scholarly journals COMPARING MUSCLE ENERGY TECHNIQUE AND HOLD RELAX IN THE MANAGEMENT OF NECK PAIN AND UPPER TRAPEZIUS TIGHTNESS

2015 ◽  
Vol 4 (2) ◽  
pp. 45-51
Author(s):  
Qurat ul Ain Adnan ◽  
Mehwish Shamim ◽  
Huma Abbas ◽  
Kawish Jamil
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Pain Scale ◽  
Upper Trapezius ◽  
Muscle Energy Technique ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Group A ◽  
Upper Trapezius Muscle ◽  
Muscle Energy ◽  
Group B

OBJECTIVE To compare the efficacy of Muscle Energy Technique (MET) and Hold Relax Technique of Proprioceptive Neuromuscular Facilitation (PNF) in non-specific neck pain and upper trapezius tightness. STUDY DESIGN AND SAMPLING TECHNIQUES Experimental Study, Randomized Control Trial. STUDY SETTINGS & PARTICIPANTS Study was conducted at reputed Institute of Physical Therapy and Hospital including students, teachers, staff, and patients with a sample size of thirty participants. INTERVENTION MET and PNF hold relax technique is applied for non specific neck pain and upper trapezius spasm. OUTCOME MEASURES Using single blinded randomization, subjects were allocated into two groups A and B. In Group A hold relax of Proprioceptive Neuromuscular Facilitation (PNF) was applied to upper trapezius muscle while in group B Muscle Energy Technique (MET) was applied on the same muscle. Comparison is made for examining the effectiveness of both PNF and MET on pain scale and cervical ranges. RESULTS Improvements were seen in both groups but results of Hold Relax PNF technique is found to be more effective than MET. Major difference was reported pre and post treatment in the pain magnitude and neck range of motion. CONCLUSION The result of this study supports the application of PNF technique for relieving non-specific neck pain and upper trapezius muscle spasm. Keywords Muscle Energy Technique, Proprioceptive neuromuscular, Facilitation, Hold Relax, Non-specific neck pain, Upper Trapezius Spasm, Pain Magnitude, Randomization

scholarly journals Immediate effect of muscle energy technique versus passive stretching for upper trapezius muscle on neck pain

2020 ◽  
Vol 7 (1) ◽  
pp. 86
Author(s):  
Mansi Ray ◽  
Roopa Desai
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Upper Trapezius ◽  
Passive Stretching ◽  
Muscle Energy Technique ◽  
Upper Trapezius Muscle ◽  
Muscle Energy ◽  
Carry Over ◽  
Cervical Rotation ◽  
Hot Pack

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.</p><p class="abstract"><strong>Results: </strong>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&lt;0.0001). Carry over effect was less significant with p&lt;0.0001.</p><p class="abstract"><strong>Conclusions: </strong>A single session of MET for upper trapezius muscle reduced the pain intensity (VAS) and increased the cervical rotation and cervical side flexion.</p>

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

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.

scholarly journals Effects of Conventional Physical Therapy with or without Strain Counterstrain in Patients with Trigger Points of Upper Trapezius; a Randomized Controlled Clinical Trial

2016 ◽  
Vol 22 (3) ◽  
Author(s):  
Hafiz Muhammad Waseem Javaid ◽  
Ashfaq Ahmad ◽  
Fareeha Ajmad ◽  
Sidrah Liaqat ◽  
Saba Tahir
Keyword(s):  
Physical Therapy ◽  
Range Of Motion ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Control Group ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Group A ◽  
Upper Trapezius Muscle ◽  
Group B

<p><strong>Background:</strong><strong>  </strong>Non-specific neck pain has potential contributing factors. One of the factors being emphasized in the modern era is the Myofascial trigger points in the upper trapezius muscle. These could be treated by strain counterstrain method whose effectiveness needs to be evaluated. Hence, the objective of the study was to compare the effects of conventional Physical therapy with or without strain counterstrain in patients with trigger points of upper trapezius muscle.</p><p> <strong>Patients and Methods</strong></p><p>It is randomized controlled clinical trial.</p><p>48 patients with treatment group A (24 patients) and control group B (24 patients).</p><p class="Default">48 patients with treatment group A (24 patients) and control group B (24 patients).</p><p>Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle presented to physical therapy department. Effects of interventions were recorded on neck disability index, visual analogue scale and cervical range of motion goniometer.</p><p><strong>Results</strong> of this study using repeated measure ANOVA demonstrated that within group from day 1 to 7, there was mean reduction of pain by 32.13 (26.99, 37.27) in conventional physical therapy group with Strain counterstrain group (group A) and conventional physical therapy only group (group B) by 12.62 (8.28, 16.96). Less significant improvement was seen within groups for day 1, 4 and 7 in cervical range of motion. There was significant improvement seen in pain, neck disability index and neck range of motions on day 7 between group A and B measured by independent sample t test.</p><p><strong>Conclusion:</strong><strong>  </strong>Conventional physical therapy with strain counterstrain was found effective in reducing pain, functional disability and improving range of motion at cervical region.</p>

Effectiveness of Laser Therapy and Ultrasound Therapy along with Muscle Energy Technique in subjects with Trapezitis

2021 ◽  
pp. 116-120
Author(s):  
K. Kotteeswaran ◽  
Syed Gaffar ◽  
Krishna. R ◽  
Keerthana Priya. R.
Keyword(s):  
Laser Therapy ◽  
Functional Disability ◽  
Neck Disability Index ◽  
Ultrasound Therapy ◽  
Muscle Energy Technique ◽  
Significant Difference ◽  
Group A ◽  
Muscle Energy ◽  
Group B ◽  
Neck Disability

Aim: To find the effectiveness of laser therapy and ultrasound therapy along with muscle energy technique in treatment of Trapezitis. Materials and Methods: Non-equivalent quasi experimental study design was used in this study. Total of 30 subjects with trapezitis were selected using non probability convenient sampling technique.30 Subjects was divided into two groups by lot system. Group A received laser therapy and Group B received ultrasound therapy and for both the group muscle energy technique was given. The outcome measures are Neck Disability Index (NDI) for measuring Functional Disability. Data collected and tabulated was statistically analyzed. Result: Statistical analysis of post-test, Neck Disability Index (NDI) revealed that there is statistically significant difference seen between Group A and Group B. Conclusion: From the result, it has been concluded that Laser therapy with muscle energy technique (Group A) was more effective than Ultrasound therapy with muscle energy technique (Group B) on improving functional ability in subjects with Trapezitis.

scholarly journals Immediate Effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Pain in Diabetic Patients with Periarthritis of Shoulder

2021 ◽  
pp. 220-228
Author(s):  
Kamya Somaiya ◽  
G. D. Vishnu Vardhan ◽  
Ashish Bele
Keyword(s):  
Quality Of Life ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Tissue Degeneration ◽  
Muscle Energy Technique ◽  
Group A ◽  
Muscle Energy ◽  
Group B

Background: Periarthritis Shoulder, also known as adhesive capsulitis, is a condition that results in tissue degeneration, thickening of the joint capsule, and a narrowing of the glenoid cavity. Diabetes mellitus is linked to many debilitating musculoskeletal disorders of the hand and shoulder. Prevalence of adhesive capsulitis or frozen shoulder is estimated to be 11-30 percent in people with diabetes. Various interventions have already been used to prevent pain and improve quality of life. Both Muscle Energy Technique and Kalternborn Mobilization Technique are thought to have a pain-relieving effect. Aim & Objective: The study's aim is to compare the effects of both techniques on pain in diabetic patients. Methods/Design: In this study experimental study, the participants will be divided into two groups: Kalternborn Mobilization Technique Group (A) and Muscle Energy Technique Group (B) based on inclusion and exclusion criteria. Both interventions include 30-45 min session which will be carried out for duration of four days. Outcome will be Pain and Quality of Life and outcome measures will be evaluated at beginning and at the end of intervention period. Result: Successful Completion of trial of Muscle Energy Technique and Kalternborn Mobilisation Technique will provide evidence for best strategy targeting Pain and quality of life in diabetic patients with Periarthritis of Shoulder. Conclusion: The study will be concluded with the significant effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Periarthritis shoulder of diabetic patients.

Assessment of the Upper Trapezius Muscle Temperature in Women With and Without Neck Pain

2012 ◽  
Vol 35 (5) ◽  
pp. 413-417 ◽  
Author(s):  
Almir Vieira Dibai Filho ◽  
Amanda Carine Packer ◽  
Ana Cláudia de Souza Costa ◽  
Kelly Cristina dos Santos Berni-Schwarzenbeck ◽  
Delaine Rodrigues-Bigaton
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Muscle Temperature ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

Association between widespread pressure pain hypersensitivity, health history, and trigger points in subjects with neck pain

2017 ◽  
Vol 16 (1) ◽  
pp. 168-168
Author(s):  
Matteo Castaldo ◽  
Antonella Catena ◽  
César Fernández-de-las-Peñas ◽  
Lars Arendt-Nielsen
Keyword(s):  
Neck Pain ◽  
Tibialis Anterior ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Pressure Pain ◽  
Pain Hypersensitivity ◽  
Health History ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Extensor Carpi Radialis

Abstract Aims Health history (medical conditions, comorbid musculoskeletal pain, surgical operation, long term intake of medications) may contribute to central sensitization. The duration and the number of the peripheral nociceptive input seem to play a crucial role in the development and maintenance of sensitization. No study has previously investigated these relationships. Our aim was to investigate the association between pressure pain thresholds (PPTs) and health history in patients with neck pain, and the role of active trigger points (TrPs) on PPTs. Methods Thirty-four subjects with mechanical neck pain and 34 with whiplash-associated neck pain participated. They underwent an assessment of PPTs over upper trapezius, extensor carpi radialis longus, and tibialis anterior muscles, and were screened for the presence of active TrPs in upper trapezius muscle. Further, patients fulfilled a questionnaire investigating health history outcomes number and duration. Results Significant negative correlations between all PPTs and the duration of health history outcomes were found in both groups (all, P < 0.02), with no correlations between PPTs and the number of health history outcomes (all, P > 0.15). Significant lower PPTs over upper trapezius, extensor carpi radialis longus, and tibialis anterior (all, P < 0.01) muscles were found in subjects with active TrPs as compared to those with latent TrPs. Conclusions Widespread pressure pain hypersensitivity was associated with the duration, but not the number, of health history outcomes suggesting that long-lasting health complains may act as triggering factor driving sensitization in individuals with neck pain regardless the origin of neck pain. Patients with active TrPs in the upper trapezius muscle showed higher widespread pressure sensitivity than those with latent TrPs. These data should be included in the assessment of neck pain subjects, as they may be useful for planning the management of their symptoms.

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