scholarly journals DRY NEEDLING VERSUS INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE ON UPPER TRAPEZIUS MYOFASCIAL TRIGGER POINTS

2020 ◽  
Vol 35 (7) ◽  
pp. 45-56
Keyword(s):  
Trigger Points ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Inhibition Technique

scholarly journals The neurophysiological effects of dry needling in patients with upper trapezius myofascial trigger points: study protocol of a controlled clinical trial

BMJ Open ◽  
2013 ◽  
Vol 3 (5) ◽  
pp. e002825 ◽  
Author(s):  
Maryam Abbaszadeh-Amirdehi ◽  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Gholamreza Olyaei ◽  
Mohammad Reza Nourbakhsh
Keyword(s):  
Clinical Trial ◽  
Study Protocol ◽  
Trigger Points ◽  
Controlled Clinical Trial ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Upper Trapezius

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.

Neurophysiological and clinical effects of dry needling in patients with upper trapezius myofascial trigger points

2017 ◽  
Vol 21 (1) ◽  
pp. 48-52 ◽  
Author(s):  
Maryam Abbaszadeh-Amirdehi ◽  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Gholamreza Olyaei ◽  
Mohammad Reza Nourbakhsh
Keyword(s):  
Trigger Points ◽  
Clinical Effects ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Upper Trapezius

scholarly journals Comparison of the Effects of Dry Needling and Low-Level Laser on the Latent Trigger Points of Upper Trapezius

2021 ◽  
Keyword(s):  
Pressure Pain Threshold ◽  
Muscle Thickness ◽  
Trigger Points ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Low Level ◽  
Low Level Laser ◽  
Upper Trapezius ◽  
Level Laser ◽  
Significant Difference

Background and Aims: Myofascial pain syndrome (MPS) is one of the most frequent causes of chronic musculoskeletal pain which is characterized by myofascial trigger points (MTrPs). Hence, it is of crucial importance to identify practical approaches for the treatment of these points. Upper trapezius muscle (UT) is highly susceptible to the development of MTrPs that are commonly resulted from overuse and micro-trauma. In this regard, the present study aimed to compare the effects of dry needling (DN) and low-level laser therapy (LLLT) regarding the reduction of pain and muscle thickness and improvement of the range of motion (ROM) and pressure pain threshold (PPT) in patients with latent MTrPs (LTrPs) in their UT muscles. Materials and Methods: In total, 60 patients with LTrPs in UT muscle participated in this randomized clinical trial. The subjects were randomly divided into two treatment groups of DN and LLLT. The PPT was evaluated by visual analog scale (VAS) and algometer while ROM and muscle thickness were assessed using goniometer and ultrasonography, respectively. It should be noted that the variables were evaluated before the first and after the sixth sessions. Finally, the collected data were analyzed using independent and paired t-tests. Results: Based on the results, the VAS and muscle thickness significantly reduced, while the PPT and cervical ROM increased in both groups after treatment (P<0.001). The independent t-test revealed a statistically significant improvement in the DN group in terms of PPT (9.9-14.17, P=0.009) and ROM (37.33-42.67, p=0.005), compared to the LLLT group. Nevertheless, no significant difference was found between the two groups regarding VAS and muscle thickness variables (P>0.05). Conclusion: The DN and LLLT effectively improved symptoms in the UT muscles of patients with LTrPs. However, the DN was more effective in the improvement of ROM and PPT variables.

scholarly journals Effects of Deep Dry Needling on Tremor Severity and Functionality in Stroke: A Case Report

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 5
Author(s):  
José Antonio Ortín ◽  
Elisabeth Bravo-Esteban ◽  
Jaime Ibáñez ◽  
Pablo Herrero ◽  
Julio Gómez-Soriano ◽  
...  
Keyword(s):  
Inertial Sensors ◽  
Biceps Brachii ◽  
Trigger Points ◽  
Emg Activity ◽  
Pinch Strength ◽  
Dry Needling ◽  
Triceps Brachii ◽  
Post Intervention ◽  
Myofascial Trigger Points ◽  
Upper Trapezius

This study aimed to determine the effect of one session of dry needling on the severity of tremor, motor function and skills, and quality of life of a 39-year-old woman with post-stroke tremor. Myofascial trigger points (MTrP) of the following muscles were treated: extensor digitorum, flexor digitorum superficialis and profundus, brachioradialis, short head of biceps brachii, long head of triceps brachii, mid deltoid, infraspinatus, teres minor, upper trapezius, and supraspinatus. Outcomes were assessed via (i) clinical scales (activity of daily living (ADL-T24), a visual analog scale (VAS), and the Archimedes spiral), (ii) a functional test (9-Hole Peg test), and (iii) biomechanical and neurophysiological measurements (inertial sensors, electromyography (EMG), and dynamometry). The subject showed a decrease in the severity of tremor during postural (72.7%) and functional (54%) tasks after treatment. EMG activity decreased after the session and returned to basal levels 4 days after. There was an improvement post-intervention (27.84 s) and 4 days after (32.43 s) in functionality and manual dexterity of the affected limb, measured with the 9-Hole Peg test, as well as in the patient’s hand and lateral pinch strength after the treatment (26.9% and 5%, respectively), that was maintained 4 days later (15.4% and 16.7%, respectively).

scholarly journals Effect of ice massage with integrated neuromuscular inhibition technique on pain and function in subjects with mechanical neck pain: randomized controlled trial

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Heba Mohammed Moselhy Al-Najjar ◽  
Amal Hassan Mohammed ◽  
Dalia Mohammed Mosaad
Keyword(s):  
Neck Pain ◽  
Trigger Points ◽  
Lateral Side ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Significant Difference ◽  
Side Bending ◽  
Inhibition Technique

Abstract Background Myofascial trigger point (MTrP) plays a major role in the genesis of mechanical neck pain, which may lead to chronic disorders. The purpose of the study is to investigate and compare the effect of ice massage plus integrated neuromuscular inhibition technique (INIT) versus INIT alone on active trigger points in the upper trapezius of persons having mechanical neck pain. Forty participants diagnosed as mechanical neck pain with upper trapezius active myofascial trigger points. They were randomized into two equal groups. Group A (experimental) received ice massage for 10 min plus INIT, while group B (control) received INIT alone. The treatment program continued for 2 weeks (3 sessions/week). The outcome measures are the pain intensity, pain pressure threshold, cervical lateral side bending and neck daily functions. Results The results showed that there were significant improvements in VAS at p = .899 and F = .78, PPT at p = .288 and F = .553, cervical side bending at p = .094 and F < 0.00001, and NDI at p = .164 and F = 0.00001 in both groups, while there were no statistically significant differences between both groups as p > 0.05. Conclusion Ice massage and INIT are effective methods in managing active trigger points in the upper trapezius of persons having mechanical neck pain without statistically significant difference.

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