{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T11:50:13Z","timestamp":1773575413974,"version":"3.50.1"},"reference-count":47,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This study compares the effect of foam rolling (FR) vs. manual therapy (MT) on pain, pressure pain threshold (PPT), headache disability (HDI) and impact of headache (HIT-6) in patients with tension-type headache (TTH). Methods: A total of 38 participants with TTH were randomly assigned to an FR group (FRG, n = 13), an MT group (MTG, n = 13) or a control group (CG, n = 12). FRG received FR treatment; MTG received MT techniques; CG received a placebo treatment. The treatment lasted one month. Outcome measures were assessed at baseline, post-intervention and follow-up. Results: Both FRG and MTG showed significant improvements in all variables after the treatment, but the intervention effect was maintained only for functional disability (p = 0.002 and p = 0.005, respectively), overall disability (p = 0.007; p = 0.030) and HIT-6 (p = 0.002; p = 0.001) at follow-up. After treatment, FRG and MTG presented a significantly higher PPT in right (p = 0.044; p = 0.009) and left suboccipital (p = 0.004; p = 0.021). MTG showed a significantly lower HIT-6 than CG (p = 0.008). No differences between FRG and MTG were found in any variable. Conclusions: Both FR and MT are effective treatments for the improvement of clinical symptoms in TTH. Further studies are needed to confirm our findings in a larger population.<\/jats:p>","DOI":"10.3390\/jcm11071778","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T22:08:06Z","timestamp":1648073286000},"page":"1778","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Foam Rolling vs. Manual Therapy in Patients with Tension-Type Headache: A Randomized Pilot Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0042-8034","authenticated-orcid":false,"given":"Gemma V.","family":"Espi-Lopez","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5328-2692","authenticated-orcid":false,"given":"Marta","family":"Ingles","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0740-3772","authenticated-orcid":false,"given":"Juan J.","family":"Carrasco-Fernandez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0743-3445","authenticated-orcid":false,"given":"Pilar","family":"Serra-A\u00f1\u00f3","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Copete-Fajardo","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Jose","family":"Gonzalez-Gerez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, c\/Carretera de Sacramento s\/n, La Ca\u00f1ada, 04120 Almer\u00eda, Spain"},{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Saavedra-Hernandez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almer\u00eda, c\/Carretera de Sacramento s\/n, La Ca\u00f1ada, 04120 Almer\u00eda, Spain"},{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8554-5402","authenticated-orcid":false,"given":"Elena","family":"Marques-Sule","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Physical Therapy, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/0333102417738202","article-title":"Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition","volume":"38","author":"Arnold","year":"2018","journal-title":"Cephalalgia"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/j.1468-2982.2007.01288.x","article-title":"The global burden of headache: A documentation of headache prevalence and disability worldwide","volume":"27","author":"Stovner","year":"2007","journal-title":"Cephalalgia"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/1129-2377-15-31","article-title":"The impact of headache in Europe: Principal results of the Eurolight project","volume":"15","author":"Steiner","year":"2014","journal-title":"J. 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