Immediate Effect of Acupuncture on Electromyographic Activity of the Upper Trapezius Muscle and Pain in Patients With Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study

2018 ◽  
Vol 41 (3) ◽  
pp. 208-217 ◽  
Author(s):  
Simone Aparecida Penimpedo Calamita ◽  
Daniela Aparecida Biasotto-Gonzalez ◽  
Nívea Cristina De Melo ◽  
Marco Antônio Fumagalli ◽  
César Ferreira Amorim ◽  
...  
Keyword(s):  
Neck Pain ◽  
Crossover Study ◽  
Trapezius Muscle ◽  
Electromyographic Activity ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

scholarly journals Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Andréia Cristina de Oliveira Silva ◽  
Daniela Aparecida Biasotto-Gonzalez ◽  
Douglas Meira dos Santos ◽  
Nivea Cristina De Melo ◽  
Cid André Fidelis de Paula Gomes ◽  
...  
Keyword(s):  
Neck Pain ◽  
Crossover Study ◽  
Rating Scale ◽  
Trapezius Muscle ◽  
Surface Emg ◽  
Auricular Acupuncture ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA) on the electromyographic (EMG) activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP) patients. Twelve patients with NS-NP (NS-NP group) and 12 healthy subjects (HS Group) were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA). Surface EMG activity was measured in the upper trapezius muscle at different “step contractions” of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC). The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS). AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group:p= 0.0001; HS group:p< 0.0001—ANOVA test). This was not the case for the SAA treatment (NS-NP group:p= 0.71; HS group:p< 0.54). Significant decreases (p< 0.001) in the NRS were found for both treatments (AA and SAA). This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.

scholarly journals Visceral Manipulation Decreases Pain, Increases Cervical Mobility and Electromyographic Activity of the Upper Trapezius Muscle in Non-Specific Neck Pain Subjects with Functional Dyspepsia: Two Case Reports

2019 ◽  
Vol 12 (2) ◽  
pp. 25-30
Author(s):  
Andréia C. O. Silva, PT, MSc ◽  
Claudia S. Oliveira, PT, PhD ◽  
Daniela A. Biasotto-Gonzalez, PT, PhD ◽  
Marco A. Fumagalli, Eng, PhD ◽  
Fabiano Politti, PT, PhD
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Case Reports ◽  
Trapezius Muscle ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Upper Trapezius ◽  
Emg Signal ◽  
Upper Trapezius Muscle ◽  
One Year

Background and Purpose: The lack of clear knowledge about the etiology of nonspecific neck pain (NS-NP) strengthens the need for other mech-anisms, still poorly described in the literature, to be investigated. Therefore, a quantitative analysis of two cases of NS-NP in subjects with functiona dyspepsia was conducted in order to verify the immediate and seven-day postintervention effects of visceral manipulation (VM) to the stomach and liver on neck pain, cervical range of motion (ROM), and electromyographic (EMG) activity of the upper trapezius muscle. Case Description: Case A was an 18-year-old female with a complaint of nonspecific neck pain for one year, with reported pain on waking, momentary intermittent pain, and occasional symptoms of paresthesia in the upper limbs. Case B was a 25-year-old female with a complaint of cervical pain for one year, accompanied by pain in the unilateral temporomandibular joint, and medial thoracic region. Both cases presented functional dyspepsia.Outcomes: The results demonstrated (sub-jects A and B, respectively) a general increase in cervical ROM (range: 12.5% to 44.44%) and amplitude of the EMG signal (immediately postintervention: 57.62 and 20.78; post seven days: 53.54% and 18.83%), and an increase in muscle fiber conduction velocity immediately postintervention (4.44% and 7.44%) and a de-crease seven days postintervention (25.25% and 21.18%). For pain, a decrease was observed immediately postintervention (23.07% and 76.92%) and seven days postintervention (100% for both subjects). Discussion: A single VM provided important clinical improvement in neck pain, cervical spine range of motion, and EMG activity of the upper trapezius muscle, immediately and seven days postintervention in two NS-NP subjects with func-tional dyspepsia.

Assessment of the Upper Trapezius Muscle Temperature in Women With and Without Neck Pain

2012 ◽  
Vol 35 (5) ◽  
pp. 413-417 ◽  
Author(s):  
Almir Vieira Dibai Filho ◽  
Amanda Carine Packer ◽  
Ana Cláudia de Souza Costa ◽  
Kelly Cristina dos Santos Berni-Schwarzenbeck ◽  
Delaine Rodrigues-Bigaton
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Muscle Temperature ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

Association between widespread pressure pain hypersensitivity, health history, and trigger points in subjects with neck pain

2017 ◽  
Vol 16 (1) ◽  
pp. 168-168
Author(s):  
Matteo Castaldo ◽  
Antonella Catena ◽  
César Fernández-de-las-Peñas ◽  
Lars Arendt-Nielsen
Keyword(s):  
Neck Pain ◽  
Tibialis Anterior ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Pressure Pain ◽  
Pain Hypersensitivity ◽  
Health History ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Extensor Carpi Radialis

Abstract Aims Health history (medical conditions, comorbid musculoskeletal pain, surgical operation, long term intake of medications) may contribute to central sensitization. The duration and the number of the peripheral nociceptive input seem to play a crucial role in the development and maintenance of sensitization. No study has previously investigated these relationships. Our aim was to investigate the association between pressure pain thresholds (PPTs) and health history in patients with neck pain, and the role of active trigger points (TrPs) on PPTs. Methods Thirty-four subjects with mechanical neck pain and 34 with whiplash-associated neck pain participated. They underwent an assessment of PPTs over upper trapezius, extensor carpi radialis longus, and tibialis anterior muscles, and were screened for the presence of active TrPs in upper trapezius muscle. Further, patients fulfilled a questionnaire investigating health history outcomes number and duration. Results Significant negative correlations between all PPTs and the duration of health history outcomes were found in both groups (all, P < 0.02), with no correlations between PPTs and the number of health history outcomes (all, P > 0.15). Significant lower PPTs over upper trapezius, extensor carpi radialis longus, and tibialis anterior (all, P < 0.01) muscles were found in subjects with active TrPs as compared to those with latent TrPs. Conclusions Widespread pressure pain hypersensitivity was associated with the duration, but not the number, of health history outcomes suggesting that long-lasting health complains may act as triggering factor driving sensitization in individuals with neck pain regardless the origin of neck pain. Patients with active TrPs in the upper trapezius muscle showed higher widespread pressure sensitivity than those with latent TrPs. These data should be included in the assessment of neck pain subjects, as they may be useful for planning the management of their symptoms.

scholarly journals Immediate effect of muscle energy technique versus passive stretching for upper trapezius muscle on neck pain

2020 ◽  
Vol 7 (1) ◽  
pp. 86
Author(s):  
Mansi Ray ◽  
Roopa Desai
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Upper Trapezius ◽  
Passive Stretching ◽  
Muscle Energy Technique ◽  
Upper Trapezius Muscle ◽  
Muscle Energy ◽  
Carry Over ◽  
Cervical Rotation ◽  
Hot Pack

<p class="abstract"><strong>Background:</strong> Neck pain is a common musculoskeletal problem in the General population. Upper trapezius is a superficial postural muscle that tends to get shortened due to overuse activity which causes neck pain and reduces neck mobility. The aim of this study was to compare the immediate effect of Muscle energy technique (MET) and passive stretching of upper trapezius muscle in neck pain patients.</p><p class="abstract"><strong>Methods:</strong> An experimental study was undertaken during period from March 2017 to March 2018. 358 participants with Neck pain were included in this study. Participants were divided in two groups: Group A received Hot pack and MET for upper Trapezius. Group B received Hot pack and Passive stretching for upper trapezius. Visual analogue scale (VAS) at end range of motion (ROM), same cervical side flexion and opposite side cervical rotation by goniometer and tape were taken as outcome measures. Participants were assessed prior to the treatment, immediately after the treatment and post 24 hours to see the carry over treatment.</p><p class="abstract"><strong>Results: </strong>Mann Whitney U test showed that VAS at end range of motion, opposite side cervical rotation and same side cervical side flexion had significant improvement in MET group as compared to passive stretching group (p&lt;0.0001). Carry over effect was less significant with p&lt;0.0001.</p><p class="abstract"><strong>Conclusions: </strong>A single session of MET for upper trapezius muscle reduced the pain intensity (VAS) and increased the cervical rotation and cervical side flexion.</p>

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