Therapeutic Effects of Lidocaine Patch on Myofascial Pain Syndrome of the Upper Trapezius

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.

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Comparative study of shock wave therapy and Laser therapy effect in elimination of symptoms among patients with myofascial pain syndrome in upper trapezius

Advanced Biomedical Research ◽

10.4103/2277-9175.187398 ◽

2016 ◽

Vol 5 (1) ◽

pp. 138 ◽

Cited By ~ 18

Author(s):

Babak Vahdatpour ◽

Parisa Taheri ◽

Somayeh Andalib

Keyword(s):

Shock Wave ◽

Comparative Study ◽

Laser Therapy ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Shock Wave Therapy ◽

Upper Trapezius ◽

Therapy Effect

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THE COMPARISON OF MUSCLE ENERGY TECHNIQUE AND INFRARED INTERVENTION WITH CONTRACT-RELAX STRETCHING AND INFRARED IN IMPROVING RANGE OF MOTION NECK JOINT ON ONLINE GAME PLAYERS WITH MYOFASCIAL PAIN SINDROME UPPER TRAPEZIUS MUSCLE IN DENPASAR

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2018.v06.i03.p05 ◽

2018 ◽

Vol 6 (3) ◽

pp. 17

Author(s):

Made Aditya Prawira Arthawan ◽

Nila Wahyuni ◽

I Gusti Ayu Artini

Keyword(s):

Range Of Motion ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Online Game ◽

Upper Trapezius ◽

Muscle Energy Technique ◽

Muscle Energy ◽

Group 2 ◽

Group 1

ABSTRACT Pain is most commonly caused by myofascial pain syndrome, myofascial pain syndrome pain can affect the flexibility of the joints that will cause a decrease range of motion neck joint. The purpose of this study was to determine the comparison between muscle energy technique and infrared with contract relax stretching and infrared in increasing the range of motion neck joint on online game players with myofascial pain syndrome upper trapezius muscle in Denpasar. This research is an experimental research with pre and post test design group control design. The sample is an online game player of 22 people divided into two groups. Group 1 was given intervention of muscle energy technique and infrared, while group 2 was given contract relax stretching and infrared intervention. Result of hypothesis test with paired t-test, group 1 got difference average 6,36 ± 0,62 (p = 0,000) while group 2 got difference mean 5,00 ± 0,357 (p = 0,000). Differential test of improvement after group 1 and group 2 treatment using independent sample t-test showed that group 1 increase was higher than group 2 and this result was significantly different p = 0,019 (p <0,05) Keywords: Range of motion neck joint, myofascial pain syndrome, contract relax stretching, infrared

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THE INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE IS MORE EFFECTIVE THAN CONTRACT RELAX STRETCHING TO ULTRASOUND MODALITY IN INCREASING NECK RANGE OF MOTION OF MYOFASCIAL SYNDROME IN UPPER TRAPEZIUS MUSCLE

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2018.v06.i02.p06 ◽

2018 ◽

Vol 6 (2) ◽

pp. 26

Author(s):

Putu Ayu Sita Saraswati ◽

Ni Komang Juni Antari ◽

Anak Agung Gede Angga Puspa Negara

Keyword(s):

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Upper Trapezius ◽

Significant Difference ◽

Upper Trapezius Muscle ◽

Neck Disability ◽

Inhibition Technique

ABSTRACT``Myofascial pain syndrome in upper trapezius muscle is a muscle pain that implicated by one or somemyofascial trigger points in upper trapezius muscle. Working with static position in long time stimulating the presence ofmyofascial trigger points that causing pain and movement limitation of the neck that stimulate neck disability. Physicaltherapy’s intervention for reducing pain in this case could be integrated neuromuscular inhibition technique or contractrelax stretching combined with ultrasound modality. Purpose: to compare the both interventions in reducing neckdisability of myofascial pain syndrome in upper trapezius muscle. Method: this was an experimental study withRandomized Pre and Post Test Group Design. Samples were divided into 2 treatment group that consist 12 samplesfor each group. The first group treated with integrated neuromuscular inhibition technique with ultrasound while thesecond group treated with contract relaxes stretching with ultrasound. The data was collected by measuring neck rangeof motion using goniometer at the time before and after treatment. Result: the 1st group showed that the Neck ROMincrease 5.083±1.0840 (p<0.001) and the 2nd group showed that the Neck ROM increase 3.333±0.7780(p<0.001). Itmeans there were significant effect of each treatment in both groups. The results of independent t-test showed p<0.001,so that there was significant difference of increased Neck ROM between these groups. The result of independent t-testshowed p value 0.001, so there was significant difference between two groups at increasing neck ROM. Conclusion:combination integrated neuromuscular inhibition technique is more effective than contract relax stretching to ultrasoundmodality in increasing neck range of motion of myofascial syndrome in upper trapezius muscle.Keywords: myofascial, neck disability, trapezius, INIT, ultrasound, stretching

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McKENZIE NECK EXERCISE LEBIH BAIK DALAM MENURUNKAN DISABILITAS LEHER DARIPADA DYNAMIC NECK EXERCISE PADA PENJAHIT DENGAN MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS

Sport and Fitness Journal ◽

10.24843/spj.2020.v08.i02.p05 ◽

2020 ◽

Vol 8 (2) ◽

pp. 41

Author(s):

Boki Jaleha ◽

I Putu Gede Adiatmika ◽

Sugijanto Sugijanto ◽

I Made Muliarta ◽

Ketut Tirtayasa ◽

...

Keyword(s):

Myofascial Pain ◽

Neck Disability Index ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

T Test ◽

Upper Trapezius ◽

Paired Samples ◽

Post Test ◽

Neck Disability

Pendahuluan: Myofascial pain syndrome otot upper trapezius merupakan gangguan muskuloskeletal pada otot upper trapezius akibat penggunaan otot secara berlebihan, postur yang jelek, dan repetitif mikrotrauma sehingga menyebabkan nyeri, taut band, kelemahan otot dan disabilitas pada daerah leher. Tujuan Penelitian: Untuk mengetahui perbedaan efek kedua intervensi, Mckenzie Neck Exercise dan Dynamic Neck Exercise dalam menurunkan disabilitas leher pada penjahit dengan myofascial pain syndrome otot upper trapezius. Metode: Penelitian eksperimental ini menggunakan rancangan randomized pre and post test two group design. Sampel penelitian sebanyak 18 orang yang dibagi secara acak menjadi 2 kelompok, masing-masing kelompok berjumlah 9 orang. Kelompok I diberikan McKenzie Neck Exercise sedangkan Kelompok II diberikan Dynamic Neck Exercise. Perlakuan dilakukan 3 kali seminggu selama 6 minggu dengan evaluasi menggunakan kuesioner penilaian Neck Disability Index (NDI). Hasil: Hasil uji statistik menggunakan paired-samples t test pada Kelompok I dengan rerata skor sebelum intervensi (23,8±2,1)% dan sesudah intervensi yaitu (16,4±2,4)% dengan nilai (p < 0,05) dan Kelompok II dengan rerata skor sebelum intervensi (23,6±2,2)% dan sesudah intervensi (20,9±2,3)% dengan nilai (p < 0,05). Uji beda hipotesis antara Kelompok I dengan Kelompok II menggunakan independent-samples t test diperoleh nilai (p < 0,05). Simpulan: McKenzie Neck Exercise lebih baik dalam menurunkan disabilitas leher daripada Dynamic Neck Exercise dengan myofascial pain syndrome otot upper trapezius. Saran: Penelitian selanjutnya diharapkan dapat mengontrol aktivitas pekerja dilingkungan kerja maupun tempat tinggal dan diperlukan adanya tindak lanjut ataupun pengawasan (follow up) sampel penelitian setelah berakhirnya program penelitian pada masing-masing sampel, untuk mengetahui hasil intervensi yang diberikan dapat memberikan efek jangka panjang.

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THE RELATION BETWEEN WORK POSTURE WHEN TYPING WITH COMPLAINTS OF MYOFASCIAL PAIN SYNDROME IN UPPER TRAPEZIUS MUSCLE AMONG OFFICE WORKERS IN DENPASAR

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2019.v07.i03.p04 ◽

2019 ◽

Vol 7 (3) ◽

pp. 13

Author(s):

Rifqy Fatara ◽

Putu Ayu Sita Saraswati ◽

I Dewa Ayu Inten Dwi Primayanti

Keyword(s):

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Chi Square ◽

Cross Sectional ◽

Upper Trapezius ◽

Work Posture ◽

Chi Square Test ◽

Upper Trapezius Muscle

Karakteristik gangguan kesehatan yang disebabkan oleh aktivitas mengetik dengan komputer cenderung pada cidera tingkat rendah yang muncul seiring waktu akibat sikap kerja yang salah, lama dan berulang, salah satunya adalah Myofascial Pain Syndrome (MPS) otot upper trapezius dengan gejala utama nyeri tekan dan terdapat nodul pada otot. Penelitian ini bertujuan untuk mengetahui hubungan sikap kerja saat mengetik terhadap MPS otot upper trapezius pada pekerja kantor di Denpasar. Jenis penelitian ini adalah penelitian observasional analitik dengan rancangan cross sectional yang dilaksanakan pada bulan Maret 2018. Pengambilan sampel dilakukan dengan teknik purposive sampling dengan sampel berjumlah 53 orang. Pengukuran MPS otot upper trapezius dilakukan dengan pemeriksaan fisioterapi. Pengukuran sikap kerja saat mengetik dengan metode Rapid Upper Limb Assesment (RULA). Uji hipotesis yang digunakan adalah Chi Square Test untuk menganalisis signifikansi hubungan antara sikap kerja saat mengetik dengan MPS otot upper trapezius. Pada perhitungan analisis data, diperoleh nilai p sebesar 0,000 sehingga p < 0,05. Maka dapat disimpulkan bahwa terdapat hubungan yang signifikan antara sikap kerja saat mengetik terhadap MPS otot upper trapezius pada pekerja kantor di Denpasar. Kata Kunci: Sikap kerja mengetik, myofascial pain syndrome upper trapezius

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THE THE DEEP TRANSVERSE FRICTION INTERVENTION BETTER THAN THE MASSAGE EFFLEURAGE IN INCREASING THE RANGE OF CERVICAL MOTION DUE TO OF MYOFASCIAL PAIN SYNDROME OF UPPER TRAPEZIUS MUSCLE ON THE LAUNDRY’S WORKERS IN EAST DENPASAR

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2018.v06.i01.p11 ◽

2018 ◽

Vol 6 (1) ◽

pp. 35

Author(s):

Komang Putri Aprilia ◽

I Nyoman Adiputra ◽

Nila Wahyuni

Keyword(s):

Range Of Motion ◽

Myofascial Pain ◽

Intervention Group ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Upper Trapezius ◽

Group 2 ◽

Cervical Motion ◽

Better Than ◽

Group 1

THE DEEP TRANSVERSE FRICTION INTERVENTION BETTER THAN THE MASSAGE EFFLEURAGE ININCREASING THE RANGE OF CERVICAL MOTION DUE TO OF MYOFASCIAL PAIN SYNDROME OF UPPER TRAPEZIUS MUSCLE ON THE LAUNDRY’S WORKERS IN EAST DENPASAR ABSTRACT Range of Motion (ROM) defined as the extent of joint’s movement that occurs when the joint was moved fromone position to another, either passively or actively. Bad habits that done by someone if it done repeatedly and for along time could trigger pain and tension around the neck as well as decrease in the flexibility of the neck muscles.Decrease in muscle flexibility would result in decreased the range of cervical motion that will interfere with a person'sdaily activities. The purpose of this study was to prove the intervention Deep Transverse Friction better than MassageEffleurage in increasing the range of cervical motion as a result of Myofascial Pain Syndrome in Upper Trapezius muscle.This research was an experimental design with pre and post two group design. These samples included 20 people whowere divided into two groups. Group 1 was given Deep Transverse Friction intervention while group 2 was givenEffleurage Massage intervention. Measurement range of motion was done by goniometer. This research was anexperimental design with pre and post test two group design. The result showed an increase Range of Motion in theintervention Group 1 amounted 4.65 and intervention group 2 amounted 1.35. Paired sample t-test showed a significantresult between intervention group 1 and intervention group 2 with p = 0.000. Difference test between group 1 and group2 using Mann Whitney U-test was obtained p = 0.000. It was concluded that Deep Transverse Friction intervention betterthan Effleurage Massage in increasing the range of cervical motion. Keywords: Range of cervical motion, Deep Transverse Friction, Massage Effleurage, Goniometer.

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The relative effectiveness of a home programme of ischaemic compression, sustained stretch and a combination of both for the treatment of myofascial trigger points in the upper trapezius musculature

10.51415/10321/2738 ◽

2003 ◽

Author(s):

◽

Marlon Thoresson

Keyword(s):

Myofascial Pain ◽

Relative Effectiveness ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Clinical Findings ◽

Myofascial Trigger Points ◽

Upper Trapezius

The purpose of this study was to determine the relative effectiveness of a home programme of ischaemie compression, sustained stretch and a combination of the two, in terms of subjective and objective clinical findings for the treatment of Myofascial Pain Syndrome.

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Pengaruh Post Isometric Relaxation pada Kasus Myofascial Pain Syndrome Upper Trapezius terhadap Penurunan Nyeri di Ar – Rohmah Islamic Boarding School Malang

Jurnal Fisioterapi dan Rehabilitasi ◽

10.33660/jfrwhs.v4i1.78 ◽

2020 ◽

Vol 4 (1) ◽

pp. 1-8

Author(s):

Safun Rahmanto ◽

Kurnia Putri Utami ◽

Eka Yanti Sri Utami

Keyword(s):

Rating Scale ◽

Myofascial Pain ◽

Numerical Rating Scale ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Boarding School ◽

Wilcoxon Test ◽

Upper Trapezius ◽

Time To Learn

ABSTRACT Background: Myofascial pain syndrome is the situation of taut pain and tenderness pain, this syndrome is often found in trapezius muscle. The result of Preliminary study shows that the tahfidz program students in Ar – Rohmah Islamic Boarding School Malang spent time to learn Al – Qur’an for 6-8hour/day with static situation and complained about the pain in the neck. Purpose: To find out the effect of Post Isometric Relaxation on decrease pain of myofascial pain syndrome of the upper trapezius in Ar – Rohmah Islamic Boarding School Malang. Method: This study uses Pre-experimental one group pretest and posttest design. The respondents in this study are 26 students of thafidz program in Ar – Rohmah Islamic Boarding School Malang with technique of purposive sampling and were given intervention 3 times in a week for 2 weeks. Instrument of this research is Numerical Rating Scale (NRS) and the data analysis is using Wilcoxon test. Result: It shows 0,000 (α < 0,05) and show there is decrease pain from 0,742 to 0,633. Conclusion: There is an effect of post isometric relaxation on decrease the pain of myofascial pain syndrome of upper the trapezius in Ar – Rohmah Islamic Boarding School Malang.

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