Short-term effects of traditional Thai massage on electromyogram, muscle tension and pain among patients with upper back pain associated with myofascial trigger points

Background. Chronic nonspecific low back pain (LBP) is one of the common health issues. Hamstring tightness contributes to the development of LBP. This study aimed to investigate the acute and short-term effects of deep dry needling (DN) in patients with chronic nonspecific LBP and hamstring muscle tightness. Methods. A single-group pretest-posttest clinical study design was followed. The outcome measures were the visual analog scale (VAS), passive knee extension (PKE) test, finger-floor distance (FFD) test, and functional rating index (FRI). Patients underwent one session of deep DN of three points on both hamstring muscles, each point for one minute. Patients were assessed before (T0), immediately after (T1), and one week after DN (T2). The FRI was assessed at T0 and T2. Results. Ten women with a mean age of 21.1 years (SD = 1.6) participated in the study. Significant large effect sizes in VAS pain reduction (d = 1.25) and PKE hamstring tightness were obtained (hamstring: right, d = 0.82; left, d = 0.88) at T2. Medium effect sizes were obtained for FFD (d = 0.45) and FRI (d = 0.72) at T2. Conclusion. A single session of deep DN improved pain and function and increased hamstring flexibility. This pilot study supports the use of DN in patients with LBP and hamstring tightness; however, future research with a rigorous study design of randomized controlled trial is required to confirm the findings. This trial is registered with IRCT20180511039612N1.

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Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial

Journal of Clinical Medicine ◽

10.3390/jcm9061665 ◽

2020 ◽

Vol 9 (6) ◽

pp. 1665 ◽

Cited By ~ 2

Author(s):

Santiago Garcia-de-Miguel ◽

Daniel Pecos-Martin ◽

Tamara Larroca-Sanz ◽

Beatriz Sanz-de-Vicente ◽

Laura Garcia-Montes ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Pain Intensity ◽

Controlled Trial ◽

Trigger Points ◽

Mean Difference ◽

Dry Needling ◽

Short Term ◽

Myofascial Trigger Points ◽

Randomized Controlled

Procedures such as dry needling (DN) or percutaneous electrical nerve stimulation (PENS) are commonly proposed for the treatment of myofascial trigger points (MTrP). The aim of the present study is to investigate if PENS is more effective than DN in the short term in subjects with mechanical neck pain. This was an evaluator-blinded randomized controlled trial. Subjects were recruited through announcements and randomly allocated into DN or PENS groups. Pain intensity, disability, pressure pain threshold (PPT), range of motion (ROM), and side-bending strength were measured. The analyses included mixed-model analyses of variance and pairwise comparisons with Bonferroni correction. The final sample was composed of 44 subjects (22 per group). Both groups showed improvements in pain intensity (ηp2 = 0.62; p < 0.01), disability (ηp2 = 0.74; p < 0.01), PPT (ηp2 = 0.79; p < 0.01), and strength (ηp2 = 0.37; p < 0.01). The PENS group showed greater improvements in disability (mean difference, 3.27; 95% CI, 0.27–6.27) and PPT (mean difference, 0.88–1.35; p < 0.01). Mixed results were obtained for ROM. PENS seems to produce greater improvements in PPT and disability in the short term.

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Short-term effects of kinesio taping on trigger points in upper trapezius and gastrocnemius muscles

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2017.11.005 ◽

2018 ◽

Vol 22 (3) ◽

pp. 700-706 ◽

Cited By ~ 6

Author(s):

Leonid Kalichman ◽

Inbar Levin ◽

Itzhak Bachar ◽

Elisha Vered

Keyword(s):

Trigger Points ◽

Short Term ◽

Kinesio Taping ◽

Upper Trapezius ◽

Gastrocnemius Muscles ◽

Short Term Effects

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Short-Term Effects of Kinesio Taping in Women with Pregnancy-Related Low Back Pain: A Randomized Controlled Clinical Trial

Medical Science Monitor ◽

10.12659/msm.898353 ◽

2016 ◽

Vol 22 ◽

pp. 1297-1301 ◽

Cited By ~ 13

Author(s):

Şeyhmus Kaplan ◽

Mahmut Alpayci ◽

Erbil Karaman ◽

Orkun Çetin ◽

Yasemin Özkan ◽

...

Keyword(s):

Clinical Trial ◽

Low Back Pain ◽

Back Pain ◽

Controlled Clinical Trial ◽

Low Back ◽

Randomized Controlled Clinical Trial ◽

Short Term ◽

Randomized Controlled ◽

Kinesio Taping ◽

Short Term Effects

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Impact of myofascial mobilization on pain and mobility of the spine in people with pain and increased muscle tone of the cervical spine

Medycyna Manualna ◽

10.5604/01.3001.0013.6640 ◽

2019 ◽

Vol XXIII (2) ◽

pp. 49-60

Author(s):

Marta NIEDBAŁA ◽

Grzegorz MAGOŃ

Keyword(s):

Cervical Spine ◽

Muscle Tone ◽

Muscle Tension ◽

Pain Syndrome ◽

Trigger Points ◽

Cervical Region ◽

Neck Muscle ◽

Pain Level ◽

Linear Measurements ◽

Myofascial Trigger Points

Introduction. Manual therapy is a standard method of physiotherapy to deactivate the interfering potential of the trigger points thus eliminate the subsequent tension within the area of the connective tissue. Aims. The aim of the study is the evaluation of the influence of the myofascial trigger points therapy on the increased neck muscle tension, pain and ROM in people who suffer from cervical pain. Material and methods. A diagnostic method was linear measurements of ROM of the cervical spine and a visual analogue scale (VAS) to assess the pain level. The examination included 35 people aged 25-55, performing whitecollar work in sitting position, selected by a neurologist or orthopedist, with identified increased muscle tension in the cervical region. Achieved results were statistically evaluated. To show the importance of the differences in cervical ROM, the intensity of pain and disability level before and after rehabilitation, a non-parametric signedrank test was utilized. The differences were found as significant for p<0,05. Results and conclusions. A comprehensive physiotherapy of myofascial painfull points results in decrease the pain level in patients suffering from pain syndrome of the cervical spine. Proposed physiotherapy plan lead to improved movement of the cervical spine in all directions.

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