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

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

International Journal Of Scientific Advances ◽

10.51542/ijscia.spi1.03 ◽

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.

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Comparison of High-Power Pain Threshold Ultrasound Therapy With Local Injection in the Treatment of Active Myofascial Trigger Points of the Upper Trapezius Muscle

Yearbook of Sports Medicine ◽

10.1016/j.yspm.2011.07.001 ◽

2012 ◽

Vol 2012 ◽

pp. 49-50

Author(s):

D.E. Feldman

Keyword(s):

High Power ◽

Pain Threshold ◽

Trapezius Muscle ◽

Trigger Points ◽

Local Injection ◽

Ultrasound Therapy ◽

Myofascial Trigger Points ◽

Upper Trapezius ◽

Upper Trapezius Muscle

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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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Comparison of High-Power Pain Threshold Ultrasound Therapy With Local Injection in the Treatment of Active Myofascial Trigger Points of the Upper Trapezius Muscle

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2010.11.030 ◽

2011 ◽

Vol 92 (4) ◽

pp. 657-662 ◽

Cited By ~ 23

Author(s):

Halil Unalan ◽

Javid Majlesi ◽

Filiz Yildiz Aydin ◽

Deniz Palamar

Keyword(s):

High Power ◽

Pain Threshold ◽

Trapezius Muscle ◽

Trigger Points ◽

Local Injection ◽

Ultrasound Therapy ◽

Myofascial Trigger Points ◽

Upper Trapezius ◽

Upper Trapezius Muscle

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Topographical Distribution of EMG Activity in the Upper Trapezius Muscle in People With Myofascial Trigger Points

Clinical Journal of Pain ◽

10.1097/ajp.0000000000000436 ◽

2017 ◽

Vol 33 (5) ◽

pp. 473-474

Author(s):

Marco Barbero ◽

Deborah Falla ◽

Corrado Cescon

Keyword(s):

Trapezius Muscle ◽

Trigger Points ◽

Emg Activity ◽

Myofascial Trigger Points ◽

Upper Trapezius ◽

Topographical Distribution ◽

Upper Trapezius Muscle

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Comparative Study of Instrument Assisted Soft Tissue Mobilisation Vs Ischemic Compression in Myofascial Trigger Points on Upper Trapezius Muscle in Professional Badminton Players

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal ◽

10.37506/ijpot.v14i1.3480 ◽

2020 ◽

Keyword(s):

Soft Tissue ◽

Comparative Study ◽

Trapezius Muscle ◽

Trigger Points ◽

Myofascial Trigger Points ◽

Upper Trapezius ◽

Upper Trapezius Muscle

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Correlation Between Skin Temperature Over Myofascial Trigger Points in the Upper Trapezius Muscle and Range of Motion, Electromyographic Activity, and Pain in Chronic Neck Pain Patients

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2017.10.009 ◽

2018 ◽

Vol 41 (4) ◽

pp. 350-357 ◽

Cited By ~ 5

Author(s):

Carlos Eduardo Girasol ◽

Almir Vieira Dibai-Filho ◽

Alessandra Kelly de Oliveira ◽

Rinaldo Roberto de Jesus Guirro

Keyword(s):

Neck Pain ◽

Skin Temperature ◽

Trapezius Muscle ◽

Chronic Neck Pain ◽

Trigger Points ◽

Electromyographic Activity ◽

Myofascial Trigger Points ◽

Upper Trapezius ◽

Upper Trapezius Muscle ◽

Pain Patients

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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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Does Deep Cervical Flexor Muscle Training Affect Pain Pressure Thresholds of Myofascial Trigger Points in Patients with Chronic Neck Pain? A Prospective Randomized Controlled Trial

Rehabilitation Research and Practice ◽

10.1155/2016/6480826 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Pavlos Bobos ◽

Evdokia Billis ◽

Dimitra-Tania Papanikolaou ◽

Constantinos Koutsojannis ◽

Joy C. MacDermid

Keyword(s):

Neck Pain ◽

Pain Threshold ◽

Controlled Trial ◽

Neck Disability Index ◽

Chronic Neck Pain ◽

Trigger Points ◽

Neck Muscle ◽

Myofascial Trigger Points ◽

Neck Disability ◽

Over Time

Background. We need to understand more about how DNF performs in different contexts and whether it affects the pain threshold over myofascial trigger points (MTrPs). Purpose. The objectives were to investigate the effect of neck muscles training on disability and pain and on pain threshold over MTrPs in people with chronic neck pain. Methods. Patients with chronic neck pain were eligible for participation with a Neck Disability Index (NDI) score of over 5/50 and having at least one MTrP on either levator scapulae, upper trapezoid, or splenius capitis muscle. Patients were randomly assigned into either DNF training, superficial neck muscle exercise, or advice group. Generalized linear model (GLM) was used to detect differences in treatment groups over time. Results. Out of 67 participants, 60 (47 females, mean age: 39.45 ± 12.67) completed the study. Neck disability and neck pain were improved over time between and within groups (p<0.05). However, no differences were found within and between the therapeutic groups (p<0.05) in the tested muscles’ PPTs and in cervicothoracic angle over a 7-week period. Conclusion. All three groups improved over time. This infers that the pain pathways involved in the neck pain relief are not those involved in pain threshold.

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