scholarly journals McKENZIE NECK EXERCISE LEBIH BAIK DALAM MENURUNKAN DISABILITAS LEHER DARIPADA DYNAMIC NECK EXERCISE PADA PENJAHIT DENGAN MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS

2020 ◽  
Vol 8 (2) ◽  
pp. 41
Author(s):  
Boki Jaleha ◽  
I Putu Gede Adiatmika ◽  
Sugijanto Sugijanto ◽  
I Made Muliarta ◽  
Ketut Tirtayasa ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
T Test ◽  
Upper Trapezius ◽  
Paired Samples ◽  
Post Test ◽  
Neck Disability

Pendahuluan: Myofascial pain syndrome otot upper trapezius merupakan gangguan muskuloskeletal pada otot upper trapezius akibat penggunaan otot secara berlebihan, postur yang jelek, dan repetitif mikrotrauma sehingga menyebabkan nyeri, taut band, kelemahan otot dan disabilitas pada daerah leher. Tujuan Penelitian: Untuk mengetahui perbedaan efek kedua intervensi, Mckenzie Neck Exercise dan Dynamic Neck Exercise dalam menurunkan disabilitas leher pada penjahit dengan myofascial pain syndrome otot upper trapezius. Metode: Penelitian eksperimental ini menggunakan rancangan randomized pre and post test two group design. Sampel penelitian sebanyak 18 orang yang dibagi secara acak menjadi 2 kelompok, masing-masing kelompok berjumlah 9 orang. Kelompok I diberikan McKenzie Neck Exercise sedangkan Kelompok II diberikan Dynamic Neck Exercise. Perlakuan dilakukan 3 kali seminggu selama 6 minggu dengan evaluasi menggunakan kuesioner penilaian Neck Disability Index (NDI). Hasil: Hasil uji statistik menggunakan paired-samples t test pada Kelompok I dengan rerata skor sebelum intervensi (23,8±2,1)% dan sesudah intervensi yaitu (16,4±2,4)% dengan nilai (p < 0,05) dan Kelompok II dengan rerata skor sebelum intervensi (23,6±2,2)% dan sesudah intervensi (20,9±2,3)% dengan nilai (p < 0,05). Uji beda hipotesis antara Kelompok I dengan Kelompok II menggunakan independent-samples t test diperoleh nilai (p < 0,05). Simpulan: McKenzie Neck Exercise lebih baik dalam menurunkan disabilitas leher daripada Dynamic Neck Exercise dengan myofascial pain syndrome otot upper trapezius. Saran: Penelitian selanjutnya diharapkan dapat mengontrol aktivitas pekerja dilingkungan kerja maupun tempat tinggal dan diperlukan adanya tindak lanjut ataupun pengawasan (follow up) sampel penelitian setelah berakhirnya program penelitian pada masing-masing sampel, untuk mengetahui hasil intervensi yang diberikan dapat memberikan efek jangka panjang.  

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 INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE LEBIH MENURUNKAN NILAI DISABILITAS LEHER DARIPADA AKTIVASI DEEP CERVICAL FLEXOR MUSCLE PADA MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS

2020 ◽  
Vol 8 (1) ◽  
pp. 45
Author(s):  
Nitaya Putri Nur Hidayat ◽  
Dewa Putu Gede Purwa Samatra ◽  
S. Indra Lesmana ◽  
Nyoman Mangku Karmaya ◽  
Ni Wayan Tianing ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Flexor Muscle ◽  
Upper Trapezius ◽  
Neck Disability ◽  
Inhibition Technique

Pendahuluan: Perkembangan teknologi memudahkan seseorang untuk menyelesaikan tugas sehari-hari. Banyak orang menghabiskan sebagian besar waktunya untuk berada di depan gawai. Dampak negatif yang timbul pada penggunaan gawai yang berlebihan adalah buruknya postur tubuh, karena seseorang cenderung akan duduk dengan posisi leher yang membungkuk ke depan. Hal tersebut akan menyebabkan ketidakseimbangan kerja otot area leher, terjadi ketegangan terus menerus tanpa disertai relaksasi yang cukup pada otot upper trapezius akan menimbulkan myofascial pain syndrome pada otot tersebut. Tujuan Penelitian: Untuk menemukan intervensi fisioterapi yang efektif dan efisien guna menurunkan nilai disabilitas leher pada myofascial pain syndrome otot upper trapezius. Metode: Penelitian ini bersifat experimental, dengan pretest-posttest design dengan randomisasi sebagai desain penelitiannya. Intervensi dilakukan 3 kali seminggu selama 4 minggu. Sampel merupakan pasien di klinik Fitasoma, Colomadu, Karanganyar, yang terdiri dari 19 orang berusia 25 - 40 tahun, dibagi menjadi 2 kelompok yang terdiri dari Kelompok I dengan perlakuan intervensi integrated neuromuscular inhibition technique yang berjumlah 9 orang dan Kelompok II dengan perlakuan aktivasi deep cervical flexor muscle yang berjumlah 10 orang. Pengukuran nilai disabilitas menggunakan Neck Disability Index. Hasil: Terdapat penurunan nilai disabilitas leher yang bermakna pada ke dua kelompok. Pada Kelompok I didapat rerata dari 40,00 menjadi 21,67  dan pada Kelompok II di dapat rerata dari 39,10 menjadi 30,30. Uji beda setelah perlakuan pada masing-masing kelompok didapatkan nilai p=0,042 dan selisih rerata 18,33 pada Kelompok I dan 8,80 pada Kelompok II yang berarti Integrated Neuromuscular Inhibition Technique lebih baik daripada aktivasi deep cervical flexor muscle dalam menurunkan nilai disabilitas leher.

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

scholarly journals KOMBINASI ULTRASOUND DAN DRY NEEDLING LEBIH MENURUNKAN DISABILITAS LEHER DARI PADA KOMBINASI ULTRASOUND DAN HOLD RELAX PADA MYOFASCIAL PAIN SYNDROM OTOT UPPER TRAPEZIUS

2018 ◽  
Author(s):  
Iman Santoso ◽  
Bagus Komang Satriyasa ◽  
Muthiah Munawaroh ◽  
I Nengah Sandi ◽  
Made Muliarta ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Neck Disability Index ◽  
Control Group ◽  
P Value ◽  
Dry Needling ◽  
Upper Trapezius ◽  
Post Test ◽  
Neck Disability ◽  
Experimental Group ◽  
Better Than

Introduction : Upper trapezius myofascial pain syndrom (MPS) is characterized by presence of trigger points in upper trapezius muscle. MPS can cause disability and also has negative economic effect. Purpose : The reserach’s goal is to improve that combination of ultrasound and dry needling was better than combination of ultrasound and hold relax to decrease neck disability index. Methods : This research used experimental methods to study with pre-test and post-test control group design. Number of samples of the experimental group was 17 subjects given three times treatment of combination of ultrasound and dry needling, while in the control group were 17 subjects given three time treatment of combination of ultrasound and hold relax. NDI was used as out come measure. Shaphiro-wilk test was used to test the normality and levene’s test was used to test the homogenity. wilcoxon signed ranked test was used for hipothesis I, t-test related was used for hipothesis II and t-test independent wa used for hipothesis III. Results : The research showed that: (1) There was significant decrease of NDI in the experimental group . values of mean for pre test were 42,04 + 7,33 % and post test were 10,18 + 3,78 %. with p value = 0.000 (p <0.05) (2) there was significant decrease of NDI in the control group. values of mean for pre test were 45,29 + 6,03 % and post test were 22,24 + 5,42 %, with p value = 0.000 (p <0.05) (3) There were significant differences between experimental group and control group comparing with the differences of post test values between the group. The mean of post test values in experimental group showed 10,18 + 3,78 % meanwhile 22,24 + 5,42% in control group, with p value = 0.000 (p <0.05). Conclution : It was concluded that combination of ultrasound and dry needling and combination of ultrasound and hold relax can decrease the neck disability index. Combination of ultrasound and dry needling was better than combination of ultrasound and hold relax to decrease neck disability index in subject with upper trapezius myofascial pain syndrom.

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 PERBANDINGAN EFEK MUSCLE ENERGY TEHNIQUE DENGAN INTEGRATED NEUROMUSKULER INHIBITION TECHNIQUE TERHADAP NECK DISABILITY KONDISI MYOFASCIAL PAIN SYDROME UPPER TRAPEZIUS

2020 ◽  
Vol 8 (1) ◽  
pp. 15
Author(s):  
Sulfandi Sulfandi ◽  
I Made Muliarta ◽  
Wahyuddin Wahyuddin ◽  
Alex Pangkahilla ◽  
Susy Purnawati ◽  
...  
Keyword(s):  
Nucleus Pulposus ◽  
Comparison Group ◽  
Myofascial Pain ◽  
Neck Disability Index ◽  
T Test ◽  
Group Design ◽  
Upper Trapezius ◽  
Muscle Energy ◽  
Neck Disability ◽  
Inhibition Technique

Pendahuluan: Myofascial Pain Sydrome merupakan suatu keadaan yang dapat menimbulkan nyeri lokal dan nyeri menjalar yang dikarakteristikkan dengan adanya ketidaknormalan pada motoris (taut band yang keras di dalam otot) dan ketidaknormalan pada sensoris (nyeri tekan dan nyeri menjalar). Tujuan: Untuk membuktikan dan mengkaji efektifitas kedua efek terapi Muscle Energy Tehnique dan Integrated Neuromuscular Inhibition Technique dalam mengatasi masalah disabilitas leher pada kasus myofascial pain sydrome upper trapezius. Metode: Penelitian ini adalah penelitian eksperimental pretest and posttest comparison group design. Sebanyak 18 orang subjek penelitian, berusia 20-55 tahun, mengalami disabilitas leher, dan tidak pernah mengalami spondylolisthesis, cedera, fraktur dan hernia nucleus pulposus pada area leher, direkrut untuk mengikuti penelitian ini. Subjek penelitian dibagi menjadi 2 Kelompok. Kelompok I diberikan program Muscle Energy Tehnique dan Kelompok II diberikan program Integrated Neuromuscular Inhibition Technique dengan durasi latihan yang sama, yaitu 30 menit per hari selama 4 minggu. Alat ukur yang digunakan untuk mengevaluasi perubahan nyeri mekanik leher adalah Neck Disability Index. Analisis statistik menggunakan uji Paired Sampel T test untuk membandingkan hasil prestest dan posttest tiap Kelompok, dan uji Independent T Test untuk membandingkan perubahan nyeri antara kedua Kelompok. Hasil: Ditemukan penurunan disabilitas leher yang signifikan (p=<0,05) baik pada Kelompok I maupun Kelompok II, yaitu dari rerata (45,33±4,690 menjadi 13,78±3,930 vs. 43,78±3,232 menjadi 12,89±2,667). Hasil perbandingan penurunan disablitas leher menunjukkan bahwa tidak ada perbedaan yang signifikan (p=0,360) antara Kelompok I dan Kelompok II. Simpulan: Program Muscle Energy Tehnique dan Integrated Neuromuscular Inhibition Technique efektif dalam mengatasi disabilitas leher pada kondisi Myofascial Pain Sydrome Upper Trapezius  dengan efektivitas yang sama baiknya antara kedua teknik tersebut.

scholarly journals Effectiveness of joint mobilization and dry needling in myofascial pain syndrome with neck pain

2019 ◽  
Vol 02 (02) ◽  
pp. 096-097
Author(s):  
Martín Pérez S. ◽  
Montaño Ocaña J. ◽  
Barragán Carballar C. ◽  
Arribas Pérez H.
Keyword(s):  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Dry Needling ◽  
Post Intervention ◽  
Joint Mobilization ◽  
Upper Trapezius ◽  
Pain Pressure Threshold ◽  
Clinically Significant

Abstract Background and Aim Almost 70% of the population has suffered from cervical pain of a mechanical origin (CPM) at some point in their life. In myofascial pain syndrome (MPS), besides the zygapophyseal joint, the myofascial trigger point (MTrP) is involved as the main source of CPM. Manual therapy (MT) based on joint mobilization (JM) in combination with dry needling (DN), are the most used treatments in these patients. Aims 1) To compare the pain and range of motion (ROM) between the MT interventions using JM and deep DN and MT using JM and sham DN in patients with CPM and activation of MTrP 2 of the upper trapezius (UT). 2) To assess the changes in the active cervical ROM, pain pressure threshold (PPT), intensity of pain at rest and with movement (measured using the Visual Analog Scale) and post-needling soreness in these patients. Material and Methods An experimental, double blind randomized pilot study in which the effects produced by the interventions were compared among two groups: a first group (n = 5) received a treatment based on sham DN of the UT and MT using JM of C2 and a second group (n = 6) who received deep DN of the MTrP 2 of the UT and the same mobilization technique. Three prospective measurements were performed: pre-intervention, post-intervention and follow-up (1 month after the post-intervention measurement). Results 11 subjects participated in this study (7 women and 4 men; mean age: 49.9 ±  10.8 years) who completed both the four interventions (1 session/week) as well as the follow-up. According to the PPT, measured on the MTrP 2 of the UT, none of the two groups presented clinically significant changes, and only 3 patients presented increases beyond the MDC (MDC) in the follow-up measurement (1.11 kg/cm2). Regarding the VAS measured at rest, only the first group (sham DN) obtained a clinically significant post intervention improvement (56%) and at follow-up (150%). The VAS in response to movement decreased significantly with treatment in both groups for all movement planes and axes; however, the active cervical ROM did not display significant changes in any of the two groups; lastly, the mean, maximum and minimum values of post-needling soreness in the group with placebo DN were lesser to those of the group who received the real deep DN technique, for the entire treatment. Conclusion Deep DN combined with MT improved the intensity of pain in response to cervical movement, whereas sham dry needling combined with MT caused a greater decrease of intensity at rest. Although both techniques are similar for improving active cervical ROM, sham DN combined with MT increased post-needling soreness both during treatment as well as at follow-up. Further research is necessary to deepen our information of the effects of the combination of these two techniques in the treatment of MPS.

scholarly journals Pengaruh Myofacial Release Kombinasi dengan Hold Relax terhadap Myofacial Pain Syndrome

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Arum Sekar Sunyiwara ◽  
Mega Widya Putri ◽  
Rifqi Sabita
Keyword(s):  
Myofascial Pain ◽  
Trapezius Muscle ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Myofascial Release ◽  
Garment Workers ◽  
Upper Trapezius ◽  
Post Test ◽  
Syndrome Myofascial ◽  
Upper Trapezius Muscle

AbstrakPekerja garment khususnya pada bagian operator jahit merupakan salah satu pekerjaan yang beresiko terkena gangguan myofascial pain syndrome otot upper trapezius. Myofascial pain syndrome pada otot upper trapezius adalah kondisi nyeri otot leher yang ditandai adanya trigger point (titik nyeri) yang terletak di otot yang kencang, biasanya disebabkan karena beban kerja otot yang berlebihan. Sebanyak 6-67% nyeri leher dialami oleh pekerja, 49% diantaranya dialami pekerja garmen dan lebih banyak dialami wanita. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi myofascial release dengan hold relax terhadap myofascial pain syndrome otot upper trapezius pada pekerja garmen Kecamatan Wonopringgo. Quasi experiment dengan rancangan one group pre test-post test adalah analisa data yang digunakan, penelitian ini menggunakan sample 20 responden, dilakukan selama 2 minggu dengan tindakan yang diberikan pada penelitian ini yaitu myofascial release selama 5 menit dan hold relax selama 15 menit. Hasil dari uji paired sample t test diperoleh hasil ρ value = 0,000 (<0,05), menunjukkan bahwa ada pengaruh kombinasi myofascial release dengan hold relax terhadap myofascial pain syndrome otot upper trapezius pada pekerja garmen Kecamatan Wonopringgo.Tindakan kombinasi myofascial myofascial release dengan hold relax ini dapat digunakan untuk mengatasi myofascial pain syndrome otot upper trapezius.Kata kunci: Myofascial Pain Syndrome, Myofascial Release dan Hold Relax. The Effects of Myofascial Release Combination with Hold Relax onMyofascial Pain SyndromeAbstractGarment workery especially in the sewing operators is a profession with high risk of myofascial pain syndrome disorders on upper trapezius muscle. Myofascial pain syndrome on the upper trapezius muscle is painful condition characterized by neck muscles trigger points (pain points) located on lean muscle, usually due to excessive muscle workload. As many as 6-67% of neck pain was experienced by workers, 49% of them experienced garment workers especially female workers. This study aimed to determine the effect of the combination of myofascial release with hold relax to myofascial pain syndrome of upper trapezius muscle to garment workers in Wonopringgo District. It was a quasi experimental research with one group pre test and post test design. 20 respondent were selected through a purposive sampling technique. The treatment was given for two weeks (e.g. 3 times for each week). In each treatment,each respondent as given 5 minutes of myofascial release and 15 minutes of hold relax. The paired sample t test resulted p value = 0,000 (<0,05). It indicated that there wasand influence of the combination of myofascial release and hold relax to myofascial pain syndrome of upper trapezius muscle in garment workers in Wonopringgo District. Therefore the combination of myofascial release combination with hold relax can be used to treat myofascial pain syndrome of upper trapezius muscle.Keywords  : Myofascial Pain Syndrome, Myofascial Release and Hold Relax.

scholarly journals Effects of Low-Level Laser Irradiation and Dry Needling on the Symptoms of Myofascial Pain Syndrome: A Controlled Pilot Study

2021 ◽  
Author(s):  
Maryam Motavalian ◽  
Siamak Bashardoust Tajali ◽  
Behrouz Attarbashi Moghadam ◽  
Seyedeh Zohreh Hosseini
Keyword(s):  
Pain Intensity ◽  
Laser Therapy ◽  
Myofascial Pain ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Dry Needling ◽  
Low Level Laser ◽  
Level Laser ◽  
Neck Disability

Introduction: This study aimed to compare the effects of Low-Level Laser Therapy (LLLT) combined with Dry Needling (DN) with DN alone on pain and neck disability index following myofascial pain syndrome. Materials and Methods: Sixteen women with active Trigger Points (TrPs) in their upper trapezius muscles participated in this study. They were divided into two groups: Experimental and control. The experimental group received one session of the DN plus the LLLT with 6 j/ cm2 energy at their TrPs. The patients in the control group were under a similar procedure, but they did not receive any energy by the LLLT (placebo). The pain score was assessed before, immediately, and 48 hours after the treatment. Neck Disability Index (NDI) was assessed before and 48 hours after the treatment. Results: There was a significant improvement in pain intensity and NDI scores 48 hours after the treatment in both groups compared with the baseline scores (P<0.05). The pain was also significantly reduced at the patients following laser therapy immediately after the treatment (P=0.01). Conclusion: A combination of the LLLT and DN might be more effective compared with using DN alone, and reduce immediate pain at the patients  with the active TrPs. There was no difference between the groups 48 hours after the treatment. It seems that LLLT has no considerable effect on NDI and pain intensity 48 hours after the treatment.

Sign in / Sign up

Export Citation Format

Share Document