Efektivitas Myofascial Release dan Muscle Energy Technique Terhadap Kualitas Hidup Pasien Tension Type Headache

Authors

  • Hana Raisa Zukhrufa Universitas Indonesia
  • Iman Santoso Universitas Indonesia

DOI:

https://doi.org/10.55606/klinik.v4i2.3841

Keywords:

Myofascial Release, Muscle Energy Technique, Tension Type Headache

Abstract

Tension Type Headache (TTH) is a common health problem that has a significant impact on an individual's quality of life. Various physical therapies have been used to treat TTH symptoms, including Myofascial Release (MFR) and Muscle Energy Technique (MET). However, stronger evidence is still needed on the effectiveness of combining these two techniques in reducing the intensity of pain and improving the quality of life of TTH patients. The research aims to analyse the effectiveness of a combination of MFR and MET techniques on reducing pain intensity, increasing cervical range of motion, and improving the quality of life of TTH patients. This study used a systematic review method with a PRISMA-P approach and a PICOS framework. The research sample consisted of articles published between 2020 and 2025, which were identified through searches in the PubMed, Crossref, and Web of Science databases. Data analysis was conducted descriptively based on the results found in relevant studies.The results showed that the intervention of MFR and MET significantly reduced pain intensity, increased cervical range of motion, and improved the quality of life of TTH patients. The study shows that the combination of MFR and MET techniques is effective in managing TTH symptoms and can improve the patient's quality of life. These results provide a basis for non-pharmacological physical therapy in the management of TTH.

References

Adachi, K., Sakai, N., Kimpara, K., & Arizono, S. (2024). The Effect Of Physical Therapy Integrated With Pharmacotherapy On Tension-Type Headache And Migraine In Children And Adolescents. BMC Neurology, 24(1), 1–15. https://doi.org/10.1186/s12883-024-03833-7

Azhdari, N., Kamali, F., Vosooghi, O., Petramfar, P., & Rahimijaberi, A. (2023). The effect of manual therapies on tension-type headache in patients who do not respond to drug therapy: a randomized clinical trial. The Journal of manual & manipulative therapy, 31(4), 246–252. https://doi.org/10.1080/10669817.2022.2107446

Bagus Made Puja Krisnayana, Gede Parta Kinandana, Luh Putu Ratna Sundari, N. L. P. G. K. S. (2022). Hubungan Lama Duduk Dan Sikap Kerja Dengan Kejadian Tension Headache Pada Staf Kantor Pengguna Komputer Di Singaraja. Fisioterapi Jurnal Ilmiah Fisioterapi, 22(1), 53–58.

Bannepadang, C., Hadanyani, Y., & Usman, L. (2022). Pengaruh Terapi Rendam Air Hangat Pada Kaki Terhadap Penurunan Insomnia pada Lansia di Lembang Rante Uma Tahun 2022. Jurnal Ilmiah Kesehatan Promotif, 7(1), 1–14.

Chaitow, L. (2006) Muscle Energy Techniques. Elsevier, Amsterdam.

Chin, J., Qiu, W., Lomiguen, C. M., & Volokitin, M. (2020). Osteopathic Manipulative Treatment in Tension Headaches. Cureus, 12(12), 1–6. https://doi.org/10.7759/cureus.12040

Cho, S. (2019). Effects of Myofascial Release and Posture Correction Exercise on the Neck Movement and the Quality of Sleep in Patients with Chronic Tension-Type Headaches. Journal of International Academy of Physical Therapy Research. International Academy of Physical Therapy Research. https://doi.org/10.20540/jiaptr.2019.10.4.1897

Corum, M., Aydin, T., Ceylan, C. M., & Kesiktas, F. N. (2021). The comparative effects of spinal manipulation, myofascial release and exercise in tension-type headache patients with neck pain: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101319. doi.org/10.1016/j.ctcp.2021.101319

El-Tallawy, S. N., Nalamasu, R., Salem, G. I., LeQuang, J. A. K., Pergolizzi, J. V., & Christo, P. J. (2021). Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain. Pain and Therapy, 10(1), 181–209. https://doi.org/10.1007/s40122-021-00235-2

Elvan, A., Cevik, S., Vatansever, K., & Erak, I. (2024). The association between mobile phone usage duration, neck muscle endurance, and neck pain among university students. Scientific Reports, 14(1), 1–7. https://doi.org/10.1038/s41598-024-71153-4

Espí-López, G. V., Arnal-Gómez, A., Arbós-Berenguer, T., Arturo, Á., González, L., & La Vicente-Herrero, T. (2014). The types and characteristics of tension-type headaches Effectiveness of Physical Therapy in Patients with Tension-type Headache: Literature Review. J Jpn Phys Ther Assoc, 17(1), 31–38.

Fajriani, F., Arif, Y., & Deswita, D. (2021). Analisis Faktor yang Berhubungan dengan Pelaksanaan Manajemen Nyeri Non Farmakologis Oleh Perawat Pelaksana di Irna Non Bedah RSUP Dr M Djamil Padang Tahun 2015. Jurnal Ilmiah Universitas Batanghari Jambi, 21(3), 1347. https://doi.org/10.33087/jiubj.v21i3.1746

Hasannah, H. N., Agustina, D., & Kurniawan, G. P. (2024). Perbedaan Pengaruh Myofascial Release Dengan Muscle Energy Technique Terhadap Penurunan Disabilitas Mechanical Neck Pain Pada Guru Sma. Jurnal Profesional Fisioterapi, 3(1), 1–8.

Hernata Putri, A. R., & Sulistyaningsih. (2020). Myofascial Release Menurunkan Nyeri dan Meningkatkan Fungsional Leher Myofascial Pain Syndrome Otot Upper Trapezius Adinda Riestiani Hernatha Putri 1 , Sulistyaningsih 2* 1,2. Jurnal Keterapian Fisik, 5(2), 62–145.

Hidayah, N., Silalahi, P. Y., & Taihuttu, Y. M. (2018). Korelasi Tingkat Kecemasan Dengan Tension Type Headache. Molucca Medica, September, 1–10. https://doi.org/10.30598/molmed.2018.v11.i2.1

Hidayani, H., Santi, T. D., & Arbi, A. (2024). Hubungan Gaya Hidup (Lifestyle) Dan Stres Terhadap Kejadian Hipertensi Pada Laki-Laki Usia 45-54 Tahun Di Wilayah Kerja Puskesmas Ulee Kareng Kota Banda Aceh Tahun 2023. Jurnal Kesehatan Tambusai, 5(3), 10078–10084.

Ilir, S. (2025). Upaya Pencegahan Nyeri Punggung dan Kelainan Tulang Belakang Melalui Edukasi Posisi Duduk Ergonomis. Jurnal Pengabdian Kepada Masyarakat Nusantara (JPkMN), 6(2), 3277–3283.

Jannah, E. A., Irawan, D. S., & Prsetya, A. M. (2023). Manajemen Fisioterapi dalam Meningkatkan Kualitas Tidur pada Lansia Penderita Diabetes Mellitus : Studi Kasus. Jurnal Fisioterapi Dan Rehabilitasi, 7(2), 136–142. https://doi.org/10.33660/jfrwhs.v7i2.278

Khan, Z. K., Ahmed, S. I., Baig, A. A. M., & Farooqui, W. A. (2022). Effect Of Post-Isometric Relaxation Versus Myofascial Release Therapy On Pain, Functional Disability, Rom And Qol In The Management Of Non-Specific Neck Pain: A Randomized Controlled Trial. BMC Musculoskeletal Disorders, 23(567), 1–11. https://doi.org/10.1186/s12891-022-05516-1

Krisnayana, B., Kinandana, P., Sundari, L. P., & Saraswati, N. (2023). Lama Duduk dan Sikap Kerja dengan Kejadian Tension Headadche pada Pegawai Perkantoran di Kota Singaraja: Cross Sectional Study. Majalah Ilmiah Fisioterapi Indonesia, 11(200). DOI:10.24843/MIFI.2023.v11.i03.p05.

Kurnia, L., Gamayani, U., & Sadeli, H. A. (2019). Hubungan Nyeri Kepala Primer dengan Kualitas Hidup pada Remaja Usia 10-12 Tahun di Sekolah Dasar Negeri 077 Sejahtera Bandung. Jurnal Sistem Kesehatan, 4(3), 147–153.

Li, X. yu, Yang, C. hao, Lv, J. jie, Liu, H., Zhang, L. yu, Yin, M. yi, Guo, Z. lin, & Zhang, R. hong. (2023). Global, regional, and national epidemiology of migraine and tension-type headache in youths and young adults aged 15–39 years from 1990 to 2019: findings from the global burden of disease study 2019. Journal of Headache and Pain, 24(1), 1–17. https://doi.org/10.1186/s10194-023-01659-1

Limawan Susilo Nugroho. (2019). Terapi Manual Pada nyeri kepala tipe tegang kronis: tinjauan sistematis dari randomized. Berkala Neurosains, 18(1), 30–37.

Lu, Z., Zou, H., Zhao, P., Wang, J., & Wang, R. (2024). Myofascial Release for the Treatment of Tension-Type, Cervicogenic Headache or Migraine: A Systematic Review and Meta-Analysis. Pain Research and Management, 1(1), 1–11. https://doi.org/10.1155/2024/2042069

Madhuripu, P., & Vikram Singh. (2023). Myofascial Release For Tension Type Headache. International Journal of Research and Analytical Reviews, 10(3), 595-599.

Meilani, Aras, D., & Hasyar, A. R. A. (2024). Hubungan Antara Tingkat Stres Dengan Kejadian Nyeri Kepala Primer Pada Mahasiswa S1 Fisioterapi Fakultas Keperawatan Universitas Hasanuddin. Indonesian Journal of Physiotherapy, 4(1), 1–13.

Muinra, S. A. (2022). Gambaran Suspek Tension Type Headache (Tth) Pada Siswa-Siswi Yang Berusia 15-18 Tahun Di Sma Negeri 8 Pinrang. Universitas Hasanuddin.

Onan, D., Younis, S., Wellsgatnik, W. D., Farham, F., Andruškevičius, S., Abashidze, A., Jusupova, A., Romanenko, Y., Grosu, O., Moldokulova, M. Z., Mursalova, U., Saidkhodjaeva, S., Martelletti, P., & Ashina, S. (2023). Debate: differences and similarities between tension-type headache and migraine. Journal of Headache and Pain, 24(1), 1–16. https://doi.org/10.1186/s10194-023-01614-0

Putri, A. R. H., & Sulistyaningsih. (2020). Myofascial Release Menurunkan Nyeri dan Meningkatkan Fungsional Leher Myofascial Pain Syndrome Otot Upper Trapezius. Jurnal Keterapian Fisik

Rasyid, A. N. S., Muchtar, F., & Afa, J. R. (2023). Faktor-Faktor Yang Berhubungan Dengan Kejadian Tension Type Headache Pada Mahasiswa Tingkat Akhir Fakultas Kesehatan Masyarakat Universitas Halu Oleo Tahun 2023. Endemis Journal, 4(2), 1–9. https://doi.org/10.37887/ej.v4i2.42419

Repiso-Guardeño, A., Moreno-Morales, N., Armenta-Pendón, M. A., Rodríguez-Martínez, M. del C., Pino-Lozano, R., & Armenta-Peinado, J. A. (2023). Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials. International Journal of Environmental Research and Public Health, 20(5), 1–19. https://doi.org/10.3390/ijerph20054466

Saloko, B. A., Ugelta, S., & Jajat, J. (2024). Pengaruh Stretching Lower Body Untuk Meredakan Nyeri Akibat Latihan Intensitas Tinggi. Jambura Health and Sport Journal, 6(2), 117–124. https://doi.org/10.37311/jhsj.v6i2.26933

Saraswati, P.A.S., Thanaya, S.A.P.., & Vittala, G. (2024). The Effectiveness of Myofascial Release Technique and Self Exercise in Reducing Pain & Disability in Elderly with Myofascial Pain Syndrome. Jurnal Keterapian Fisik 9(1)39–46. https://doi.org/10.37341/jkf.v9i1.414

Sharma, A., Sharma, A., Rizvi, M., Kumari, S., & Sharma, P. (2022). Comparing The Effect Of Myofascial Release And Muscle Energy Technique On Craniovertebral Angle And Headache In Tension-Type Headache Patients. Revista Pesquisa Em Fisioterapia, 12(1), 1–10. https://doi.org/10.17267/2238-2704rpf.2022.e4799

Silva, M. G., Bento, V. A. A., & Castillo, D. B. (2021). Efficiency of myofascial release in patients with tension-type headaches: integrative review. Brazilian Journal Of Pain, 4(4), 374–378. https://doi.org/10.5935/2595-0118.20210058

Siregar, D. M., & Rengkuan, C. A. (2025). Analisis Faktor-Faktor yang Berperan dalam Kualitas Tidur pada Mahasiswa Tingkat Akhir. Obat: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 3(1), 1–14.

Sohail, R. (2021). Effects of Muscle Energy Technique in Patients with Tension Type Headache ; A Randomized Control Clnicial Trial. Research Square, 1(1), 1–17. https://doi.org/10.21203/rs.3.rs-270858/v1

Tulang, S., Di, B., Sukoharjo, S., Bendosari, K., & Sukoharjo, K. (2024). Edukasi Koreksi Postur Untuk Mencegah Kelainan. Kontribusi, 5(1), 51–61.

Wijaya, A., A., Henry, S., Zulkarnain, M. (2019). Hubungan Kecemasan dengan Nyeri Kepala Tipe Tegang pada Mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sriwijaya Angkatan 2013. Sriwijaya Journal of Medicine

Yuliadarwati, N. M., & Utami, K. P. (2022). Pengaruh Latihan Relaksasi Otot Progresif bagi Lansia dengan Kualitas Tidur Buruk. PengabdianMu: Jurnal Ilmiah Pengabdian Kepada Masyarakat, 7(2), 319–323. https://doi.org/10.33084/pengabdianmu.v7i2.2537

Downloads

Published

2025-05-05

How to Cite

Raisa Zukhrufa, H., & Santoso, I. (2025). Efektivitas Myofascial Release dan Muscle Energy Technique Terhadap Kualitas Hidup Pasien Tension Type Headache . Jurnal Ilmiah Kedokteran Dan Kesehatan, 4(2), 242–256. https://doi.org/10.55606/klinik.v4i2.3841