A comparison of efficacy of diclofenac patch and physical therapy techniques in the treatment of patients with myofascial pain disorder of the upper trapezius

Objective: This study was conducted to find the best treatment in treating the patients of myofascial syndrome for this purpose two treatment options were compared to rule out the best option of treatment in minimizing the pain, enhancing the cervical movement and in determining the pressure pain threshold of MTrp. Material and methodology: It was a comparative study. Total 60 patients were randomly allocated to each group of treatment. We compared two treatments, treatment A of 30 patients was physical therapy and 30 patients of treatment B was diclofenac patch. For seven days, these patches were applied three times per day to the MTrP area of the upper trapezius muscle. The fix’s sufficiency and security boundaries were evaluated before it was used (day 0), three days later (day 3), and six days later (day 6). Chi square test was used for checking association of treatments and different attributes of patients. Results: There is significance association was found between demographic characteristics and treatments groups with p-values less than 0.05. There is significance difference effect between both treatments using VAS pain scale and cervical active Rom and PPT of MTRP using p-value less 0.05. These results shows that physical therapy treatment effects are batter as compare to diclofenac patch. Conclusion: Physical therapy techniques and the diclofenac patch have both been shown to be helpful but significant results are shown by Group A in treating trigger points of upper trapezius by normalizing the pathophysiological reasons of trigger points of this region. Physical therapy techniques are more helpful in reducing pain and in achieving cervical movement.

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Therapeutic Effect of Superficial Acupuncture in Treating Myofascial Pain of the Upper Trapezius Muscle: A Randomized Controlled Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2018/9125746 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Chao Ching Wang ◽

Tse Hung Huang ◽

Kuo Ching Chiou ◽

Zi Yu Chang

Keyword(s):

Pain Threshold ◽

Myofascial Pain ◽

Controlled Trial ◽

Pressure Pain Threshold ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Upper Trapezius ◽

Upper Trapezius Muscle

The aim of this study was to compare the treatment efficacies of superficial acupuncture and traditional acupuncture on trigger points of the upper trapezius muscle. Forty people were recruited and randomly allocated to the traditional and superficial acupuncture groups. Each subject received two treatments per week in a four-week period. Outcomes were measured by visual analogue scale (VAS), the Northwick Park neck pain questionnaire scores (NPQ), and pressure pain threshold (PPT) assessments of trigger points. Data collected before the interventions were considered as baseline. Assessments were performed after the first treatment and at the end of the second and fourth weeks of treatment. Patients reported significant (p<0.05) and immediate improvements in VAS and PPT for both superficial acupuncture and traditional acupuncture after the first treatment and after two and four weeks. Significant improvements (p<0.05) in NPQ were attained after two weeks of treatments in both groups. Because superficial acupuncture is associated with less pain while producing immediate pain relief, we recommend it for treating myofascial pain syndrome in the upper trapezius muscle.

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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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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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Effects of Conventional Physical Therapy with or without Strain Counterstrain in Patients with Trigger Points of Upper Trapezius; a Randomized Controlled Clinical Trial

Annals of King Edward Medical University ◽

10.21649/akemu.v22i3.1400 ◽

2016 ◽

Vol 22 (3) ◽

Cited By ~ 1

Author(s):

Hafiz Muhammad Waseem Javaid ◽

Ashfaq Ahmad ◽

Fareeha Ajmad ◽

Sidrah Liaqat ◽

Saba Tahir

Keyword(s):

Physical Therapy ◽

Range Of Motion ◽

Trapezius Muscle ◽

Trigger Points ◽

Control Group ◽

Myofascial Trigger Points ◽

Upper Trapezius ◽

Group A ◽

Upper Trapezius Muscle ◽

Group B

Background:Â Â Non-specific neck pain has potential contributing factors. One of the factors being emphasized in the modern era is the Myofascial trigger points in the upper trapezius muscle. These could be treated by strain counterstrain method whose effectiveness needs to be evaluated. Hence, the objective of the study was to compare the effects of conventional Physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius muscle.Â Patients and MethodsIt is randomized controlled clinical trial.48 patients with treatment group A (24 patients) and control group B (24 patients).48 patients with treatment group A (24 patients) and control group B (24 patients).Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle presented to physical therapy department. Effects of interventions were recorded on neck disability index, visual analogue scale and cervical range of motion goniometer.Results of this study using repeated measure ANOVA demonstrated that within group from day 1 to 7, there was mean reduction of pain by 32.13 (26.99, 37.27) in conventional physical therapy group with Strain counterstrain group (group A) and conventional physical therapy only group (group B) by 12.62 (8.28, 16.96). Less significant improvement was seen within groups for day 1, 4 and 7 in cervical range of motion. There was significant improvement seen in pain, neck disability index and neck range of motions on day 7 between group A and B measured by independent sample t test.Conclusion:Â Â Conventional physical therapy with strain counterstrain was found effective in reducing pain, functional disability and improving range of motion at cervical region.

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THE RELATIONSHIP BETWEEN WORKING POSTURE WHILE SEWING WITH OCCURENCE OF MYOFASCIAL PAIN SYNDROME UPPER TRAPEZIUS MUSCLE ON TAILORS IN KECAK GARMENT

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2019.v07.i03.p03 ◽

2019 ◽

Vol 7 (3) ◽

pp. 9

Author(s):

A.A. Istri Ayesa Febrinia Adyasputri ◽

I Putu Gde Surya Adhitya ◽

I Putu Adiartha Griadhi

Keyword(s):

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Simple Random Sampling ◽

Chi Square ◽

Cross Sectional ◽

Upper Trapezius ◽

Chi Square Test ◽

Upper Trapezius Muscle

Penjahit merupakan salah satu pekerjaan yang banyak ditekuni oleh masyarakat Bali. Namun, penjahit jarang memperhatikan postur kerja saat menjahit. Hal ini dapat dapat menyebabkan myofascial pain syndrome otot upper trapezius jika dilakukan dalam jangka waktu lama. Tujuan dari penelitian ini adalah untuk mengetahui hubungan postur kerja saat menjahit dengan terjadinya myofascial pain syndrome otot upper trapezius pada penjahit di Kecak Garmen. Penelitian ini merupakan penelitian analitik dengan rancangan cross- sectional. Pengambilan sampel dilakukan dengan teknik Simple Random Sampling. Jumlah sampel penelitian ini sebanyak 70 orang. Data dianalisis menggunakan Chi-Square Test dan memiliki hubungan signifikansi dengan nilai p sebesar 0,000 (p<0,05). Kesimpulan dari penelitian ini bahwa ada hubungan yang signifikan postur kerja saat menjahit dengan terjadinya myofascial pain syndrome otot upper trapezius pada penjahit di Kecak Garmen. Kata Kunci : Postur Kerja, Penjahit, Myofascial Pain Syndrome, Upper Trapezius

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Comparing Between the Effects of Dry Needling and Shock Wave in the Treatment of Trapezius Myofascial Pain

Journal of Modern Rehabilitation ◽

10.18502/jmr.v14i4.7720 ◽

2021 ◽

Author(s):

Mehran Toghtamesh ◽

Siamak Bashardoust Tajali ◽

Shohreh Jalaei

Keyword(s):

Shock Wave ◽

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Trigger Points ◽

Single Session ◽

Dry Needling ◽

Shock Wave Therapy ◽

Upper Trapezius ◽

Upper Trapezius Muscle

Introduction: Musculoskeletal disorders are important causes of pain. Trigger points are one of the common reasons for myofascial pain. This study aimed to compare a single session of dry needling versus a single session of shock wave therapy on the level of pain and Range of Motion (ROM) in the people with Myofascial Pain Syndrome (MPS) of the upper trapezius muscle. Materials and Methods: Sixteen men with active trigger points of upper trapezius muscle were voluntarily attended in this study. They were randomly assigned into two groups. The patients were under a single session treatment of either dry needling or shock wave therapy. Level of pain (by Visual Analog Scale [VAS]) and active ROM of neck lateral flexion (by goniometer) were evaluated once before the treatment and immediately after the intervention. Results: The VAS scores and the neck ROMs were substantially improved at both groups of study immediately after the treatment (P<0.012). However, there were no significant differences between the two groups of interventions in terms of the VAS and ROM scores (P>0.05). Conclusion: Both dry needling and shock wave therapy can improve neck pain and ROM in patients with active trigger points in the upper trapezius muscle.

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MYOFACIAL PAIN SYNDROME OF THE UPPER TRAPEZIUS MUSCLE INCIDENTS BASED ON AGE AND LENGTH OF WORK FOR BATIK TULIS WORKERS IN WIRADESA DISTRICT

Jurnal Fisioterapi dan Rehabilitasi ◽

10.33660/jfrwhs.v4i2.108 ◽

2020 ◽

Vol 4 (2) ◽

pp. 26-33

Author(s):

Nurul Aktifah

Keyword(s):

Sampling Method ◽

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Descriptive Study ◽

Upper Trapezius ◽

Upper Trapezius Muscle ◽

Myofacial Pain

Background: Myofascial pain syndrome of the upper trapezius muscle is pain in the muscles that is characterized by trigger points. Work with a statistical position for 8 hours every day can cause the syndrome. Objective: To determine the incidence of Myofascial pain syndrome of the upper trapezius muscle based on age and length of work of batik workers. Research Methods: Descriptive study. Respondents in this study were 25 batik workers using accidental sampling method. The research instrument uses the Visual Analogue Scale (VAS). Results: myofascial pain syndrome in upper trapezius muscle category of uncontrolled severe pain experienced by respondents aged 46-60 amounted to 10 respondents (40%) and the length of work less than 10 years were 11 respondents (44%). Conclusion: The results of this study illustrate that age and length of work can be risk factors for myofascial pain syndrome of upper trapezius muscle in batik tulis workers in Wiradesa District.

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

Journal of Modern Rehabilitation ◽

10.18502/jmr.v14i2.7707 ◽

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.

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