Analysis and comparison of pain pressure threshold and active cervical range of motion after superficial and deep dry needling techniques of the upper trapezius muscle

2021 ◽  
pp. 096452842110395
Author(s):  
Sergio Montero Navarro ◽  
Sonia del Rio Medina ◽  
José Martín Botella Rico ◽  
María Isabel Rocha Ortiz ◽  
María Teresa Pérez Gracia
Keyword(s):  
Range Of Motion ◽  
Gastrocnemius Muscle ◽  
Contralateral Side ◽  
Control Group ◽  
Dry Needling ◽  
Cervical Range Of Motion ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Asymptomatic Volunteers

Objectives: To evaluate the changes in pain pressure threshold (PPT) and active cervical range of motion (ACROM) after the application of superficial dry needling (DN) or deep DN in myofascial trigger point (MTrP) 1 of the upper trapezius versus a simulated DN technique in the gastrocnemius muscle (control group). Design: Double-blind, randomized controlled trial with 7-day follow-up. Participants: Asymptomatic volunteers (n = 180; 76 men, 104 women) with a latent MTrP 1 in the upper trapezius were randomly divided into three groups: G1, receiving superficial DN in the upper trapezius; G2, receiving deep DN in the upper trapezius; and G3, control group, receiving simulated DN technique in the gastrocnemius muscle. Main outcome measures: While sitting in a chair, each subject underwent measurements of PPT and ACROM (ipsilateral and contralateral side flexion and rotation, flexion and extension) preintervention, (immediately) postintervention, and at 24 h, 72 h and 7 days. Results: Superficial and deep DN produced an increase in PPT at 7 days with respect to preintervention levels. Furthermore, superficial and deep DN produced a decrease in cervical flexion at 24 h and an increase in ipsilateral rotation until 72 h, increasing to 7 days in the case of deep DN. On the contrary, superficial DN produced an increase in ipsilateral and contralateral side flexion after intervention, unlike deep DN that produced a decrease at 24 h. Furthermore, superficial DN produced an increase in contralateral rotation at 24 h and deep DN decreased extension at 72 h. Conclusion: A single intervention of superficial or deep DN did not produce statistically significant changes in PPT or goniometry measurements. Trial registration number: NCT03719352 ( ClinicalTrials.gov )

scholarly journals The Effect of Hamstring Relaxation Program on Headache, Pressure Pain Threshold, and Range of Motion in Patients with Tension Headache: A Randomized Controlled Trial

2021 ◽  
Vol 18 (19) ◽  
pp. 10137
Author(s):  
Soon-Hyun Kwon ◽  
Eun-Jung Chung ◽  
Jin Lee ◽  
Sang-Woo Kim ◽  
Byoung-Hee Lee
Keyword(s):  
Range Of Motion ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Tension Headache ◽  
Control Group ◽  
Positive Effects ◽  
Pressure Threshold ◽  
Digital Pressure ◽  
Pain Pressure Threshold ◽  
Pressure Algometer

The purpose of this study was to determine if the severity of headache is reduced by decreasing hamstring tension in patients with tension headache. Thirty patients participated in this study. The participants were randomly allocated to two groups: hamstring relaxation program (HR) group (n = 15) and control group (n = 15). The participants in the HR group participated in a HR program for 25 min per day, three times per week, for a period of 4 weeks, and the control group participated in an electrotherapy for 25 min per day, three times per week, for a period of 4 weeks. Both groups participated in a self-myofacial release for 5 min per day, three times per week, for a period of 4 weeks. Headache was evaluated using the headache impact test (HIT-6) and visual analog scale (VAS). The pain pressure threshold (PPT) was evaluated using a digital pressure algometer. The range of motion (ROM) was evaluated using a goniometer and two special tests: straight leg raise test (SLRT) and popliteal angle test (PAT). The two groups showed no significant differences in terms of age, sex, height, and weight. The VAS and HIT-6 scores (p < 0.05) and neck and hamstring PPT showed significant improvements (p < 0.05). Neck flexion ROM and SLRT and PAT scores showed significant improvements (p < 0.05) in both groups, and the HR group showed significantly more improvements than the control group. This study confirmed that the HR program has positive effects on tension headache and is a good intervention for alleviating headaches in patients with tension headache.

scholarly journals Dry needling in the deactivation of myofascial trigger points

2021 ◽  
Author(s):  
Elaine Cruz ◽  
Davi Rodrigues Martins ◽  
Richarlison Amaral ◽  
Rodrigo Manhães ◽  
Mairkon Almeida Soares
Keyword(s):  
Clinical Trials ◽  
Range Of Motion ◽  
Randomized Clinical Trials ◽  
Trigger Point ◽  
Pressure Pain Threshold ◽  
Trigger Points ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

Dry Needling (DN) is a technique indicated to treat injuries of muscle origin and widely used in the deactivation of myofascial trigger points (PGMs). Its application almost always produces immediate effect, decreasing pain and increasing range of motion. The main objective of the present study was to verify the effectiveness of Dry Needling in the deactivation of myofascial trigger points. A search was carried out through three distinct databases and 10 articles dating from the last ten years were selected, with a score greater than or equal to six, in the classification of the PEDro platform (Physiotherapy Evidence Database). All selected articles were classified as randomized controlled trials, where eight are blind randomized clinical trials and two double blind randomized clinical trials. Outcomes ranged from decreased trigger points, increased range of motion, pain intensity and pain pressure threshold. The studies included in this review suggest that Dry Needling has a fundamental role in the treatment of PGMs, mainly increasing the pressure pain threshold, thus suggesting trigger point deactivation.

Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: a randomised clinical trial

2020 ◽  
Vol 38 (4) ◽  
pp. 244-254
Author(s):  
Gracia M. Gallego-Sendarrubias ◽  
David Rodríguez-Sanz ◽  
Cesar Calvo-Lobo ◽  
Jose Luis Martín
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Manual Therapy ◽  
Intervention Group ◽  
Control Group ◽  
Dry Needling ◽  
Cervical Range Of Motion ◽  
Neck Disability

Objective: Chronic mechanical neck pain is associated with musculoskeletal tissue alterations. Active trigger points in the trapezius and levator scapulae muscles are common in patients with chronic mechanical neck pain. In this study, we compared the effect of dry needling (DN) combined with manual therapy (MT) to sham dry needling (SDN) combined with MT on pain, pain pressure threshold, cervical range of motion and neck disability in patients with chronic mechanical neck pain. Methods: A randomised, single-blind clinical trial was carried out involving 101 participants with chronic mechanical neck pain, divided into an intervention group (DN+MT, n=47) and a control group (SDN+MT, n=54). Participants received two treatment sessions. The intervention group received MT in conjunction with DN of the most mechano-sensitive myofascial trigger point (MTrP). The control group received MT plus SDN. Outcomes measures were: pain intensity (numeric pain rating scale, NPRS), pressure pain threshold (PPT), cervical range of motion (ROM) and neck disability (neck disability index, NDI). Results: This study found that between-group differences in pain intensity were statistically significant (P<0.01). Pain decreased after the first intervention in the DN+MT group (3.47±0.25 points on the NPRS) and even more so after the second intervention (4.76±0.24 points on the NPRS). After 4 weeks, pain intensity differed from baseline by 4.89±0.27 points on the NPRS. Statistically significant differences (P<0.001) in PPT were also found between the intervention group and the control group. After the first intervention, a significant increase in PPT within the DN+MT group (3.09±0.8 kg/cm2) was observed. Cervical ROM also showed highly statistically significant differences. After 4 weeks, a statistically significant reduction (P<0.001) in NDI was observed between the two groups. Conclusion: Our results show that DN+MT is efficacious and significantly better than SDN+MT at reducing pain intensity, PPT, neck disability and cervical ROM in patients with chronic mechanical neck pain. Level of evidence: 1b.

Comparison of radial shockwave and dry needling therapies in the treatment of myofascial pain syndrome

2019 ◽  
Vol 26 (8) ◽  
pp. 1-8 ◽  
Author(s):  
Chomkajee Sukareechai ◽  
Somchai Sukareechai
Keyword(s):  
Myofascial Pain ◽  
Therapy Group ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Dry Needling ◽  
Back Muscles ◽  
Shockwave Therapy ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

Background/Aims Myofascial pain syndrome is a frequent problem in the musculoskeletal system. As a method of treatment for myofascial pain syndrome, dry needling therapy is an effective and convenient treatment for patients because they do not need to be treated every day. However, as patients often have post-needle soreness or some patients are afraid of needles, there are limitations to this treatment. The purpose of this study is to compare the effectiveness of radial shockwave therapy with dry needling therapy to treat myofascial pain. Methods A total of 42 patients attending the rehabilitation department with at least one myofascial pain trigger point in their upper back muscles, were randomly assigned to receive radial shockwave therapy or dry needling therapy. Treatment was performed once a week for 3 weeks in both groups. Participants' pain pressure threshold, measured using an algometer, and pain levels, measured using a numeric pain scale, were assessed before the designated treatment was applied each week. Each patient also performed upper trapezius, rhomboid and infraspinatus muscle stretches twice a day throughout the study period. Results There was no difference in pain pressure threshold at the three trigger points before treatment with the different modalities commenced. At the end of the study, the radial shockwave therapy group had a significant improvement in trapezius pain pressure threshold, increasing from 11.7 at baseline to 14.8 at the end of study. There was no significant between-group difference in pain level (P=3.4 vs P=2.6) at the end of the study. Both treatments significantly reduced pain levels: from 7.2 to 3.4 in the radial shockwave group (P<0.001) and from 6.8 to 2.6 in the dry needling therapy group (P<0.001). Conclusions Dry needling and radial shock wave therapies are effective in reducing myofascial pain syndrome originating in the upper back muscles. Participants' pain pressure threshold increased after 3 weeks of treatment with both therapies. Radial shock therapy can be used as an alternative to dry needling in the treatment of myofascial pain syndrome in patients who have trouble attending daily physical therapy or in whom dry needling therapy is contraindicated.

Comparison of Upper Trapezius and Infraspinatus Myofascial Trigger Point Therapy by Dry Needling in Overhead Athletes With Unilateral Shoulder Impingement Syndrome

2019 ◽  
Vol 28 (3) ◽  
pp. 243-249 ◽  
Author(s):  
Fahimeh Kamali ◽  
Ehsan Sinaei ◽  
Maryam Morovati
Keyword(s):  
Shoulder Pain ◽  
Trigger Point ◽  
Direct Application ◽  
Shoulder Impingement Syndrome ◽  
Dry Needling ◽  
Shoulder Impingement ◽  
Overhead Athletes ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

Context: Chronic musculoskeletal disorders in the shoulder joint are often associated with myofascial trigger points (MTrPs), particularly in the upper trapezius (UT) muscle. Dry needling (DN) is a treatment of choice for myofascial pain syndrome. However, local lesions and severe postneedle soreness sometimes hamper the direct application of DN in the UT. Therefore, finding an alternative point of treatment seems useful in this regard. Objective: To compare the efficacy of UT versus infraspinatus (ISP) DN on pain and disability of subjects with shoulder pain. The authors hypothesized that ISP DN could be as effective as the direct application of DN in UT MTrP. Design: Single-blind randomized clinical trial. Setting: Sports medicine physical therapy clinic. Participants: A total of 40 overhead athletes (age = 36 [16] y; 20 females and 20 males) with unilateral shoulder impingement syndrome were randomly assigned to the UT DN (n = 21) and ISP DN (n = 19) groups. Intervention: An acupuncture needle was directly inserted into the trigger point of UT muscle in the UT DN group and of ISP muscle in the ISP DN group. DN was applied in 3 sessions (2-day interval between each sessions) for each group. Main Outcome Measures: Pain intensity (visual analog scale), pain pressure threshold, and disability in the arm, shoulder, and hand were assessed before and after the interventions. Results: Pain and disability decreased significantly in both groups (P < .001) and pain pressure threshold increased significantly only in the ISP group (P = .02). However, none of the outcome measures showed a significant intergroup difference after treatments (P > .05). Conclusions: Application of DN for active MTrPs in the ISP can be as effective as direct DN of active MTrPs in the UT in improving pain and disability in athletes with shoulder pain, and may be preferred due to greater patient comfort in comparison with direct UT needling.

scholarly journals Immediate Effects of Bilateral Neuromuscular Taping on Upper Trapezius Muscle in Patients with Chronic Mechanical Neck Pain: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sandra Sanchez-Jorge ◽  
Angel Oliva Pascual-Vaca ◽  
Elena Sonsoles Rodriguez-Lopez ◽  
Juan Antonio Valera-Calero
Keyword(s):  
Visual Analogue Scale ◽  
Neck Pain ◽  
Range Of Motion ◽  
Analogue Scale ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Control Group ◽  
Cervical Range Of Motion ◽  
Upper Trapezius ◽  
Experimental Group

Abstract Background Researchers investigated the effects of neuromuscular taping on different musculoskeletal conditions. Considering the demonstrated short-term effectiveness of neuromuscular taping for the management of shoulder pain, kinesiotaping may also be beneficial in reducing pain in patients with chronic mechanical neck pain. Objective To determine the immediate effects of neuromuscular taping on head position, neck pain and cervical range of motion in individuals with neck pain. Methods Sixty subjects with chronic neck pain were randomly assigned to 1 of 2 groups: the experimental group received neuromuscular taping on upper trapezius bilaterally (with tension) and the placebo group received a sham neuromuscular taping application (without tension). Visual analogue scale (VAS), craniocervical angle and cervical range of motion data were collected at baseline and immediately after the neuromuscular taping application. Results The group-by-time interaction for t-test was statistically significant for pain recorded by visual analogue scale (p< 0.001). Patients in the experimental group obtained a similar improvement in pain to those in the control group (p< 0.001). Conclusions Patients with mechanical neck pain who received and application of neuromuscular taping with proper tension or sham neuromuscular taping exhibited similar reductions in neck pain intensity, but not in cervical range of motion.

scholarly journals Volume 3, Issue 1 (Continuously Updated 2020) Func Disabil J 2020, 3(1): 111-122 | Back to browse issues page ‎ 10.32598/fdj.3.16 XML Print Download citation: BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks Send citation to: Mendeley Zotero RefWorks Parandnia A, Yassin M, Sarrafzadeh J, Salehi R, Navaei F. Comparison of the Effects of Dry Needling and High-Intensity Laser Therapy on Pain Intensity and Pain Pressure Threshold in Females With Active Trigger Points in Upper Trapezius Muscle: A Single-blind Randomized Clinical Trial. Func Disabil J. 2020; 3 (1) :111-122 URL: http://fdj.iums.ac.ir/article-1-137-en.html Comparison of the Effects of Dry Needling and High-Intensity Laser Therapy on Pain Intensity and Pain Pressure Threshold in Females With Active Trigger Points in Upper Trapezius Muscle: A Single-blind Randomized Clinical Trial

2020 ◽  
Vol 3 (1) ◽  
pp. 111-122
Author(s):  
Azizeh Parandnia ◽  
◽  
Marzieh Yassin ◽  
Javad Sarrafzadeh ◽  
Reza Salehi ◽  
...  
Keyword(s):  
Laser Therapy ◽  
High Intensity ◽  
Trapezius Muscle ◽  
Dry Needling ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
High Intensity Laser ◽  
Upper Trapezius Muscle ◽  
Intensity Laser

Background & Objectives: Myofascial Trigger Point (MTrP) is one of the most common musculoskeletal disorders. The MTrP includes highly sensitive points within a taut band, is painful to palpation, and causes pain in a specific pattern. The MTrP is more prevalent in the upper trapezius muscle because this muscle plays an important role in maintaining the posture of the head and neck. This study aimed to compare the effects of dry needling and high-intensity laser therapy on the clinical signs of females with active trigger points in the upper trapezius muscle. Methods: Thirty females with the active MTrP of the upper trapezius muscle were randomly assigned into two groups: high-intensity laser therapy group (n=15) and dry needling group (n=15); they received the interventions in five sessions for three weeks. The outcome measures included pain intensity and pain pressure threshold, which were assessed before and two days after the interventions. Results: In both study groups, the scores of the visual analogue scale of pain were significantly decreased, also, the pain pressure threshold was significantly increased (P=0.001), after the treatment. However, the two groups did not significantly differ in any of the outcome measures (P>0.05). Conclusion: Both high-intensity laser therapy and dry needling can be employed to treat the MTrP of the upper trapezius muscle. Considering the effectiveness of the two treatments, each of the methods can be alternatively selected for these patients.

scholarly journals Effects of Dry Needling of the Upper Trapezius Active Trigger Points on Pain and Pain Pressure Threshold in Women With Chronic Non-Specific Neck Pain

2021 ◽  
Vol 4 (1) ◽  
pp. 29-29
Author(s):  
Fereshteh Navaee ◽  
◽  
Marzieh Yassin ◽  
Javad Sarrafzade ◽  
Reza Salehi ◽  
...  
Keyword(s):  
Neck Pain ◽  
Trigger Point ◽  
Local Treatment ◽  
Trigger Points ◽  
Dry Needling ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Significant Difference ◽  
Passive Stretch

Background and Objectives: The purpose of the present study was to examine the effectiveness of dry needling as local treatment of upper trapezius trigger points related to chronic neck pain on pain and pain pressure threshold in women with chronic nonspecific neck pain. Methods: Thirty females with an active myofascial trigger point of the upper trapezius muscle were randomly divided into two groups: dry needling with passive stretch (n=15) and passive stretch alone (n=15). They received 5 sessions of the intervention for three weeks. The outcomes were pain intensity and pain pressure threshold. Every outcome was recorded at baseline and 2 days after the fifth session. Results: Significant improvement in pain and pain pressure threshold was observed in both groups (P=0.0001) after the treatment. The results of the independent t-test showed a significant difference in measurements between the dry needling and passive stretch groups (P<0.05). Conclusion: Dry needling with passive stretch can be more effective on pain and pain pressure threshold than passive stretching alone in short term in women with nonspecific neck pain.

Sign in / Sign up

Export Citation Format

Share Document