Physiotherapy Intervention for treating Cervicogenic Headache by comparing effect of TYPE IV LASER and Myofascial Release in Middle Aged Population.

Physiotherapy intervention for treating cervicogenic headache by comparing effect of type IV LASER therapy and myofascial release in middle aged population.
Aim: Cervicogenic Headache (CGH) is a secondary type of headache which is often unilateral. It radiates to cervical regions such as occipital, frontal, temporal and pre-orbital. Pain episodes show varied duration of fluctuating, continuous pain. Myofascial Release (MFR) is a therapeutic technique that uses gentle pressure and stretching (direct and indirect approaches) intending to decrease pain, restore optimized length and facilitate release of fascial restrictions. Sub-occipital release is appropriate for reducing tension in soft tissues of cervical spine. High-intensity LASER therapy (HILT) is a higher-intensity laser radiation that is a new painless and powerful modality that has significant results in pain reduction.
Method: The procedure was explained to the participants after obtaining their consent. The selected participants who fulfilled the selection criteria were randomized into two groups respectively on the basis of block randomization as participants receiving type IV LASER in group 1 and participants receiving MFR in group 2.
Result: The major findings of the study were that both Group 1 (Type IV LASER Therapy) and Group 2 (MFR) showed statistically significant difference (p-value <0.05) in pre and post treatment within groups denoting their efficacy whereas there was no significant statistical difference in between the two interventions groups (p-value >0.05).
Conclusion: The conclusion drawn from results obtained in the study suggest that both Type IV LASER therapy and MFR are proven to be effective in reducing the severity of pain and improving quality of life of CGH participants.
Keywords: Cervicogenic Headache, High Level LASER Therapies, Myofascial Release, Sub-Occipital Release.

针对中年人群颈源性头痛的物理治疗干预：对比IV型激光（type IV LASER）疗法与肌筋膜释放术（Myofascial Release, MFR）的疗效。
研究背景与目的：颈源性头痛（Cervicogenic Headache, CGH）属于继发性头痛类型，多为单侧发作，疼痛可放射至枕部、额部、颞部及眶周等颈椎相关区域；疼痛发作持续时间不一，表现为波动性或持续性疼痛。肌筋膜释放术是一种治疗手段，通过轻柔按压与拉伸（包括直接与间接操作方式），旨在减轻疼痛、恢复组织最佳长度并松解筋膜粘连。枕下松解术（Sub-Occipital Release）适用于缓解颈椎软组织张力。高能量激光疗法（High-intensity LASER Therapy, HILT）是一种新型无痛、高效的治疗手段，在疼痛缓解方面已被证实具有显著效果。
研究方法：本研究在获取受试者知情同意后，向其说明试验流程。将符合纳入标准的受试者通过区组随机化方法分为两组：第1组接受IV型激光治疗，第2组接受肌筋膜释放术治疗。
研究结果：本研究的核心发现为，两组受试者在治疗前后的疼痛评分均存在统计学显著性差异（P值<0.05），证实两种干预手段均具有疗效；但两组之间的干预效果无统计学显著性差异（P值>0.05）。
研究结论：基于本试验结果可得结论：IV型激光疗法与肌筋膜释放术均能有效减轻颈源性头痛受试者的疼痛严重程度，并提升其生活质量。
关键词：颈源性头痛（Cervicogenic Headache）、高能量激光疗法（High-intensity LASER Therapy）、肌筋膜释放术（Myofascial Release）、枕下松解术（Sub-Occipital Release）