Repeated Electrical Point Stimulation (EPS) Treatments for Myofascial Trigger Points in the Upper Trapezius Muscle

2020 ◽  
pp. 1-6
Author(s):  
Blaine C. Long
Keyword(s):  
Pain Perception ◽  
Treatment Time ◽  
Trigger Point ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Control Pain ◽  
And Control

Electrical point stimulation (EPS) is suggested to decrease myofascial trigger point (MTrP) pain without influencing pressure pain threshold (PPT) following one treatment. The purpose of this study was to determine if repeated EPS treatments decrease pain perception or PPT. EPS decreased pain immediately following and 10 min following (p < .05) application. For those receiving EPS, pretreatment pain on day 1 was greater than pre- and posttreatments on days 2, 3, 4, 5, and 6 (p < .05). Patients receiving EPS experienced less pain than placebo and control. Pain did not change for placebo or control (p > .05). PPT did not change for treatment, time, or day (p > .07).

scholarly journals A Comparative Study on the Effects of Trigger Point Release vs Myofascial Release for Myofascial Trigger Points of Upper Trapezius in Smartphone Users

2021 ◽  
Vol SP (1) ◽  
Author(s):  
Anjali Suresh ◽  
Rama Chandra L. A. ◽  
Prasanna Mohan
Keyword(s):  
Pain Intensity ◽  
Trigger Point ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
The Body ◽  
Myofascial Trigger Points ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

Background/aim: The increasing use of smartphone in daily life has brought about numerous musculoskeletal problems. Impairments in the neck is the most common when compared to other parts of the body. The aim of this study was to compare the effects of two different manual treatment techniques in two separate groups, i.e., trigger point release and Myofascial release (MFR) on the trigger points (TrPs) in the upper trapezius muscle in smartphone users. Both group received Ultrasound therapy. The smartphone addiction scale -short version was administered to all participants to determine the level of addiction and those who scores were high were included in the study. The set criteria in the study included the pain intensity on the visual analogue scale (VAS) neck disability using the Neck Disability Index and Cervical Range of motion side flexion using cervical goniometer. Subjects and methods: This clinical trial study assessed the outcome measures within and between groups before, after the intervention and a follow up was done after 15 days. The target population were smartphone users between the age group of 18 to 35 years. 106 subjects (48 males, 53 females) participants who had been selected from among the eligible participants of 176 and who had TrPs in their upper trapezius muscle. Results: The effect of Trigger point release and Myofascial release on patients of each groups with TrPs in the upper trapezius muscle resulted in increased cervical lateral flexion (P < 0.001), decreased pain intensity on VAS (P < 0.001) and decreased decrease in Neck disability (P < 0.001) within the groups and between the group there was no significance. Conclusion: Both manual techniques Trigger point release and Myofascial release reduced the symptoms of TrPs in the upper trapezius in both the groups equally, neither technique being superior to the other.

scholarly journals Application of Combined Laser and Compression Therapy on the Pain and Level of Disability on Trigger Points in Upper Trapezius Muscle

2021 ◽  
Author(s):  
Saeed Rezaei ◽  
Azadeh Shadmehr ◽  
Siamak Bashardoust Tajali ◽  
Behrooz Attarbashi Moghadam ◽  
Shohreh Jalaei
Keyword(s):  
Pain Threshold ◽  
Neck Disability Index ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Compression Therapy ◽  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

Introduction: Musculoskeletal disorders are among the main causes of disability in modern life. Myofascial trigger points are very common among musculoskeletal disorders and may occur through ordinary common activities. This study aimed to determine the combined effects of laser therapy and Ischemic Compression (IC) on the treatment of Myofascial Trigger Points (MTrPs) at the upper trapezius muscle. Materials and Methods: Twenty men with at least one active trigger point at their upper trapezius muscle voluntarily participated in this study. Trigger  points  were under treatment of laser irradiation (6 Joules per point) and also ischemic compression. Treatment approaches were applied over the pain point every other day for 5 sessions in 10 days. Neck disability index, pain intensity by visual analog scale, pressure pain threshold by algometry, and cervical lateral flexion by goniometer were assessed and recorded before the intervention, and immediately after the last session. Results: At the end of treatment, statistically significant improvements were seen in the neck disability index, VAS value, pressure pain threshold, and cervical lateral flexion. VAS values of the treatment and control groups were compared with the baseline (P<0.001). Conclusion: Application of combined laser and compression therapy was effective on the pain and level of disability of patients with trigger points in the upper trapezius muscle.

scholarly journals Effects of Radial Extracorporeal Shockwave Therapy Versus 1% Lidocaine Injection for Myofascial Trigger Points Measured with Elastic Index

2021 ◽  
Author(s):  
Areerat Suputtitada ◽  
Carl CPC Chen ◽  
Narin NGAMRUNGSIRI ◽  
Christoph Schmitz
Keyword(s):  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Positive Energy ◽  
Myofascial Trigger Points ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy ◽  
Upper Trapezius ◽  
Lidocaine Injection

Purpose: To compare the efficacy of radial extracorporeal shockwave therapy (rESWT) versus injection of 1% lidocaine for active myofascial trigger points (MTPs) at upper trapezius muscle (UTM) objectively with elastic index analysis. Patients and methods: A prospective, randomised, single-blinded clinical trial was done. 60 patients with active MTPs of UTM were randomised to receive either rESWT (n = 30); three rESWT sessions; one session per week; 2000 rESWT impulses per session; positive energy flux density = 0.10 mJ/mm2) or 1% lidocaine (4 ml) injection (n = 30) (three injections; one injection per week). The outcome measure was the elastic index of MTPs, visual analogue score (VAS score) of pain, and pressure pain threshold (PPT) three weeks after baseline. Results: Both rESWT and injection of 1% lidocaine resulted in statistically significant (P < 0.05) reduced elastic index and VAS of pain of UTM and PPT significantly (P < 0.05) at three weeks after baseline. The mean differences between rESWT and injection of 1%lidocaine showed no statistically siginificance. Conclusion: Both rESWT and 1% lidocaine injection had efficacy for active MTPs of UTM measured with elastic index, VAS of pain and PPT.

scholarly journals Evaluate the Immediate Effect of High- power Pain Threshold Ultrasound on Treatment of Upper Trapezius Active Myofascial Trigger Points

2021 ◽  
Author(s):  
Mehrdad Sadeghnia ◽  
Azadeh Shadmehr ◽  
Mohammadreza Hadian Rasanani ◽  
Seyed Mohsen Mir ◽  
Shohreh Jalaei
Keyword(s):  
Neck Pain ◽  
High Power ◽  
Pain Threshold ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Patient Reported

Introduction: The most critical clinical presentation in myofascial pain syndrome is trigger points. Trigger points are the main problem in 30% of the patients presenting to general internal medicine practice. One of the treatments used for trigger points is ultrasound therapy. The high- power pain threshold ultrasound (HPPTUS) technique is one of the therapeutic ultrasound modifications used to treat trigger points. The present randomized clinical trial aimed to investigate the immediate effect of high-power pain threshold ultrasound on treating active trigger points of the upper trapezius muscle in men with mechanical neck pain. Materials and Methods: Fourteen men with mechanical neck pain (Mean±SD age: 34.50±5.24 years) who met the inclusion and exclusion criteria participated in this study. The visual analog scale (VAS), pressure pain threshold (PPT), and range of motion of cervical lateral flexion (CLF) were assessed before and after the treatment. The ultrasound probe was placed on the trigger point. The frequency was set to 1 MHz, and the intensity increased from 0.5 to 2 until the patient reported an unpleasant sensation. The probe was held there for 4 seconds. Then, the intensity was reduced by 50%, and the probe was moved over and around the trigger point. This process was done several times for three minutes. Results: Analysis of pre-treatment and post-treatment findings showed that the VAS (P<0.001), PPT (P=0.001), and CLF (P<0.001) improved significantly after applying the HPPTUS to trigger points. Conclusion: Ultrasound significantly improved the muscular symptoms of the trigger points.

scholarly journals EFFECTIVENESS OF ISCHEMIC COMPRESSION ON TRIGGER POINTS FOR REDUCTION OF PAIN AND SPASM OF TRAPEZIUS MUSCLE

2018 ◽  
Vol 7 (1) ◽  
pp. 21-27
Author(s):  
Mubarra Rao ◽  
Sadia Shafaq
Keyword(s):  
Trigger Point ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Ultrasound Therapy ◽  
Myofascial Trigger Point ◽  
Myofascial Trigger Points ◽  
Reduction Of Pain ◽  
Group A ◽  
Group B ◽  
Hot Pack

Myofascial trigger point is a hyperirritable nodule present in a palpable taut band of skeletal muscle, often results from muscle injury or repetitive strain that cause pain and tightness. Myofascial trigger points are one of the most common causes of chronic neck pain. This study aims to determine the efficacy of ischemic compression in comparison with myofascial stretching on trigger points of trapezius muscle for reduction of pain and spasm. Randomized Control Trial. The study was conducted in Ziauddin Hospital. 96 participants were enrolled in the study. Participants were divided into two groups equally and randomly, Group (A) an intervention group treated with hot pack, ultrasound therapy and ischemic compression, Group (B) a control group treated with hot pack, ultrasound therapy and myofascial stretching. This regime was followed thrice a week for three weeks. Statistically significant (P < 0.05) changes in the values were found in Group A and Group B for Visual Analog scale and Penn spasm frequency scale post treatment. The results showed that there is significant difference found after both interventions for the treatment of pain and spasm caused by myofascial trigger point. It cannot be said that ischemic compression is more effective than myofascial stretching for the treatment of myofascial trigger points of trapezius muscle.

Trigger Point Dry Needling versus Strain–counterstrain Technique for Upper Trapezius Myofascial Trigger Points: A Randomised Controlled Trial

2016 ◽  
Vol 34 (3) ◽  
pp. 171-177 ◽  
Author(s):  
E Segura-Ortí ◽  
S Prades-Vergara ◽  
L Manzaneda-Piña ◽  
R Valero-Martínez ◽  
JA Polo-Traverso
Keyword(s):  
Randomised Controlled Trial ◽  
Trigger Point ◽  
Controlled Trial ◽  
Trigger Points ◽  
Dry Needling ◽  
Significant Group ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Pain Pressure Threshold ◽  
Randomised Controlled

Background Treatment of active myofascial trigger points includes both invasive and non-invasive techniques. Objectives To compare the effects of upper trapezius trigger point dry needling (DN) and strain–counterstrain (SCS) techniques versus sham SCS. Study Design Randomised controlled trial. Method 34 study subjects with active trigger points were randomly assigned to one of three treatment groups, and received either three sessions of DN (n=12), six sessions of SCS (n=10), or sham SCS (n=12) over a 3-week period. Subjective pain response and subjects’ own ratings of perceived disability were measured. Results The analysis of variance mixed model showed a significant time effect for pain (p<0.001), elicited pain (p<0.001), pain pressure threshold (p<0.01), and neck disability index (p=0.016). Pain at rest decreased in all groups, as follows: DN 18.5 mm (95% CI 4.3 to 32.7 mm); SCS 28.3 mm (95% CI 12.4 to 44.1 mm); sham SCS 21.9 mm (95% CI 3.5 to 40.1 mm). Reductions in disability score (points) were significant in the SCS group (5.5, 95% CI 1.6 to 9.4) but not in the DN (1.4, 95% CI −4.9 to 2.1) or sham SCS (1.8, 95% CI −6.4 to 2.7) groups. There was no significant group×time interaction effect for any variables studied. Conclusions There were no differences between the sham SCS, SCS, and DN groups in any of the outcome measures. DN relieved pain after fewer sessions than SCS and sham SCS, and thus may be a more efficient technique. Future studies should include a larger sample size. Trial Registration Number NCT01290653.

Sign in / Sign up

Export Citation Format

Share Document