Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background: Although greater success of myofascial release technique, there are several contraindications, before therapist decides to utilize a myofascial release technique he or she must be sure that no contraindications are present and the technique need more experience to learn. Thus we found a need to investigate if there is an effect of trigger point low level laser point puncture as an easy, non-harmful technique other than myofascial release technique on headache severity, MTrP in patients with tension headache. Purpose: To assess the effectiveness trigger point laser puncture by comparing it with a standard technique such as myofascial release in treating the patients with tension type headache. Subjects: The study were conducted on 40 patients who matched the inclusion and exclusion criteria signed consent form and we have the approval from ethical committee, patients randomly assigned into two groups; Group (A) which composed of 20 patients (females) treated with myofascial release technique, Group (B) which composed of 20 patients (females) treated with low level laser point puncture. Methods: Myofascial release technique group treated with techniques as prescribed in methodology section 3 session per week for 6 weeks. Trigger point laser group treated with 904 nm Ga-As I.R laser with 3J / point for 90 sec and myofascial release as group (A) as prescribed in methodology section 3 session per week for 6 weeks. The two groups were assessed before treatment, after treatment and after 4 weeks follow-up for (MTrP) by Pressure pain algometer and Tension type Headache severity progression by Headache Disability Index

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