scholarly journals THE COMPARISON OF MUSCLE ENERGY TECHNIQUE AND INFRARED INTERVENTION WITH CONTRACT-RELAX STRETCHING AND INFRARED IN IMPROVING RANGE OF MOTION NECK JOINT ON ONLINE GAME PLAYERS WITH MYOFASCIAL PAIN SINDROME UPPER TRAPEZIUS MUSCLE IN DENPASAR

2018 ◽  
Vol 6 (3) ◽  
pp. 17
Author(s):  
Made Aditya Prawira Arthawan ◽  
Nila Wahyuni ◽  
I Gusti Ayu Artini
Keyword(s):  
Range Of Motion ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Online Game ◽  
Upper Trapezius ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group 2 ◽  
Group 1

ABSTRACT               Pain is most commonly caused by myofascial pain syndrome, myofascial pain syndrome pain can affect the flexibility of the joints that will cause a decrease range of motion neck joint. The purpose of this study was to determine the comparison between muscle energy technique and infrared with contract relax stretching and infrared in increasing the range of motion neck joint on online game players with myofascial pain syndrome upper trapezius muscle in Denpasar. This research is an experimental research with pre and post test design group control design. The sample is an online game player of 22 people divided into two groups. Group 1 was given intervention of muscle energy technique and infrared, while group 2 was given contract relax stretching and infrared intervention. Result of hypothesis test with paired t-test, group 1 got difference average 6,36 ± 0,62 (p = 0,000) while group 2 got difference mean 5,00 ± 0,357 (p = 0,000). Differential test of improvement after group 1 and group 2 treatment using independent sample t-test showed that group 1 increase was higher than group 2 and this result was significantly different p = 0,019 (p <0,05) Keywords:  Range of motion neck joint, myofascial pain syndrome, contract relax stretching, infrared

scholarly journals THE THE DEEP TRANSVERSE FRICTION INTERVENTION BETTER THAN THE MASSAGE EFFLEURAGE IN INCREASING THE RANGE OF CERVICAL MOTION DUE TO OF MYOFASCIAL PAIN SYNDROME OF UPPER TRAPEZIUS MUSCLE ON THE LAUNDRY’S WORKERS IN EAST DENPASAR

2018 ◽  
Vol 6 (1) ◽  
pp. 35
Author(s):  
Komang Putri Aprilia ◽  
I Nyoman Adiputra ◽  
Nila Wahyuni
Keyword(s):  
Range Of Motion ◽  
Myofascial Pain ◽  
Intervention Group ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Upper Trapezius ◽  
Group 2 ◽  
Cervical Motion ◽  
Better Than ◽  
Group 1

THE DEEP TRANSVERSE FRICTION INTERVENTION BETTER THAN THE MASSAGE EFFLEURAGE ININCREASING THE RANGE OF CERVICAL MOTION DUE TO OF MYOFASCIAL PAIN SYNDROME OF UPPER TRAPEZIUS MUSCLE ON THE LAUNDRY’S WORKERS IN EAST DENPASAR ABSTRACT Range of Motion (ROM) defined as the extent of joint’s movement that occurs when the joint was moved fromone position to another, either passively or actively. Bad habits that done by someone if it done repeatedly and for along time could trigger pain and tension around the neck as well as decrease in the flexibility of the neck muscles.Decrease in muscle flexibility would result in decreased the range of cervical motion that will interfere with a person'sdaily activities. The purpose of this study was to prove the intervention Deep Transverse Friction better than MassageEffleurage in increasing the range of cervical motion as a result of Myofascial Pain Syndrome in Upper Trapezius muscle.This research was an experimental design with pre and post two group design. These samples included 20 people whowere divided into two groups. Group 1 was given Deep Transverse Friction intervention while group 2 was givenEffleurage Massage intervention. Measurement range of motion was done by goniometer. This research was anexperimental design with pre and post test two group design. The result showed an increase Range of Motion in theintervention Group 1 amounted 4.65 and intervention group 2 amounted 1.35. Paired sample t-test showed a significantresult between intervention group 1 and intervention group 2 with p = 0.000. Difference test between group 1 and group2 using Mann Whitney U-test was obtained p = 0.000. It was concluded that Deep Transverse Friction intervention betterthan Effleurage Massage in increasing the range of cervical motion. Keywords: Range of cervical motion, Deep Transverse Friction, Massage Effleurage, Goniometer.

scholarly journals INTERVENSI ULTRASOUND DAN MUSCLE ENERGY TECHNIQUE LEBIH MENURUNKAN DISABILITAS LEHER DARIPADA INTERVENSI ULTRASOUND DAN MYOFASCIAL RELEASE TECHNIQUE PADA KASUS MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS DI DENPASAR

2019 ◽  
Author(s):  
Ari Wibawa ◽  
Ni Luh Nopi Andayani ◽  
Anak Ayu Nyoman Trisna Narta Dewi
Keyword(s):  
Myofascial Pain ◽  
Trapezius Muscle ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Muscle Energy Technique ◽  
Release Technique ◽  
Muscle Energy ◽  
Neck Disability

Background: Myofascial Pain Upper trapezius muscle syndrome is a condition of both acute and chronic pain from muscle or fascia involving sensory, motoric, or autonomic functions. Myofascial pain can be local or regional, such as the neck, shoulders, usually unilateral or more severe in one side. Objective: To prove Ultrasound and Muscle Energy Technique Interventions to reduce neck disability more than Ultrasound and Myofascial Release Technique Interventions in the case of Myofascial Pain Syndrome Upper Trapezius muscle in Denpasar. Method: This study uses the Randomized Pre-test method and the Design Group Post Test Control. This study used 36 subjects divided into 2 groups, First Treatment Group with Ultrasound and Muscle Energy Technique and II Treatment Group with Ultrasound and Myofascial Release Technique. The two treatment groups were given treatment for 4 weeks. The measuring instrument used for neck disability is the Neck Disability Index (NDI). Results: The results of the independent t-test which showed the results of the calculation of the difference in mean neck disability obtained p = 0.372 (p> 0.05). Conclusion: Ultrasound intervention and muscle energy technique further reduced neck disability than an ultrasound intervention and myofascial release technique in the case of myofascial pain syndrome upper trapezius muscleKeywords: Myofascial Pain Syndrome, upper trapezius muscle, Ultrasound, muscle energy technique, myofascial release technique, Neck Disability Index.

scholarly journals Effects of muscle energy technique on pain, range of motion and function in patients with post-surgical elbow stiffness: A randomized controlled trial

2019 ◽  
Vol 39 (01) ◽  
pp. 25-33 ◽  
Author(s):  
Anood I Faqih ◽  
Nilima Bedekar ◽  
Ashok Shyam ◽  
Parag Sancheti
Keyword(s):  
Range Of Motion ◽  
Controlled Trial ◽  
Elbow Fracture ◽  
Elbow Stiffness ◽  
Rehabilitation Protocol ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group 2 ◽  
And Function ◽  
Group 1

Background: Elbow is a very functional joint. Elbow stiffness is a significant cause of disability hampering the function of the upper extremity as a whole. Muscle Energy Techniques (METs) are relatively pain-free techniques used in clinical practice for restricted range of motion (ROM). Objective: To study the effects of MET on pain, ROM and function given early in the rehabilitation in post-surgical elbow stiffness. Methods: An RCT was conducted on 30 patients post elbow fracture fixation. Group 1 was given MET immediately post removal of immobilization while Group 2 received MET 1 week later along with the rehabilitation protocol. Pain (Visual Analogue Scale), ROM (goniometry) and function (Disability of Arm, Shoulder and Hand questionnaire) were assessed pre and post 3 weeks. Results: Group 1 showed greater improvement than Group 2, mean flexion and extension change between groups being [Formula: see text], 95%CI(5.9,17.4) and [Formula: see text], 95%CI(4.4,12.7), respectively. VAS and DASH scores improved better in Group 1, mean change being [Formula: see text], 95%CI(0.6,1.8) and [Formula: see text], 95%CI(13.5,22.8) for VAS and DASH scores, respectively. Conclusion: MET can be used as an adjunct to the rehabilitation protocol to treat elbow stiffness and can be given safely in the early stages of post elbow fracture rehabilitation managed surgically with open reduction and rigid internal fixation.

scholarly journals THE DIFFERENCE INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE WITH DEEP TISSUE MASSAGE AND CONTRACT-RELAX STRETCHING TO IMPROVE RANGE OF MOTION CERVICAL JOINT IN MYOFASCIAL PAIN SYNDROME UPPER TRAPEZIUS MUSCLE AT SMA NEGERI 1 SEMARAPURA

2018 ◽  
Vol 6 (2) ◽  
pp. 42
Author(s):  
I Gede Donny Hendrawan ◽  
Nila Wahyuni ◽  
I Made Muliarta
Keyword(s):  
Range Of Motion ◽  
Myofascial Pain ◽  
Trapezius Muscle ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Deep Tissue ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
The Difference ◽  
Inhibition Technique

ABSTRACTMyofascial pain syndrome is a collection of sensory, motor, and autonomic symptoms that cause local andreffered pain, limited range of motion and weakness of the affected muscles. The limitations range of motion will beannoying than the daily activities. Interventions that can improve range of motion of cervikal are IntegratedNeuromuscular Inhibition Technique, Deep Tissue Massage and Contract-Relax Stretching. The results show GroupNeuromuscular Inhibition Technique with Wilcoxan Sign Rank Test obtained a mean difference of 13.7 with p = 0.000,while the test results Hypothesis Group Contract-Relax Stretching with Paired Sample T-test showed a mean differenceof 12.1 with p = 0.000. Test the difference between Mann Whitney U-test showed no significant difference between theother group are obtained p = 0.420. These results indicate that there is no difference in increasing range of motion inboth groups.Keywords: Range of motion of cervical, Upper Trapezius Muscle,Myofascial Pain Syndrome, IntegratedNeuromuscular Inhibition Technique, Deep Tissue Massage, Contract-relax Stretching, Goniometer

scholarly journals Myofascial Pain Syndrome Focused on the Upper Trapezius Muscle: A Comparative Randomized Controlled Trial of the Court-Type Traditional Thai Massage versus the Thai Hermit

2021 ◽  
Vol 26 ◽  
pp. 2515690X2110308
Author(s):  
Jurairat Boonruab ◽  
Phiyaphon Poonsuk ◽  
Watchara Damjuti ◽  
Wichit Supamethangkura
Keyword(s):  
Range Of Motion ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Controlled Trial ◽  
Trapezius Muscle ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Upper Trapezius ◽  
Lower Pain ◽  
Upper Trapezius Muscle

Myofascial pain syndrome is a common problem that can develop at any age. This study compares the efficacy of the court-type traditional Thai massage (CTTM) to the Thai hermit exercise (THE) in improving the cervical range of motion (CROM) and reducing pain in the upper trapezius muscle. In this study, 46 patient subjects were randomized into 2 groups, with 1 group administered CTTM and the other administered THE. Prior to and following the experiment, their demographic characteristics, pain levels and CROM were measured using a visual analog scale (VAS) and a goniometer, respectively. Data was then analyzed using descriptive statistics, percentage, mean, and standard deviation, as well as inferential statistics. The findings indicate that subjects in both groups demonstrated significantly lower pain and significantly better CROM (P < 0.05). In terms of comparative treatment between the CTTM and THE groups, the results were not found to differ in the range of motion, but a clear difference in pain level measured by VAS was found, in which CTTM provides a better way of reducing pain at the trigger point than THE (P < 0.05). From the findings, it can be concluded that both CTTM and THE are comparably efficacious therapies for myofascial pain in the upper trapezius muscle.

Granisetron vs. lidocaine injection to trigger points in the management of myofascial pain syndrome: a double-blind randomized clinical trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Rezasoltani ◽  
Hanna Ehyaie ◽  
Reza Kazempour Mofrad ◽  
Fatemeh Vashaei ◽  
Reza Mohtasham ◽  
...  
Keyword(s):  
Neck Pain ◽  
Myofascial Pain ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Double Blind ◽  
Upper Trapezius ◽  
Disability Scale ◽  
Neck Disability

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.

scholarly journals 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

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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