Effectiveness of Muscle Energy Technique versus Positional Release Technique on Upper Trapezius Trigger Points in Subjects with Neck Pain – Comparative Study

Background: Neck pain is a common musculoskeletal problem in the General population. Upper trapezius is a superficial postural muscle that tends to get shortened due to overuse activity which causes neck pain and reduces neck mobility. The aim of this study was to compare the immediate effect of Muscle energy technique (MET) and passive stretching of upper trapezius muscle in neck pain patients.Methods: An experimental study was undertaken during period from March 2017 to March 2018. 358 participants with Neck pain were included in this study. Participants were divided in two groups: Group A received Hot pack and MET for upper Trapezius. Group B received Hot pack and Passive stretching for upper trapezius. Visual analogue scale (VAS) at end range of motion (ROM), same cervical side flexion and opposite side cervical rotation by goniometer and tape were taken as outcome measures. Participants were assessed prior to the treatment, immediately after the treatment and post 24 hours to see the carry over treatment.Results: Mann Whitney U test showed that VAS at end range of motion, opposite side cervical rotation and same side cervical side flexion had significant improvement in MET group as compared to passive stretching group (p<0.0001). Carry over effect was less significant with p<0.0001.Conclusions: A single session of MET for upper trapezius muscle reduced the pain intensity (VAS) and increased the cervical rotation and cervical side flexion.

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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

Sport and Fitness Journal ◽

10.24843/spj.2019.v07.i03.p09 ◽

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.

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Comparative Study of Treatment of Trigger Points Pain With Two Techniques .1 Muscle Energy Technique Alone 2. Combined Approach

International Journal of Science and Research (IJSR) ◽

10.21275/v5i4.nov162955 ◽

2016 ◽

Vol 5 (4) ◽

pp. 1825-1829

Keyword(s):

Comparative Study ◽

Trigger Points ◽

Combined Approach ◽

Muscle Energy Technique ◽

Muscle Energy

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Immediate Effect of Strain Counterstrain Technique versus Muscle Energy Technique on Upper Trapezius Tenderness in Non-Specific Neck Pain

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210452 ◽

2021 ◽

Vol 6 (2) ◽

pp. 289-298

Author(s):

Nawal M Mulla ◽

Parag Kulkarni ◽

Ajay Kumar

Keyword(s):

Visual Analogue Scale ◽

Neck Pain ◽

Analogue Scale ◽

Pressure Sensitivity ◽

Lateral Flexion ◽

Upper Trapezius ◽

Muscle Energy Technique ◽

Group A ◽

Muscle Energy ◽

Group B

Background: The most common form of neck pain is non-specific which is deep, dull aching & poorly localized. Non-specific pain is associated with upper trapezius tenderness. For people who work at desks and computers, or who spend many hours driving, have poor ergonomics which causes the upper trapezius to become sore and painful. The soreness can lead to the development of tender points which can be the major reason for developing neck pain and muscle spasm. Physiotherapy techniques like muscle energy technique and Strain counterstrain has been proposed to treat tenderness in trapezius. Objective: To compare the immediate effect of Strain Counterstrain Technique & Muscle Energy Technique on pain, pain pressure sensitivity & mobility on non-specific neck pain with upper trapezius tenderness using Visual analogue scale, Pressure Algometer & Universal Goniometer respectively. Method: 60 subjects were selected as per inclusion and exclusion criteria& were randomly assigned to Group A (n=30) & Group B (n=30); Strain Counterstrain and Muscle Energy Technique respectively. Visual Analogue Scale, Pain Pressure Sensitivity & Cervical Rotation & Lateral Flexion Motion bilaterally was noted before & after application of both techniques and the data was statistically analysed. Result: Both groups showed statistical significance (p< 0.05) differences in all outcome measures between pre test and post test values of Group A and Group B but there is no statistical significant (p> 0.05) difference in the outcome measures between groups. Conclusion: The study concludes that both techniques are equally effective in treating pain, increasing lateral flexion and rotation range of motion, and improving pain pressure sensitivity. Keywords: Strain Counterstrain, muscle energy technique, upper trapezius tenderness,visual analog scale, non-specific neck pain,pain pressures sensitivity.

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