Background: Most non-pharmacological interventions for tension-type headache (TTH) focus on direct intervention in areas associated with headaches, with limited research exploring the indirect effects of interventions utilizing the fascia. Objectives: To investigate the effects of superficial back line (SBL) stretching and head-neck massage interventions on the range of motion (ROM) and neck disability index (NDI) of TTH. Design: Randomized controlled trial. Methods: The study participants were randomly allocated into three groups: SBL stretching group (n=9), head-neck massage group (n=9), and combined group (n=9). Prior to the intervention, measurements were taken for neck flexion ROM, straight leg raising test (SLRT) ROM, and NDI. The intervention consisted of 30-minute sessions conducted twice a week for 8 weeks. The second measurement took place 4 weeks after the intervention, followed by a third measurement conducted after an additional 4 weeks of intervention. Results: Comparing neck flexion ROM within each group, a significant increase was observed in the SBL stretching group after 8 weeks compared to before the intervention (P<.05). Regarding the comparison of SLRT ROM within each group, a significant increase was noted after 8 weeks compared to before the intervention in the SBL stretching, head-neck massage, and combined groups (P<.05). In terms of the comparison of NDI within each group, a significant decrease was observed in all three group after the intervention compared to before the intervention (P<.05). Conclusion: 8-week intervention involving SBL stretching, head-neck massage, and their combined application demonstrated effectiveness in improving neck flexion ROM, SLRT ROM, and the NDI for individuals with TTH.

Background: The muscles associated with tension-type headache (TTH) are connected to the scalp fascia, which is firmly attached to the superciliary ridge of the frontal bone. However, there is a paucity of data on treatments for TTH that directly target the scalp fasciae. Objectives: We aimed to validate a new manual therapy to treat TTH by applying myofascial relaxation techniques to the scalp and to examine the changes in quality of life and headache characteristics after treatment. Design: pretest-posttest control group design study. Methods: Total 24 participants with TTH (10 males, 14 females) participated in the study. Manual therapy group (MT) received standard manual therapy and scalp myofascial release technique group (SMT) received scalp myofascial release technique twice per week for 4 weeks. Brief Pain Inventory (BPI) and Headache Impact Test (HIT) for quality of life, headache frequency, duration, and Visual Analog Scale (VAS) for intensity were assessed at the pre- and post-treatment. Results: There was a significant improvement within groups in headache frequency (MT P<.05, SMT P<.001), duration (MT P<.05, SMT P<.01), VAS (MT P<.01, SMT P<.001), HIT (MT P<.001, SMT P<.001), and BPI (MT P<.001, SMT P<.001) between the pre- and post-treatment. Group differences were significant for headache duration (P=.027), but the others were not. MT and SMT reduced the impact of headaches on daily life. Also Headache frequency, duration, intensity, and BPI were improved. Conclusion: MT and SMT reduced the impact of headaches on daily life. Also Headache frequency, duration, intensity, and BPI were improved. It has been suggested that both MT and SMT can be used as a non-invasive treatment to treat the TTH, and to improve the quality of life.

Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward. Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients. Design: Observer-blind study Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target's condition was blinded to take measurements only before and after intervention. Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility. Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.

Three-dimensional motion analysis systems and force plates are used for gait phase detection and ground reaction force(GRF) or ground reaction moment(GRM) data collection. But force plates as measurement systems are restricted to laboratory environments and have limitations for abnormal walking with foot dragging. Therefore the methods were proposed to compute the GRM from the kinematic data of three-dimensional motion analysis systems. Gait phase detection with kinematic data using foot velocity algorithm(FVA) was performed. The validity of gait phase detection was obtained comparing with the results of force plates. A gait model with 7 segments was composed to compute GRM. The results of gait model with kinematic data were compared with those of force plates. The result of the vertical direction is similar. But anterior-posterior direction and lateral direction show similar tendency with some gaps.

Background:Active trigger points (TrPs) of the suboccipital muscles greatly contribute to the occurrence of chronic tension-type headache, with increased sensitivity of TrPs and facilitated referred pain.Objects:This study aimed to investigate whether the integration of high-frequency diathermy into suboccipital release is more beneficial than the use of suboccipital release alone.Methods:Thirty subjects were assigned to either experimental group-1 (EG-1) to undergo suboccipital release combined with high-frequency diathermy (frequency: 0.3 MHz, and electrode type: resistive electronic transfer), or EG-2 to undergo suboccipital release alone, or the control group (CG) with no intervention, with 10 subjects in each group. The assessment tools included the headache impact test 6 (HIT-6), perceived level of tenderness, neck disability index, and neck mobility. Intervention was performed for 10 minutes, twice per week, for 4 weeks, and measurements were performed before and after the interventions.Results:The between-group comparison of the post-test values and changes between pretest and post-test showed significant differences for all parameters at p<.05, except for the left-to-right lateral bending range. In the post hoc test, EG-1 showed significant differences for the parameters in comparison with the CG, while no significant differences in the perceived tenderness level, on both temporal regions, were found between EG-2 and CG. Furthermore, the HIT-6 score and perceived tenderness level, in the right temporal region, showed significant differences between EG-1 and EG-2. In the within-group comparison, EG-1 and EG-2 appeared to be significantly different between pretest and post-test (p<.05), except for the perceived tenderness level in the right temporal region, with significance for the EG-1 group only (p<.05).Conclusion:These findings suggest that the suboccipital release technique may be advantageous to improve headache, tenderness, and neck function and mobility, with more favorable effects with the incorporation of high-frequency diathermy.

Axial force of the bolt is very important for structural stability. To obtain stability of the structure, axial force of the bolt should satisfy the specification and be maintained over the time. Hence, It is important to the axial force of the bolt is measured and it manages. However, measuring of the axial force using sensors is very expensive. Torque method using frequently in the field is difficult to confirm accurately by the torque coefficient change. In this study, measuring of axial force using elastic force of the spring washer was studied. First, the relational formula is drawn about the pressure in which the spring washer model changes to the annular of the plane state. According to the axial force of the bolt, the necessity height of the spring washer is presented and the finite-element analysis model is recommended. The analysis model research, generally, the axial force of high strength bolt is confirmed. It expands to confirmation of the large caliber bolt.

The difference of mooring tension by type of buoy was investigated in the circulating water channel and the wave tank for deducting the most stable buoy from the current and the wave condition. 5 types of buoy made up of short cylinder laid vertically (CL-V), short cylinder laid horizontally (CL-H), capsule (CS), sphere (SP) and long cylinder (CL-L) were used for experiments. A mooring line and a weight were connected with each buoy. A tensile gauge was installed between a mooring line and a weight. All buoy’s mooring tension was measured at the same time for the wave test with periods of 1.5~3.0 sec and wave heights of 0.1~0.3 m, and the current test with flow speeds of 0.2~1.0 m/sec. As a result, the order of tension value in the wave test was CL-H > CL-V > SP > CS > CL-L. In the current test CL-V and CL-H were recorded in the largest tension value, whereas SP has the smallest tension value. So it seems that SP buoy is the most effective in the location affected by fast current. CS is predicted to be suitable for a location that influence of wave is important more than that of current if practical use in the field is considered. And it was found that the difference of mooring tension among buoys in wave is related to the product of the cross sectional area and the drag coefficient for the buoy’s bottom side in high wave height. The factor for the current condition was not found. But it was supposed to be related to complex factors like a dimension and a shape by buoy’s posture to flow.

Tension members is a type of effective structural member, which is often used in large span structures. The structure systems composed with tension members are combined in various way and specific formations. So, there are need to research into the formations of tension structure and the type of adaptation in tension structure architectures. The structure systems with tension members were considered as tension main system, vector system and tension supported bending system, comprehensively. And tension structures were classified into the formation of tension structure with uniaxial or multiaxial line tension member, with surface member, with hybrid member of line and surface, concerning the flow of tension force. In each the formation of tension structure, the typical adaptations to architecture were also investigated through architecture examples. The type of the formation can be used to plan an architecture with respect to the flow of tension force and structural feature.