Effects of Superficial and Deep Dry Needling on Pain and Muscle Thickness in Subject with Upper Trapezius Muscle Myofascial Pain Syndrome

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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THE RELATION BETWEEN WORK POSTURE WHEN TYPING WITH COMPLAINTS OF MYOFASCIAL PAIN SYNDROME IN UPPER TRAPEZIUS MUSCLE AMONG OFFICE WORKERS IN DENPASAR

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2019.v07.i03.p04 ◽

2019 ◽

Vol 7 (3) ◽

pp. 13

Author(s):

Rifqy Fatara ◽

Putu Ayu Sita Saraswati ◽

I Dewa Ayu Inten Dwi Primayanti

Keyword(s):

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Chi Square ◽

Cross Sectional ◽

Upper Trapezius ◽

Work Posture ◽

Chi Square Test ◽

Upper Trapezius Muscle

Karakteristik gangguan kesehatan yang disebabkan oleh aktivitas mengetik dengan komputer cenderung pada cidera tingkat rendah yang muncul seiring waktu akibat sikap kerja yang salah, lama dan berulang, salah satunya adalah Myofascial Pain Syndrome (MPS) otot upper trapezius dengan gejala utama nyeri tekan dan terdapat nodul pada otot. Penelitian ini bertujuan untuk mengetahui hubungan sikap kerja saat mengetik terhadap MPS otot upper trapezius pada pekerja kantor di Denpasar. Jenis penelitian ini adalah penelitian observasional analitik dengan rancangan cross sectional yang dilaksanakan pada bulan Maret 2018. Pengambilan sampel dilakukan dengan teknik purposive sampling dengan sampel berjumlah 53 orang. Pengukuran MPS otot upper trapezius dilakukan dengan pemeriksaan fisioterapi. Pengukuran sikap kerja saat mengetik dengan metode Rapid Upper Limb Assesment (RULA). Uji hipotesis yang digunakan adalah Chi Square Test untuk menganalisis signifikansi hubungan antara sikap kerja saat mengetik dengan MPS otot upper trapezius. Pada perhitungan analisis data, diperoleh nilai p sebesar 0,000 sehingga p < 0,05. Maka dapat disimpulkan bahwa terdapat hubungan yang signifikan antara sikap kerja saat mengetik terhadap MPS otot upper trapezius pada pekerja kantor di Denpasar. Kata Kunci: Sikap kerja mengetik, myofascial pain syndrome upper trapezius

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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

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2018.v06.i02.p08 ◽

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

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THE RELATIONSHIP BETWEEN WORKING POSTURE WHILE SEWING WITH OCCURENCE OF MYOFASCIAL PAIN SYNDROME UPPER TRAPEZIUS MUSCLE ON TAILORS IN KECAK GARMENT

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2019.v07.i03.p03 ◽

2019 ◽

Vol 7 (3) ◽

pp. 9

Author(s):

A.A. Istri Ayesa Febrinia Adyasputri ◽

I Putu Gde Surya Adhitya ◽

I Putu Adiartha Griadhi

Keyword(s):

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Simple Random Sampling ◽

Chi Square ◽

Cross Sectional ◽

Upper Trapezius ◽

Chi Square Test ◽

Upper Trapezius Muscle

Penjahit merupakan salah satu pekerjaan yang banyak ditekuni oleh masyarakat Bali. Namun, penjahit jarang memperhatikan postur kerja saat menjahit. Hal ini dapat dapat menyebabkan myofascial pain syndrome otot upper trapezius jika dilakukan dalam jangka waktu lama. Tujuan dari penelitian ini adalah untuk mengetahui hubungan postur kerja saat menjahit dengan terjadinya myofascial pain syndrome otot upper trapezius pada penjahit di Kecak Garmen. Penelitian ini merupakan penelitian analitik dengan rancangan cross- sectional. Pengambilan sampel dilakukan dengan teknik Simple Random Sampling. Jumlah sampel penelitian ini sebanyak 70 orang. Data dianalisis menggunakan Chi-Square Test dan memiliki hubungan signifikansi dengan nilai p sebesar 0,000 (p<0,05). Kesimpulan dari penelitian ini bahwa ada hubungan yang signifikan postur kerja saat menjahit dengan terjadinya myofascial pain syndrome otot upper trapezius pada penjahit di Kecak Garmen. Kata Kunci : Postur Kerja, Penjahit, Myofascial Pain Syndrome, Upper Trapezius

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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

Journal of Evidence-Based Integrative Medicine ◽

10.1177/2515690x211030852 ◽

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.

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Pengaruh Myofacial Release Kombinasi dengan Hold Relax terhadap Myofacial Pain Syndrome

Jurnal Ilmiah Kesehatan ◽

10.48144/jiks.v12i2.173 ◽

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.

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Comparing Between the Effects of Dry Needling and Shock Wave in the Treatment of Trapezius Myofascial Pain

Journal of Modern Rehabilitation ◽

10.18502/jmr.v14i4.7720 ◽

2021 ◽

Author(s):

Mehran Toghtamesh ◽

Siamak Bashardoust Tajali ◽

Shohreh Jalaei

Keyword(s):

Shock Wave ◽

Myofascial Pain ◽

Trapezius Muscle ◽

Pain Syndrome ◽

Trigger Points ◽

Single Session ◽

Dry Needling ◽

Shock Wave Therapy ◽

Upper Trapezius ◽

Upper Trapezius Muscle

Introduction: Musculoskeletal disorders are important causes of pain. Trigger points are one of the common reasons for myofascial pain. This study aimed to compare a single session of dry needling versus a single session of shock wave therapy on the level of pain and Range of Motion (ROM) in the people with Myofascial Pain Syndrome (MPS) of the upper trapezius muscle. Materials and Methods: Sixteen men with active trigger points of upper trapezius muscle were voluntarily attended in this study. They were randomly assigned into two groups. The patients were under a single session treatment of either dry needling or shock wave therapy. Level of pain (by Visual Analog Scale [VAS]) and active ROM of neck lateral flexion (by goniometer) were evaluated once before the treatment and immediately after the intervention. Results: The VAS scores and the neck ROMs were substantially improved at both groups of study immediately after the treatment (P<0.012). However, there were no significant differences between the two groups of interventions in terms of the VAS and ROM scores (P>0.05). Conclusion: Both dry needling and shock wave therapy can improve neck pain and ROM in patients with active trigger points in the upper trapezius muscle.

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