Telerehabilitation-Supervised Self Dural Tube Stretching Versus Clinic-Based Dural Tube Myofascial Release on Pain Intensity and Cervical Flexion-Rotation Range in Individuals with Cervicogenic Headache: A Randomized Clinical Trial

Description

Background: Cervicogenic headache (CGH) is a secondary headache disorder arising from musculoskeletal dysfunction in the cervical spine and surrounding soft tissues. Muscle tightness, trigger points, and aberrant activation patterns can increase dural tension, contributing to CGH. While dural tube stretching and myofascial release (MFR) techniques theoretically address this mechanism, they remain under-investigated. Although clinic-based physiotherapy is the current standard of care, barriers such as accessibility, mobility limitations, and service demand have increased interest in telerehabilitation. Purpose: To determine and compare the effect of telerehabilitation supervised self-dural tube stretching with clinic-based dural tube myofascial release (DTMR) on pain intensity and cervical flexion rotation range (CFRR) and patient satisfaction in CGH Methods: This study was a randomized clinical trial conducted on 32 clinically diagnosed participants with CGH aged 21 to 45 years. Participants were randomly allocated into two distinct intervention groups: Group A participated in a telerehabilitation program involving supervised self-dural tube stretching delivered via synchronous videoconferencing. At the same time, Group B received hands-on, clinic-based DTMFR. Both interventions were structured as intensive, comprising 30-minute daily sessions over five consecutive days. Outcome measures included the visual analog scale (VAS) for assessing pain intensity, a CFRR, and a patient satisfaction scale to gauge the participant experience.

Institutions

• KLE University

  Karnataka, Belagavi

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