scholarly journals IMMEDIATE EFFECT OF MYOFASCIAL RELEASE V/S POSITIONAL RELEASE TECHNIQUE ON LEVATOR SCAPULAE TRIGGER POINTS IN YOUNG ADULTS

2020 ◽  
pp. 15-17
Author(s):  
Ahmed Noor ◽  
Mansi Sanghvi ◽  
Sarfraj Khan

Context : Myofascial release is the gentle manual application of sustained pressure to release fascial restriction. One of the cervical spine pain healing methods is Trigger point therapy with positional release method. Aim: To compare the efficacy of Immediate Effect of Myofascial Release and Positional Release techniques on levator scapulae trigger points in young adults. Method and material: Study involved 30 subjects that were divided into 2 groups. Group A (n=15) Myofascial Release technique and Group B (n=15)Positional Release technique. Results: The data was analysed using statistical method of paired’t’-test between the pre and post interventional study of pain and range of motion. Result showed statistically significant improvement (p<0.05) and visible difference in the post intervention. Discussion and conclusion: From the present study we conclude that Myofascial release is more efficient in reducing pain whereas Positional Release Technique is more efficient in increasing the cervical ROM , both Active lateral flexion and Cervical rotation.

2019 ◽  
Vol 02 (02) ◽  
pp. 064-064
Author(s):  
Ciórraga López JL ◽  
Vega Moreu P.

Abstract Aims The aim of this research was to study the appearance of soreness after dry needling (DN) and percutaneous needle electrolysis (PNE) in latent trigger points of the extensor muscle of the posterior forearm region. Material and Methods A pre-test/post-test pilot study was performed, in which 15 volunteers with latent trigger points in the extensor muscles of the posterior forearm region were randomly distributed into a group A who received treatment with DN and a group B who received treatment with PNE. Before and after the intervention, algometry measurements were performed at the site where the trigger point was found, and, after the intervention the patient was asked to complete two visual analog scales (VAS) to evaluate pain during the intervention and a second scale to measure pain once the needle had been removed. In addition, the same scale was performed after 24 hours, 72 hours, and 1 week after the dry needling. The statistical analysis was performed using the SPSS program version 24.0, evaluating the normality of the variables using the Shapiro-Wilk test, as the sample was less than 50 subjects. P values of > 0.05 were considered normal. Results The ANOVA revealed a significant effect for time on the decrease of the VAS scores, both in the groups of dry needling (P < 0.001), as well as in the group of PNE (P < 0.001). In contrast, a group-time interaction was not observed (P = 0.824), ruling out statistically significant differences between the DN group and the PNE group. The Student's t-test showed a significantly decreased pain pressure threshold between the pre and post algometry, both in the group of DN (P < 0.001) and the group of PNE (P < 0.003). However, no statistically significant differences were found between both groups in pre and post algometry (P = 0.457). Conclusion All patients presented post-needling soreness, without significant differences between DN and PNE interventions. The most intense pain was registered minutes after the dry needling, which then decreased without significant differences, reaching 0 after 72 hours, in most cases. Neither of the two techniques caused increased pain in response to pressure in a significantly different manner. No relationship was observed between a greater number of LTRs and post-needling pain. There was a correlation between pain experienced during the intervention and pain 24 hours after the needling. The levels of post-intervention pain secondary to the application of DN and PNE in latent trigger points of the extensor muscles of the posterior forearm region did not present significant differences among study subjects in both intervention groups.


2021 ◽  
pp. 26-27
Author(s):  
Rishika Balani ◽  
Tanvi Patole

Aim of study: The aim of the study was to compare the immediate effect on application of remote self- myofascial release on posterior chain exibility in asymptomatic young individuals. Material and Method: 44 subjects were assigned into two groups, Group (A) Plantar fascia release and Group (B) Suboccipital release. Outcomes measures used were Sit and reach test (SRT), Active knee extension test (AKE) and Weight bearing lunge test. Result: There was a signicant difference in SRT and AKE on left side between group A and B. Within the same group there was a signicant improvement in outcome measures post intervention. Conclusion: There was an immediate increase in exibility of the hamstrings, gastrocnemius-soleus muscles and lumbar spine ROM through remote self- myofascial release.


2018 ◽  
Vol 7 (1) ◽  
pp. 21-27
Author(s):  
Mubarra Rao ◽  
Sadia Shafaq

Myofascial trigger point is a hyperirritable nodule present in a palpable taut band of skeletal muscle, often results from muscle injury or repetitive strain that cause pain and tightness. Myofascial trigger points are one of the most common causes of chronic neck pain. This study aims to determine the efficacy of ischemic compression in comparison with myofascial stretching on trigger points of trapezius muscle for reduction of pain and spasm. Randomized Control Trial. The study was conducted in Ziauddin Hospital. 96 participants were enrolled in the study. Participants were divided into two groups equally and randomly, Group (A) an intervention group treated with hot pack, ultrasound therapy and ischemic compression, Group (B) a control group treated with hot pack, ultrasound therapy and myofascial stretching. This regime was followed thrice a week for three weeks. Statistically significant (P < 0.05) changes in the values were found in Group A and Group B for Visual Analog scale and Penn spasm frequency scale post treatment. The results showed that there is significant difference found after both interventions for the treatment of pain and spasm caused by myofascial trigger point. It cannot be said that ischemic compression is more effective than myofascial stretching for the treatment of myofascial trigger points of trapezius muscle.


Author(s):  
Samiksha V. Sonone ◽  
Deepali Patil ◽  
Om C. Wadhokar

Background: Nocturnal leg cramps (NLC) are involuntary muscle contractions of the calf muscles, hamstrings, or foot muscles that occur unexpectedly, episodically, and are unpleasant. Night time cramping affects about one-third of adults. Leg cramps can strike anyone at any age, although they are more widespread and often more severe as grow older. The majority of cramps are idiopathic, and the physiological cause behind them is unknown. Muscle cramps appear to be triggered by neuromuscular structures in muscle, tendons, and nerve fibres, according to some writers. Musculoskeletal issues linked to a sedentary lifestyle, as well as job postures, prolonged standing, and the western habit of sitting rather than squatting, have been implicated of generating cramps, particularly NLC. Patients with cramps have a higher risk of peripheral vascular disease than individuals without cramps. Stretching before bedtime can help older persons lessen the frequency and severity of nocturnal leg cramps. Stretching treatments, like as Myofacial Release, can help relieve NLC. Self-Myofacial release (SMFR) is a sort of Myofacial release (MFR) that is accomplished by the person rather than a therapist, and it is usually done with the help of a tool. Self-MFR is a low-cost, easily accessible approach for people to relieve muscle and fascia pain while also maintaining flexibility. Foam rollers and roller massage are two of the most used devices for self-MFR. MFR is used to treat a wide range of musculoskeletal disorders; it is used to treat a wide range of problems, and many types of treatment, such as trigger-point therapy and proprioceptive neuromuscular facilitation, fall under the myofascial umbrella. Aim and Objectives: To study the main impact of Self Myofascial Release (SMFR) to decreasing the duration of pain and improving Quality of Life in patients with NLC. Methodology: In this study total 30 patient with nocturnal leg cramps will receive Self Myofascial Release technique (SMFR), it will be including exercise which will be performed for 4 weeks twice a day and each for 5-10 mins. Discussion: This study is done to find out the effectiveness of Self Myofacial release in individual with nocturnal leg cramps (NLC). Conclusion: Conclusion of the study can be made based on the effect of Self Myofascial Release technique on patient with nocturnal leg cramps. 


2019 ◽  
Vol 37 (3) ◽  
pp. 141-150
Author(s):  
Daniel Pecos-Martin ◽  
Manuel José Ponce-Castro ◽  
José Jesús Jiménez-Rejano ◽  
Susana Nunez-Nagy ◽  
César Calvo-Lobo ◽  
...  

Objective: Latent myofascial trigger points (MTrPs) of the levator scapulae have a high prevalence and may influenceconditions of the neck and shoulder. The pressure release technique is one of the most recommended manual therapy techniques. The aim of this study was to determine the effect of varying durations of the pressure release technique application on latent MTrPs of the levator scapulae. Methods: In a three-arm (1:1:1 ratio), double-blinded, parallel, randomised clinical trial, 60 healthy university students (23 men, 37 women) with a mean±SD age of 20.0±2.67 years were recruited. Subjects were assigned to receive pressure release in one latent MTrP of the levator scapulae lasting 30s (T30s; n=17), 60s (T60s; n=22) or 90s (T90s; n=21). Active cervical range of movement (CROM), strength, pressure pain threshold (PPT) and neck pain intensity at full stretch were measured immediately before and after treatment. Results: Mixed-model analyses of variance showed statistically significant differences for PPT (P=0.045; partial Eta2=0.103), comparing T60s versus T30s (P=0.009; Cohen’s d=1.044) and T90s versus T30s groups (P=0.001; Cohen’s d=1.253), and for left side bending strength (P=0.043; partial Eta2=0.105), comparing T90s versus T30s (P=0.023; Cohen’s d=0.907). The rest of the comparisons did not present any significant differences (P⩾0.05). Conclusions: The 60 s and 90 s applications of the pressure release technique may be recommended to increase PPT and strength, respectively, in latent MTrPs of the levator scapulae in the short term. Trial registration number: NCT03006822.


2021 ◽  
Vol SP (1) ◽  
Author(s):  
Anjali Suresh ◽  
Rama Chandra L. A. ◽  
Prasanna Mohan

Background/aim: The increasing use of smartphone in daily life has brought about numerous musculoskeletal problems. Impairments in the neck is the most common when compared to other parts of the body. The aim of this study was to compare the effects of two different manual treatment techniques in two separate groups, i.e., trigger point release and Myofascial release (MFR) on the trigger points (TrPs) in the upper trapezius muscle in smartphone users. Both group received Ultrasound therapy. The smartphone addiction scale -short version was administered to all participants to determine the level of addiction and those who scores were high were included in the study. The set criteria in the study included the pain intensity on the visual analogue scale (VAS) neck disability using the Neck Disability Index and Cervical Range of motion side flexion using cervical goniometer. Subjects and methods: This clinical trial study assessed the outcome measures within and between groups before, after the intervention and a follow up was done after 15 days. The target population were smartphone users between the age group of 18 to 35 years. 106 subjects (48 males, 53 females) participants who had been selected from among the eligible participants of 176 and who had TrPs in their upper trapezius muscle. Results: The effect of Trigger point release and Myofascial release on patients of each groups with TrPs in the upper trapezius muscle resulted in increased cervical lateral flexion (P < 0.001), decreased pain intensity on VAS (P < 0.001) and decreased decrease in Neck disability (P < 0.001) within the groups and between the group there was no significance. Conclusion: Both manual techniques Trigger point release and Myofascial release reduced the symptoms of TrPs in the upper trapezius in both the groups equally, neither technique being superior to the other.


2011 ◽  
Vol 14 (02) ◽  
pp. 1250002 ◽  
Author(s):  
Mohammad Reza Emad ◽  
Sharareh Roshanzamir ◽  
Mohsen Zafar Ghasempoor ◽  
Shahriar Mirshamsand Parisa Sedaghat

Background: One of the causes of musculoskeletal pain is trigger points. Trigger point injection is one of the acceptable methods to inactivate the trigger points and provide symptomatic relief. The goal of our study was to compare the effectiveness of the injection without muscle stretching versus stretching immediately after injection of methylprednisolon in the treatment of trigger points. Methods: Seventy patients with pain in the gluteal muscles due to trigger points were recruited after explanation regarding their treatment method. A written consent was collected from the patients prior to their participation in the study. The patients had two office visits and two phone follow-ups. All the patients were treated with injections of Lidocaine and Methylprednisolon. In group (A), injection was administered without stretching. In group (B), stretching of the muscle was performed immediately after the injection. The evaluation tools were Numeric Pain Intensity Scale (NPS), Visual Analogue Scale (VAS) and Brief Pain Inventory Scale (BPI). Results: Results from VAS showed significant difference between the two groups after one month. Significant difference was seen between groups, one month and two months after the injection according to NRS. However, no significant difference was detected between two groups in BPI, except in mood. Conclusion: This study, based upon follow-ups in two months upon injection, highlights the effectiveness of muscle stretching immediately after the injection in the treatment of symptomatic gluteal trigger points.


Author(s):  
Ni Made Intansari Tri Buana ◽  
Susy Purnawati ◽  
Sugijanto ◽  
Komang Satriyasa ◽  
Nengah Sandi ◽  
...  

Background: Myofascial syndrome is a chronic condition arising from trigger point activation causing a decrease in neck muscle strength in tailor clothes. Purpose: To determine the different combinations of myofascial release technique with ultrasound and ischemic compression technique combination with ultrasound in increasing neck muscle strength due to myofascial syndrome on the tailor of clothes in saraswati convection guwang gianyar village. Method: This study used an experimental study with pre-test and post-test group design. The sample consisted of 22 people consisting of 11 people in each group. The first group was given myofascial release technique intervention with ultrasound and the second group was given ischemic compression technique with ultrasound. Intervention is given 3x a week for 2 weeks. Sampling technique with random sampling. The strength of neck muscle was measured by sphygmomanometer. Results: Paired Sample T-test test in Group 1 was obtained p= 0,000 (p <0,05) and in Group 2 the result was p = 0,002 (p <0,05) Meaningful differences before and after intervention in each group. The mean difference test of mean values with independent sample t-test after treatment between groups was 0.195mmHg (p> 0.05) which means that there is no difference between the two groups in increasing the strength of neck muscles. Conclusion: There is no difference between a combination of myofascial release technique with ultrasound and a combination of ischemic compression technique with ultrasound in increasing neck muscle strength due to myofascial syndrome in dressmaker. Suggestion: As reference in handling case of myofascial syndrome especially upper trapezius muscle


Author(s):  
Deepak Panwar ◽  
Siddhartha Sen

Introduction: In the life of a normal human function or in doing activity of daily living muscular flexibility plays an important role. Flexibility is the ability of a joint or series of joints to move through an unrestricted, pain free range of motion. A limitation in the muscular flexibility leads to several musculoskeletal overuse injuries in players life and remarkably affect a person’s level of function. Myofascial Release (MFR) is a manual soft tissue technique that is frequently used in physical therapy for the flexibility purpose. Aim: To find out the immediate effects of MFR on muscle flexibility, vertical jump height in recreational badminton players. Materials and Methods: This was a case control study design with total of 60 recreational badminton players were recruited for the study during July 2018 to May 2019 for 10 months. All the subject was assigned into three groups as per the selected muscle like quadriceps, hamstring and calf muscle. Vertical jump height Knee flexion angle Popliteal Angle (PA) distance from the wall (Lunge test) was measured pre-intervention and post intervention. MFR technique was applied as an intervention. Paired sample t test was used to find out the immediate effect. Results: Quadriceps and hamstring play a significant effect in vertical jump height and the flexibility of the muscles increases after the administration of MFR. Vertical jump height for quadriceps group (p<0.029) showed extremely significant improvement. Flexibility of quadriceps (p<0.001), hamstring (p<0.001) and calf (p<0.001) also showed significant differences. Conclusion: The study concluded that MFR has immediate effect on increasing muscle flexibility and muscle power.


Author(s):  
Pratik Gohil ◽  
Girish Baldha ◽  
R. Arunachalam

Abstract Background and Aim Lumbosacral radiculopathy is a typical disorder among people belonging to diverse populations. Myofascial trigger points are commonly located on the lumbar and pelvic girdle areas, which are known for aggravating pain in lumbar radiculopathy. This study was conducted to know the effectiveness of trigger point dry needling on lumbosacral radiculopathy among Indian homemakers in pain. Methods One hundred subjects between the age group of 40 to 60 years clinically diagnosed with lumbosacral radiculopathy associated with myofascial trigger points were screened, and 40 subjects who matched the inclusion criteria were enrolled to study after ethical approval. Subjects were randomly allocated into group A (n = 20) (experimental/trigger point dry needling) and group B (n = 20 control/sham needle therapy) for five sessions in a week. Outcomes were measured using a numerical pain rating scale for pain. Results The level of significance was determined by p < 0.05 at 95% confidence interval. Statistically, significant improvements were seen between the mean pre- and postscores of both the groups (p < 0.05). However, the reduction in mean pain scores was statistically more significant in group A (decrease by 65.7%) than group B (decrease by 14.1%). Conclusion Trigger point dry needling on lumbosacral radiculopathy provided to group A was more effective than intervention provided to group B control study participants.


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