 0.50) and right (0.40, 95% CI = 0.16 to 0.63) suboccipital PPTs and in the right trapezius PPT (0.38, 95% CI = 0.07 to 0.69) were observed. At 1-month follow-up, significant mean differences were found for VAS (-1.85, 95% CI = -2.76 to -0.94) and both left (0.46, 95% CI = 0.12 to 0.80) and right (0.38, 95% CI = 0.06 to 0.69) suboccipital PPTs. This study provides evidence that MRT could be better than a multimodal PT program for short-term improvement of pain and PPTs in patients with neck pain.

The Effect of Posterior Neck Myofascial Release Therapy and Massage on Upper Trapezius Myalgia and Sleep Quality in Casino Employees

This study investigated the effects of myofascial release therapy and massage on upper trapezius myalgia and sleep quality in 60 female and male individuals employed at casinos between the ages of 20-49. Subjects were divided into three groups: a myofascial release therapy group (n=20), a massage group (n=20), and a control group (n=20). Each intervention lasted 15 minutes and was performed 4 times a week for 4 weeks. Pain was significantly decreased after the application of myofascial release therapy and massage (p<.05), however slightly increased in the control group, and myofascial release therapy reduced pain a little more than massage. Sleep quality was also significantly increased by myofascial release and mass (p<.05), however only slightly in the control group. The findings of this study suggest that myofascial release therapy and massage are effective in improving upper trapezius myalgia and sleep quality in casino employees.

Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review

Objective: To evaluate the evidence on the effectiveness of myofascial release therapy to relieve chronic musculoskeletal pain and to improve joint mobility, functioning level, and quality of life in pain sufferers. Data sources and review: Randomized controlled trials were systematically gathered from CENTRAL, Medline, Embase, CINAHL, Scopus, and PEDro databases. The methodological quality of articles was assessed according to the Cochrane Collaboration’s domain-based framework. In addition, the effect sizes of main outcomes were calculated based on reported means and variances at baseline and in follow-up. Results: Of 513 identified records, 8 were relevant. Two trials focused on lateral epicondylitis (N = 95), two on fibromyalgia (N = 145), three on low back pain (N = 152), and one on heel pain (N = 65). The risk of bias was considered low in three and high in five trials. The duration of therapy was 30–90 minutes 4 to 24 times during 2–20 weeks. The effect sizes did not reach the minimal clinically important difference for pain and disability in the studies of low back pain or fibromyalgia. In another three studies with the high risk of bias, the level of minimal clinically important difference was reached up to two-month follow-up. Conclusion: Current evidence on myofascial release therapy is not sufficient to warrant this treatment in chronic musculoskeletal pain.

Effectiveness of Myofascial Release Therapy with Shoulder Taping on Subacromial Impingement Syndrome in Collegiate Basket Ball Players -A Quasi experimental Pilot study

Background: Shoulder complex dysfunction can arise when any of its components goes for malfunction. Overhead athletes cause impingement in the shoulder due to subacromial impingement or anterior instability. Myofascial tightness is found to be the common causative mechanism for the shoulder pain, though the literatures were not detailed in considering the myofascial tightness and the management.Aims &amp; Objective: The aim of the study was to find out the effect of myofascial release therapy with shoulder taping on subacromial impingement syndrome in collegiate basketball players. Quasi experimental pilot study with 38 collegiate basketball players who participated in the university tournaments were selected for the study. 19 players in control group were under myofascial therapy whereas 19 players in experimental group underwent shoulder taping and myofascial release therapy.Result: The outcome measures were pain and functional ability. Pain was assessed using numerical pain rating scale, and functional ability was assessed using SPADI. Unrelated ‘t’ test was done to evaluate the effect of the treatment for pain value between groups is 13.9 with the p value &lt;0.05% and SPADI scale was 13.8 with the p value &lt;0.05%. The result shows that the myofascial release therapy with shoulder taping had more significant improvement than myofascial release therapy only.Conclusion: Study concludes that shoulder taping and myofascial release therapy helps in reducing pain and improvement of functional disability.Bangladesh Journal of Medical Science Vol.15(3) 2016 p.347-351

A Comparison and Review of Indirect Myofascial Release Therapy, Instrument-Assisted Soft Tissue Mobilization, and Active Release Techniques to Inform Clinical Decision Making

"A Comparison and Review of Indirect Myofascial Release Therapy, Instrument-Assisted Soft Tissue Mobilization, and Active Release Techniques to Inform Clinical Decision Making" published on Sep 2015 by Human Kinetics, Inc..

Chiropractic and rehabilitation management of a patient with extraforaminal entrapment of L4 nerve with balance problem.

Disc herniation is one of the most common causes of low back pain with radicular pain. Among various types of disc herniation, the extraforaminal disc herniation is a rare cause of lumbar radiculopathy. The aim of presenting this case study is to demonstrate the benefits of Chiropractic care including spine and extremity manipulation and rehabilitation in the treatment of a rare case of extraforaminal L4 nerve entrapment causing severe L4 radiculopathy and chronic mild low back pain (LBP). The aim of presenting this case study is to demonstrate the benefits of Chiropractic care including spine and extremity manipulation and rehabilitation in treatment of rare case of extraforaminal L4 nerve entrapment which caused severe L4 radiculopathy and chronic mild low back pain (LBP). A 45-year old female patient arrived at the clinic with chronic mild low back pain and right buttock pain, all of which had presented for two years' duration. During the preceding month, the radicular pain initiated in medium to high intensity, radiating to her right leg following the L4 dermatomal pattern with a periodic tingling sensation in her right foot. A neuro exam demonstrated a proprioception deficit in her right leg. A Romberg test was positive. The patient was treated by low amplitude high velocity spinal and extremity manipulation for 10 consecutive sessions (2 weeks), followed by rehabilitation and exercise therapy including advanced myofascial release therapy for an additional 12 sessions (4 weeks). After treatment, the patient reported a significant improvement in her low back pain and radiculopathy. In addition, she achieved some improvement in balance. It seems that Chiropractic care and rehabilitation therapy may be a safe and effective modality in treatment of an L4 radiculopathy in a patient with an extraforaminal L4 nerve entrapment. Although it is rare, an L4 extraforaminal disc herniation should be considered as a possible cause of symptoms in patients with chronic mild low back pain and severe L4 radiculopathy.

Multi-frequency bioimpedance in equine muscle assessment

Multi-frequency BIA (mfBIA) equipment has been shown to be a non-invasive and reliable method to assess a muscle as a whole or at fibre level. In the equine world this may be the future method of assessment of training condition or of muscle injury. The aim of this study was to test if mfBIA reliably can be used to assess the condition of a horse’s muscles in connection with health assessment, injury and both training and re-training.mfBIA measurements was carried out on 10 ‘hobby’ horses and 5 selected cases with known anamnesis. Impedance, resistance, reactance, phase angle, centre frequency, membrane capacitance and both extracellular and intracellular resistance were measured. Platinum electrodes in connection with a conductance paste were used to accommodate the typical BIA frequencies and to facilitate accurate measurements. Use of mfBIA data to look into the effects of myofascial release treatment was also demonstrated.Our findings indicate that mfBIA provides a non-invasive, easily measurable and very precise assessment of the state of muscles in horses. This study also shows the potential of mfBIA as a diagnostic tool as well as a tool to monitor effects of treatment e.g. myofascial release therapy and metabolic diseases, respectively.

Effectiveness of myofascial release: Systematic review of randomized controlled trials

Myofascial release (MFR) is a form of manual therapy that involves the application of a low load, long duration stretch to the myofascial complex, intended to restore optimal length, decrease pain, and improve function. Anecdotal evidence shows great promise for MFR as a treatment for various conditions. However, research to support the anecdotal evidence is lacking. To critically analyze published randomized controlled trials (RCTs) to determine the effectiveness of MFR as a treatment option for different conditions. Electronic databases: MEDLINE, CINAHL, Academic Search Premier, Cochrane library, and Physiotherapy Evidence Database (PEDro), with key words myofascial release and myofascial release therapy. No date limitations were applied to the searches. Articles were selected based upon the use of the term myofascial release in the abstract or key words. The final selection was made by applying the inclusion and exclusion criteria to the full text. Studies were included if they were English-language, peer-reviewed RCTs on MFR for various conditions and pain. Data collected were number of participants, condition being treated, treatment used, control group, outcome measures and results. Studies were analyzed using the PEDro scale and the Center for Evidence-Based Medicine's Levels of Evidence scale. The literature regarding the effectiveness of MFR was mixed in both quality and results. Although the quality of the RCT studies varied greatly, the result of the studies was encouraging, particularly with the recently published studies. MFR is emerging as a strategy with a solid evidence base and tremendous potential. The studies in this review may help as a respectable base for the future trials.

Role of myofascial release therapy on pain and lumbar range of motion in mechanical back pain: An exploratory investigation of desk job workers

Background: Low back pain is the most common cause of work related disability in persons aged less than 45 years. Workers who sit in front of the computer for more than 40 hours per week end up with low back pain. Bad positioning of the body parts in a single day doesn’t make poor postures, whereas adaptation of the incorrect posture for a longer duration results in weak muscles and postural problems. Abnormal posture results in pain, disability and muscle weakness. Most of the management of low back pain focuses on the rehabilitation of the pain and very few studies focus on work station corrections. Aim: This study aims to find out the effect of work station modification with Myofascial release therapy on pain and lumbar flexion range of motion in mechanical low back pain in desk job workers. Methods: Forty subjects were included using simple random sampling method, subjects were chosen following an inclusion and exclusion criteria. Group A, underwent myofascial release therapy, whereas group B underwent myofascial release therapy technique with work station modification. The outcome measures were pain and range of motion of lumbar spine, which measured using visual analogue scale and modified schober’s method. Student ‘t’ test was used to find out the difference between the groups. Results: This study showed that there was a significant difference between the group A &amp; group B. Conclusion: The study concludes that the work station modification along with myofascial release therapy was very effective in improving range of motion, and reducing pain.

Efficacy of Myofascial Release Method on Pain and Disease Severity in Patients with Fibromyalgia

Fibromyalgia (FM) is a poorly understood chronic condition characterized by widespread muscle pain and tender points. Aerobic exercises, antidepressants, electrotherapy, acupunctur, psychotherapy, behavior therapy, massage used alone or in conjunction with one another, may provide some relief of clinical features. The study was aimed to evaluate the efficacy of Myofascial release (MFR) method on pain and disability level in patients with fibromyalgia. Thirty-six fibromyalgia patients who applied MFR were scrutinized for pain intensity, disability and level of depressive symptoms. Pain intensity, disability and depressive symptoms were evaluated by Visual Analogue Scale (VAS), Fibromyalgia Impact Questionnaire (FIQ), and Hamilton Depression Rating Scale (HDRS) respectively. Fibromyalgia is considered as neuropathic pain in recent years. Therefore, Leeds assessment of neuropathic symptoms and signs (LANSS) was used for evaluating the neuropathic pain. All subjects were evaluated at pre-intervention and post-intervention. Senior physiotherapist who experienced treating soft tissue rheumatism and advanced training in MFR delivered the therapy. MFR therapy consisted of prolonged assisted stretching of painful areas of soft tissue of the neck, back, arms, and legs. The subjects were 37.5 ± 4.5 years of age, with fibromyalgia for 3.4 ± 1.9 years. There were no adverse events or early discontinuations. Recruitment was completed in three weeks. There were significant improvements in the mean score of VAS, FIQ total and HDRS scales after MFR therapy (p<0.001). There were no adverse effects seen during maintenance treatment. MFR therapy may shed light on the management of FM as an effective and reliable method

Myofascial Release as a Treatment for Orthopaedic Conditions: A Systematic Review

To critically analyze published literature to determine the effectiveness of myofascial release therapy as a treatment for orthopaedic conditions. We searched the following electronic databases: MEDLINE, CINAHL, Academic Search Premier, Cochrane Library, and Physiotherapy Evidence Database (PEDro), with key words myofascial release, myofascial release therapy, myofascial release treatment, musculoskeletal, and orthopedic. No date limitations were applied to the searches. Articles were selected based upon the use of the term myofascial release in the abstract or key words. Final selection was made by applying the inclusion and exclusion criteria to the full text. Studies were included if they were English-language, peer-reviewed studies on myofascial release for an orthopaedic condition in adult patients. Ten studies were eligible. Data collected were number of participants, condition being treated, treatment used, control group, outcome measures and results. Studies were analyzed using the PEDro scale and the Center for Evidence-Based Medicine's Levels of Evidence Scale. Study scores on the PEDro scale ranged from 6 of 10 to 8 of 10. Based on the Levels of Evidence Scale, the case studies (n = 6) were of lower quality, with a rank of 4. Three of the 4 remaining studies were rated at 2b, and the final study was rated at 1b. The quality of studies was mixed, ranging from higher-quality experimental to lower-quality case studies. Overall, the studies had positive outcomes with myofascial release, but because of the low quality, few conclusions could be drawn. The studies in this review may serve as a good foundation for future randomized controlled trials.

A pilot study of myofascial release therapy compared to Swedish massage in Fibromyalgia

Fibromyalgia (FM) is characterized by widespread muscle pain and soft tissue tenderness. However, a lack of definitive muscle pathology has made FM both a diagnostic and a treatment puzzle. Much of the evidence for pathology in FM lies in the central nervous system - in particular abnormal amplification of pain signals in the spinal cord - a manifestation of central sensitization. An emerging body of evidence posits that peripheral pain generated from the muscles and fascia may trigger and maintain central sensitization in FM. Since FM patients so frequently seek manual therapy to relieve muscle symptoms, the present study compared two different manual therapy techniques in a parallel study of women with FM. Eight subjects received myofascial release (MFR) while four subjects received Swedish massage, 90min weekly for four weeks. Overall symptom burden and physical function were assessed by the Fibromyalgia Impact Questionnaire Revised (FIQ-R). A unique challenge for the manual therapist in treating conditions involving central sensitization is to determine if localized pain reduction can be achieved with targeted therapy in the context of ongoing widespread pain. Localized pain improvement was measured by a novel questionnaire developed for this study, the modified Nordic Musculoskeletal Questionnaire (NMQ). Between-group differences in FIQ-R did not reach statistical significance, but the total change scores on FIQ-R for the MFR group (mean=10.14, SD=16.2) trended in the hypothesized and positive direction compared to the Swedish massage group (mean=0.33, SD=4.93) yielding a positive Aikin separation test. Although overall modified NMQ scores improved in both groups there were no consistent focal areas of improvement for the Swedish massage group. In contrast, the MFR group reported consistent pain reductions in the neck and upper back regions on the NMQ. These data support the need for larger randomized controlled trials of MFR versus other massage techniques and support the assessment of localized pain reduction in future manual therapy studies in FM.

Femoral neck stress fracture in a female athlete: a case report

ObjectiveThe purpose of this case report is to describe chiropractic rehabilitation of a master's-level athlete with proximal femoral stress fracture and provide a brief discussion of stress fracture pathology. Clinical FeaturesA 41-year-old female master's-level endurance athlete presented with chronic groin pain later diagnosed and confirmed by magnetic resonance imaging as a stress fracture of the femoral neck. After diagnosis, the patient was referred to a doctor of chiropractic at week 1 of the non–weight-bearing physical rehabilitation process. At that time, the patient presented with sharp and constant groin pain rated 6/10 on a numeric rating scale. Intervention and OutcomeThis patient avoided weight-bearing activity for 8 weeks while cross-training and was able to return to her sport after this period. The patient was progressed through a series of non–weight-bearing strengthening exercises for the lower extremity. Myofascial release therapy was performed on the gluteal, hip flexor, and groin muscle groups to improve range of motion. Motion palpation testing the lumbar and sacroiliac joints was performed during each session, and manipulative therapy was performed when necessary. The patient was seen once a week for 8 weeks. Reevaluation was performed at week 8; at that time, the patient reported no groin pain (0/10). The patient was discharged from care and referred back to the supervising physician for clearance to return to sporting activities. One month after discharge, she reported that she was pain free and had fully returned to sport activities. ConclusionThis case report demonstrates the importance of a through clinical history, physical examination, and magnetic resonance imaging in the accurate diagnosis of a patient with chronic groin pain and that chiropractic care can contribute to rehabilitation programs for these injuries.

Comparative study on the effectiveness of myofascial release manual therapy and physical therapy for venous insufficiency in postmenopausal women

Venous insufficiency is present in a large number of postmenopausal women, increasing their risk of disability. The objective of this study was to determine the effects of myofascial release therapy and conventional kinesiotherapy on venous blood circulation, pain and quality of life in postmenopausal patients with venous insufficiency. A randomised controlled trial was undertaken. We enrolled 65 postmenopausal women with stage I or II venous insufficiency on the clinical, aetiological, anatomical and physiopathological (CEAP) scale of venous disorders, randomly assigning them to a control (n=32) or experimental (n=33) group. The control and experimental group patients underwent physical venous return therapy (kinesiotherapy) for a 10-week period, during which the experimental group patients also received 20 sessions of myofascial release therapy. Main outcome measures determined pre- and post-intervention were blood pressure, cell mass, intracellular water, basal metabolism, venous velocity, skin temperature, pain and quality of life. Basal metabolism (P<0.047), intracellular water (P<0.041), diastolic blood pressure (P<0.046), venous blood flow velocity (P<0.048), pain (P<0.039) and emotional role (P<0.047) were significantly higher in the experimental group than in the control group after the 10-week treatment programme. The combination of myofascial release therapy and kinesiotherapy improves the venous return blood flow, pain and quality of life in postmenopausal women with venous insufficiency.

Complications of Chronic Prostatitis

Chronic prostatitis (CP) is a pelvic condition in men that needs to be distinguished from other forms of prostatitis, such as acute and chronic bacterial prostatitis. CP is characterized by pelvic or perineal pain lasting longer than 3 months without evidence of urinary tract infection. Symptoms may wax and wane and pain may radiate to the back and perineum, causing discomfort while sitting. Dysuria, frequency, urgency, arthralgia, myalgia, unexplained fatigue, abdominal pain, and burning sensation in the penis may be present. Post-ejaculatory pain, mediated by nerves and muscles, is a hallmark of the condition and serves to distinguish CP/chronic pelvic pain syndrome (CPPS) patients from men with benign prostatic hyperplasia and healthy men. Some patients report low libido, sexual dysfunction, and erectile difficulties. The symptoms of CP/CPPS appear to result from interplay between psychological factors and dysfunction in the immune, neurological, and endocrine systems. Some researchers have suggested that CPPS is a form of painful bladder syndrome/interstitial cystitis (PBS/IC). Therapies shown to be effective in treating IC/PBS (eg, quercetin) have shown some efficacy in CP/CPPS. Recent research has focused on genomic and proteomic aspects of the related conditions. There are no definitive diagnostic tests for CP/CPPS. This is a poorly understood disorder, even though it accounts for 90% to 95% of prostatitis diagnoses. Its peak incidence is in men 35 to 45 years old. In 2007, the National Institute of Diabetes and Digestive and Kidney Diseases began using the umbrella term urologic chronic pelvic pain syndromes to refer to pain syndromes associated with the bladder (eg, IC/PBS) and prostate gland (eg, CP/CPPS). The prognosis for CP/CPPS has improved greatly with the advent of multimodal treatment, including phytotherapy, pelvic nerve myofascial trigger point release, anxiety control, and chronic pain therapy.

The accurate assessment and physiotherapeutic treatment of rotator cuff myofascial Pain Syndrome: A case report

Management of patients with rotator cuff myofascial pain syndrome varies and successful intervention is dependent on accurate assessment. The aim of this case report is to show the importance of accurate assessment and clinical reasoning in the physiotherapeutic management of a patient suffering from ante-cubital and anterior shoulder pain. The patient was referred for physiotherapy after proving refractory to treatment with non-steroidal anti-inflammatory medication. The physiotherapist diagnosed a rotator cuff myofascial pain syndrome and treatment proceeded on that basis. Treatment consisted of twitch-obtaining dry needling, myofascial release and exercise therapy. The result was a change in the harryman rotator cuff functional Assessment Scale score from 22/52 to 43/52 over eight treatments. Strength was regained and subjective pain report on the visual rating scale was improved to 1/10. The case study highlights the importance of accurate assessment and consideration of alternative myofascial sources for pain even in circumstances which initially seem trauma related. Precise diagnosis of the cause - in this case rotator cuff myofascial pain syndrome – will result in effective treatment being administered.

Chronic Tension Type Headache and the Impact of Myofascial Trigger Point Release in the Short Term Relief of Headache

Purpose: This study investigated the effect of myofascial release in relieving the symptoms of Chronic TensionType Headache (CTTH) Methods: The study used a convenience sampling pretest-post test design. 31 people (7men and 24 women, age range 18-58 years, mean age 32 years) with CTTH participated in the study. The headachesample was screened for MTrP in the cranial and pericranial muscles and was treated with myofascial releasetherapy. The outcomes were measured in terms of the number of headache days in a week and the headache painlevel measured in visual analog scale (VAS). Analysis: The analysis was done using paired ‘t’ test at 95%confidence interval Results: The study showed significant improvements in reduction of the number of headachedays (p < 0.001) and the headache pain level (p < 0.001) following treatment. Conclusion and Implications:Myofascial release therapy to the trigger points in people with CTTH has a positive influence in decreasing painintensity and frequency in CTTH sufferers. In future, during management of CTTH screening for myofascialtrigger points and concomitant treatment using myofascial release could be considered.

FP58-FR-06 Efficacy of myofascial release therapy in a population with cervicogenic headache

FP58-FR-06 Efficacy of myofascial release therapy in a population with cervicogenic headache