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

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

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.4.2/010 ◽

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

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Gambaran Penurunan Nyeri Pada Penderita Neck Pain Setelah Dilakukan Muscle Energy Technique (MET) : Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.981 ◽

2021 ◽

Vol 1 ◽

pp. 2113-2119

Author(s):

Wildan Sholakhul Huda ◽

A Abdurrachman

Keyword(s):

Visual Analogue Scale ◽

Literature Review ◽

Neck Pain ◽

Analogue Scale ◽

Adult Population ◽

Pain Reduction ◽

Muscle Energy Technique ◽

Post Test ◽

Muscle Energy ◽

Microsoft Academic

AbstractNeck pain or neck pain is a musculoskeletal complaint such as pain in the neck and stiffness that is often experienced by the community. Around 16.6% of the adult population in Indonesia complains of neck pain every year. To reduce pain in patients with neck pain, interventions can be given, one of which is Muscle Energy Technique (MET). This study aims to determine the description of pain reduction in patients with neck pain after accepting the Muscle Energy Technique (MET). Writing this article uses a literature review system using PICO. This article was obtained from searching the Microsoft Academic and Scilit online database with predetermined inclusion and exclusion criteria. The measuring instrument used in the literature review is the Visual Analogue Scale (VAS). The results of the literature review analysis of these 5 articles found that the results of pain reduction from the results of the pre-test were 6.13 and post-test were 2.37. So there is a decrease in pain after accepting the Muscle Energy Technique (MET). Muscle Energy Technique (MET) has an effect on reducing pain in Neck Pain cases. It is hoped that this research should be able to increase knowledge about the management of pain reduction in cases of neck pain after accepting the Muscle Energy Technique (MET).Keywords : Neck pain; muscle energy technique (MET); visual analogue scale (VAS). AbstrakNeck pain atau nyeri leher merupakan keluhan muskuloskeletal seperti terasa sakit dibagian leher dan kaku yang sering dialami oleh masyarakat. Sekitar 16,6% setiap tahunnya populasi orang dewasa di Indonesia mengeluhkan rasa nyeri pada leher. Untuk menurunkan nyeri pada penderita Neck pain dapat diberikan intervensi salah satunya adalah Muscle Energy Technique (MET). Penelitian ini bertujuan untuk mengetahui gambaran penurunan nyeri pada penderita Neck pain setelah dilakukan Muscle Energy Technique (MET). Penulisan Artikel ini menggunakan sistem literature review dengan menggunakan PICO. Artikel ini didapatkan dari penelusuran data base online Microsoft Academic dan Scilit dengan kriteria insklusi dan eksklusi yang telah ditentukan. Alat ukur yang digunakan dalam literature review adalah Visual Analogue Scale (VAS). Hasil analisis literature review dari ke 5 artikel ini didapatkan bahwa hasil penurunan nyeri dari hasil pre test 6,13 dan post test 2,37. Jadi ada penurunan nyeri setelah dilakukan Muscle Energy Technique (MET). Muscle Energy Technique (MET) berpengaruh terhadap penurunan nyeri pada kasus Neck pain. Diharapkan Penelitian ini hendaknya dapat meningkatkan pengetahuan terhadap penanganan penurunan nyeri pada kasus Neck pain setelah dilakukan Muscle Energy Technique (MET).Kata Kunci: Neck pain; muscle energy technique (MET);visual analogue scale (VAS).

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A study to observe the effects of physiotherapy with and without manual therapy in the management postural neck pain: a randomized control trial

Journal of the Pakistan Medical Association ◽

10.47391/jpma.186 ◽

2020 ◽

pp. 1-12

Author(s):

Rubab Jawed ◽

Muhammad Fareed Nasir ◽

Nabeel Naeem Baig ◽

Maryam Younus ◽

Ayesha Arshad ◽

...

Keyword(s):

Visual Analogue Scale ◽

Neck Pain ◽

Pain Intensity ◽

Manual Therapy ◽

Analogue Scale ◽

Neck Disability Index ◽

City Hospital ◽

Group A ◽

Group B ◽

Neck Disability

Abstract Objective: To compare the effects of physiotherapy with and without manual therapy in the management of postural neck pain. Method: The randomised controlled trial was conducted at the Physiotherapy Department of South City Hospital, Karachi, from September 2017 to July 2018, and comprised subjects with >6 months of neck pain with no related medical dysfunction. The patients were enrolled by non-probability consecutive sampling technique and randomly divided into Group A and Group B using computer-generated numbers. Group A received physiotherapy along with manual therapy, while Group B only had physiotherapy. Group A was also taught a home exercise programme. A printed exercise sheet was provided with frequency and repetition details. Visual analogue scale for pain intensity level and neck disability index were used to measure outcome at 3rd and 12th week. Data was analysed using SPSS 22. Results: Of the 60 subjects, there were 30(50%) in each of the two groups. The mean age in Group A was 32.77±7.44 years and it was 32.53±7.9 years in Group B. Overall, there were 21(35%) males and 39(65%) females. Significant reduction in pain intensity and neck disability levels at 3 and 12 weeks was noted compared to baseline (p<0.05). Inter-group comparison at final follow-up showed better Group A results compared to Group B (p<0.05). Conclusion: Physiotherapy with manual therapy was found to be better compared to physiotherapy alone. Key Words: Neck pain, Visual analogue scale, Neck disability index, Manual therapy, Exercise. Continuous...

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

Asian Journal of Pharmacy and Technology ◽

10.52711/2231-5713.2021.00019 ◽

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.

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

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i42a32758 ◽

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.

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Analgesic efficacy of meloxicam with or without a buprenorphine patch in cats after ovariohysterectomy

Veterinární Medicína ◽

10.17221/148/2017-vetmed ◽

2018 ◽

Vol 63 (No. 6) ◽

pp. 279-286

Author(s):

SY Heo ◽

SJ Kim ◽

NS Kim

Keyword(s):

Visual Analogue Scale ◽

Analogue Scale ◽

Small Sample Size ◽

Analgesic Efficacy ◽

Small Sample ◽

Visual Analogue Scale Pain ◽

Pain Scores ◽

Analogue Scale Pain ◽

Group A ◽

Group B

The purpose of this prospective double blind clinical study was to evaluate the analgesic efficacy of meloxicam with/without a buprenorphine patch for pain management after ovariohysterectomy in cats. Cats were randomly divided into two groups: ten cats were treated with meloxicam s.c. after ovariohysterectomy (Group A), and eight cats were treated with s.c. meloxicam and a 20 µg/h buprenorphine transdermal patch (Group B). For patch treatment, the cat’s hair was clipped on the left side in the thoracic area. Pain scores were assessed at 0.5, 1, 2, 4, 6, 8, 24 and 30 h post-ovariohysterectomy extubation. To evaluate postoperative pain, 4A-VET pain scale and visual analogue scale pain scores were used. In addition, blood was collected from all cats to determine the cortisol levels at –2 h and at 0.5, 4, 6 and 24 h after extubation. The 4A-VET scores for Group B were significantly lower at 1, 4, 6, 8, 24 and 30 h than the scores for Group A. The visual analogue scale pain scores for Group B were significantly lower at 4, 6, 24 and 30 h than the scores for Group A. Serum cortisol concentrations were not significantly different between Groups A and B at any of the measured intervals. There was a significant positive correlation between postoperative visual analogue scale and 4A-VET pain scores in both groups. Our results should be subject to careful interpretation as the study was limited by its small sample size and by observer subjectivity.

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20205566 ◽

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

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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Effect of intraarticular steroid injection in addition to physical modalities in osteoarthritis knee

Journal of Dhaka Medical College ◽

10.3329/jdmc.v23i1.22694 ◽

2015 ◽

Vol 23 (1) ◽

pp. 48-54

Author(s):

Md Jahidul Islam ◽

MM Jalal Uddin ◽

Md Shahadat Hossain ◽

Md Ruhul Amin ◽

Md Moshiur Rahman ◽

...

Keyword(s):

Visual Analogue Scale ◽

Range Of Motion ◽

Analogue Scale ◽

Small Sample ◽

Therapeutic Exercise ◽

Womac Index ◽

Group A ◽

Pre Treatment ◽

Group B ◽

Physical Modalities

Context: Osteoarthritis (OA) is the most common form of arthritis accounting for about 30% of general physician visits. Intrarticular (IA) corticosteroid injections have been used for decades in clinical practice for pain relief and control of local inflammation in OA. In the present study a combined therapy of long acting intra-articular injection in addition to physical modalities of OA knee was given to find out the functional improvement and clinical outcome of the patient. Methods: It was a prospective interventional non-randomized clinical study conducted in the Department of Physical Medicine & Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from October, 2011 to March, 2012. Fifty four patients between 35 and 75 years without consideration of gender with a history of not less than three months knee pain with radiographic confirmation of primary osteoarthritis were selected purposefully. Then they were divided randomly in group A and B, having 27 patients in each group. Group A received NSAID (non steroidal anti-inflammatory drugs) i.e. aceclofenac 100mg twice daily for 10 days + omeprazol 20mg twice daily for 10 days + MWD (micro wave diathermy 20 minutes for 14 days. + therapeutic exercise + ADL (activities of daily living), while Group B received 80mg intraarticular triamcinolon acetonide injection once followed by NSAID i.e. aceclofenac 100mg twice daily for 10 days + omeprazol 20mg twice daily for 10 days + MWD 20 minutes for 14 days. + therapeutic exercise + ADL. In both groups the patients were observed for six weeks. Results: The mean of age of patients in group A and B were 52.33±9.62 years and 52.29±9.67 years respectively. In group A, 9 (33.3%) were male and 18 (66.7%) were female. In group B, 10 (37.0%) were male and 18 (63.0%) were female. Mean visual analogue scale (VAS) during pre treatment in group A and group B were 6.22±1.60 and 7.15±1.56 respectively. Mean range of motion (ROM) during pre treatment in group A and group B were 117.33±13.05 and 112.37±19.01 respectively. Mean time taken to walk 50 feet during pre treatment in group A and group B were 18.22±2.39 and 18.81±2.13 minutes respectively. Mean Western Ontario and Mc Master Universities (WOMAC) index in group A and group B were 60.85±15.86 and 67.33±16.33 minutes respectively. After treatment in both groups visual analogue scale (VAS), range of motion (ROM), time taken to walk 50 feet and Western Ontario and Mc Master Universities (WOMAC) index gradually decreased and range of motion (ROM) gradually increased, which were statistically significant. However, the study conducted with small sample size in a single centre in Dhaka city, which may not be representative for the whole country. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22694 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 48-54

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The Impact of Ulipristal Acetate (UPA) versus Dienogest on Pain Related to Endometriomas Evaluated with Visual Analogue Scale (VAS)

Revista de Chimie ◽

10.37358/rc.19.4.7158 ◽

2019 ◽

Vol 70 (4) ◽

pp. 1500-1506

Author(s):

Romina Marina Sima ◽

Dragos Albu ◽

Antoniu Cringu Ionescu ◽

Mihai Dimitriu ◽

Mihai Popescu ◽

...

Keyword(s):

Visual Analogue Scale ◽

Analogue Scale ◽

Rating Scale ◽

Randomized Study ◽

Good Method ◽

Numeric Rating Scale ◽

Ulipristal Acetate ◽

Group A ◽

Group B ◽

The Impact

Visual analogue scale (VAS) is a psychometric scale applied to measure subjective characteristics. The purpose of our study was to evaluate the efficiency of Ulipristal acetate (UPA) compared with Dienogest for endometriomas related pain using VAS. We performed a randomized study on women with symptomatic endometriomas. The study was realized between January 2016�December 2018. The patients were randomized in two groups: Group A- that received UPA in doses of 5 mg daily for 12�13 weeks and Group B that received 2 mg Dienogest for 12�13 weeks. Each group received de VAS (Visual Analogue Scale) questionnaire before and after treatment. 70 women wereincluded in the study with 35 patients for each group. The age the mean age was 30.20 years. For Numeric Rating Scale before treatment in the group with UPA the median value was 6 (CI= 5.26, 6.51) and for group B the median was 5 (CI= 5.13, 5.66). After treatment for group A the median value was 4 (CI= 3.58, 4.29) and for group B the median value 4 (CI= 4.23, 4.6). For FRS before treatment in the group with UPA median value was 6 (CI= 5.87, 6.58) and for the group B median was 6 (CI= 6.16, 6.57). After treatment for group A the median value was 4 (CI= 4.12, 4.73) and for group B the median value 5 (CI= 4.9, 5.06). The pain significantly improved for group A. (p[ 0.05) VAS represent a good method to evaluate the quality of pain for patients with endometriomas. The UPA and Dienogest treatment improve the VAS parameters with better results for UPA in the present study.

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