scholarly journals Trigger Point Release versus Instrument Assisted Soft Tissue Mobilization on Upper Trapezius Trigger Points in Mechanical Neck Pain: A Randomized Clinical Trial

2020 ◽  
Vol 88 (12) ◽  
pp. 2073-2079
Author(s):  
MOHAMED N.H. ABDELHAMID, M.Sc.; ENAS F. YOUSSEF, Ph.D. ◽  
AHMAD H. AZZAM, M.D.; MAHA M. MOHAMMED, Ph.D.
Keyword(s):  
Clinical Trial ◽  
Soft Tissue ◽  
Neck Pain ◽  
Randomized Clinical Trial ◽  
Trigger Point ◽  
Trigger Points ◽  
Upper Trapezius ◽  
Soft Tissue Mobilization

scholarly journals Neurophysiological Effects of Dry Needling in Patients with Neck Pain, A Randomized Clinical Trial

2021 ◽  
Author(s):  
Luis Martín-Sacristán ◽  
Cesar Calvo-Lobo ◽  
Daniel Pecos-Martín ◽  
Josue Fernández-Carnero ◽  
Jose Luis Alonso-Pérez
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Pain Intensity ◽  
Trigger Point ◽  
Neck Disability Index ◽  
Pressure Pain Threshold ◽  
Dry Needling ◽  
Post Intervention ◽  
Upper Trapezius ◽  
Tibialis Muscle

Abstract The purpose was to determine the efficacy of deep dry needling (DDN) applied on an active myofascial trigger point (MTrP) versus a latent-MTrP versus a non-MTrP location, on pain reduction and cervical disability, in patients with chronic neck pain. A randomized, double-blind clinical trial design was used. A sample of 65 patients was divided into non-MTrP-DDN, active-MTrP-DDN and latent-MTrP-DDN groups. The visual analog scale (VAS), reproduction of the patient’s pain, number of local twitch responses, pressure pain threshold (PPT) and Neck Disability Index (NDI) were assessed before, during and after the intervention and up to 1 month post-intervention. The active-MTrP-DDN-group reduced pain intensity more than non-MTrP-DDN-group after a week and a month (p<0.01). Active-MTrP-DDN-group showed the greatest improvement in tibialis muscle PPT. An association was found with a higher percentage of subjects in whom their neck pain was reproduced when the active-MTrP (77.3%) and the latent-MTrP (81.8%) were treated. The application of DDN on an active-MTrP in the upper trapezius muscle shows greater improvements in pain intensity after one week and one month post-intervention, as well as lesser improvement in PPT in the tibialis muscle, compared to DDN applied in latent-MTrPs or outside of MTrPs in patients with neck pain

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