scholarly journals Effectiveness of Myofascial Release vs High Frequency TENS for Pain Relief and Functional Improvement in College Students with Trapezius Myalgia: A Comparative Study

2021 ◽  
pp. 352-358
Author(s):  
Aditi Joshi ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Pain Relief ◽  
High Frequency ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Functional Improvement ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Trapezius Myalgia ◽  
Neck Disability

Background: Trapezius Myalgia is characterized by pain in the trapezius muscle. The patient suffering from myalgia usually complaints of pain, stiffness and tightness of the upper trapezius muscle. Acute or chronic neck-shoulder pain is the hallmark of this condition. The pain in the muscle usually lasts for few days or it can be even longer. The presence of spasm in upper trapezius muscle is shown by neck pain in the back of the neck and between the bases of the neck and the shoulder. This protocol has been created that describes the design of experimental study to evaluate and compare the effect of Myofascial Release (MFR) versus High-Frequency TENS for pain relief and functional improvement in subjects with Trapezius Myalgia. Methods: The participants (n=45) will be recruited in the study suffering from Trapezius Myalgia and meeting the inclusion criteria. Two groups will be formed such that group A will be treated with Myofascial Release technique and group B will be treated with High Frequency TENS modality. The protocol will cover 4 weeks of treatment. Regular assessment will be carried out on 1st and 4th week of the rehabilitation period. During the rehabilitation period, we will evaluate pain status and functional improvement and range of motion of the neck in the subject at regular intervals. Our outcome measures will be – Numerical Pain Rating Scale (NPRS) and Neck Disability Index (NDI). Discussion: The efficacy of the intervention will be evaluated by analyzing pain relief using Numerical Pain Rating Scale (NPRS) and functional improvement by using Neck Disability Index (NDI). The result of the study will significantly provide affirmation on using these modalities for treating myalgia patients. 

scholarly journals 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

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.

scholarly journals Cervical-scapular muscles strength and severity of temporomandibular disorder in women with mechanical neck pain

2016 ◽  
Vol 29 (2) ◽  
pp. 269-278
Author(s):  
Fernanda Pasinato ◽  
Juliana Bordin ◽  
Clarissa C. Santos-Couto-Paz ◽  
Juliana Alves Souza ◽  
Eliane C. R. Corrêa
Keyword(s):  
Muscle Strength ◽  
Neck Pain ◽  
Temporomandibular Disorder ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Neck Muscle ◽  
Cervical Muscle ◽  
Upper Trapezius ◽  
Hand Dynamometer ◽  
Neck Disability

Abstract Introduction: Changes in cervical muscle function have been observed in patients with neck pain (NP) and TMD. However, the relationship between TMD severity and neck muscle strength in the presence/absence of NP is unknown. Objective: To determine the prevalence of TMD in women with and without mechanical NP and assess the cervical-scapular muscle strength and its association with TMD severity. Methods: Fifteen volunteers without neck pain (CG) and 14 women with mechanical neck pain (NPG) took part and were selected by the Neck Disability Index. The diagnosis and severity of TMD were determined by the Research Diagnostic Criteria for TMD and Temporomandibular Index (TI), respectively. The strength of the upper trapezius muscle, and cervical flexor and extensor muscles was measured by digital hand dynamometer. Results: 64.5% of women with NP and 33.3% without NP were diagnosed with TMD (p = 0.095). The NPG showed lower strength of the cervical flexor (p = 0.044) and extensor (p=0.006) muscles, and higher TI (p = 0.038) than in the CG. It was also verified moderate negative correlation between TI and the strength of dominant (p = 0.046, r = -0.547) and non-dominant (p = 0.007, r = -0.695) upper trapezius, and cervical flexors (p = 0.023, r = -0.606) in the NPG. Conclusion: There was no difference in the prevalence of TMD in women with and without NP. However, women with NP have lower cervical muscle strength - compared to those without NP - which was associated with greater severity of TMD. Thus, in women with NP associated with TMD, it is advisable to assess and address the severity of this dysfunction and identify the cervical-scapular muscles compromise.

scholarly journals A Comparative Study on the Effects of Trigger Point Release vs Myofascial Release for Myofascial Trigger Points of Upper Trapezius in Smartphone Users

2021 ◽  
Vol SP (1) ◽  
Author(s):  
Anjali Suresh ◽  
Rama Chandra L. A. ◽  
Prasanna Mohan
Keyword(s):  
Pain Intensity ◽  
Trigger Point ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
The Body ◽  
Myofascial Trigger Points ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

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.

scholarly journals COMPARING THE EFFICACY OF UPPER TRAPEZIUS KINESIOTAPING AND STRETCHING EXERCISES IN PATIENTS WITH MECHANICAL NECK ACHE

2019 ◽  
Vol 8 (1) ◽  
pp. 19-24
Author(s):  
Qurat Ul Ain Ausaf
Keyword(s):  
Physical Therapy ◽  
Muscle Strength ◽  
Neck Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

BACKGROUND AND AIM Globally, around one third of population is suffering from persistent neck pain and it is considered as 4th important source of disability in the population. Several treatment protocols are available now a day to facilitate patient recovery. Therefore, the aim of this study is to identify the effects of kinesiotaping in improving neck pain, upper trapezius muscle strength and functional disability. STUDY DESIGN Randomized controlled trial SAMPLE SIZE 68 participants were recruited for the study. METHODOLOGY All participants of age 18-40 years were assessed using assessment Performa. Pain intensity, upper trapezius muscle strength and Neck disability index were measured at baseline and after treatment sessions. Group A comprised of 34 participant, received Kinesiotaping and conventional physical therapy treatment whereas, equal number of participants were recruited in Group B that received upper trapezius stretching and conventional physical therapy. RESULT The study revealed that both interventions (Kinesiotaping and stretching) were effective i.e., <0.05 in improving pain intensity, muscle strength and functional disability in patients with mechanical neck ache but significant improvement were recorded in group treated with kinesiotaping. CONCLUSION The study concluded that both interventions are effective in improving pain intensity, muscle strength and neck disability index but kinesiotaping is more beneficial than stretching among patient with mechanical neck ache.

scholarly journals INTERVENSI INTEGRATED NEUROMUSCULAR INHIBITATION TECHNIQUE (INIT) DAN TERAPI ULTRASONIK LEBIH MENURUNKAN DISABILITAS LEHER AKIBAT SINDROMA MIOFASIAL OTOT UPPER TRAPEZIUS DIBANDINGKAN INTERVENSI MYOFASCIAL RELEASE TECHNIQUE (MRT) DAN TERAPI ULTRASONIK

2017 ◽  
Author(s):  
Rita Maria ◽  
Alex Pangkahila ◽  
M. Irfan ◽  
Made Jawi ◽  
Adiartha Griadhi ◽  
...  
Keyword(s):  
Test Group ◽  
Trapezius Muscle ◽  
Ultrasound Therapy ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Post Test ◽  
Upper Trapezius Muscle ◽  
Rate Of Decline ◽  
Neck Disability ◽  
Myofascial Syndrome

The long term use of analgesic drugs in patients with myofascial syndrome had a bad effect. So it is very important to find another methods. Upper trapezius muscle myofascial syndrome is a collection of symptoms such as chronic pain with increased sensitivity to pressure, muscle spasms, tenderness, stiffness, limited motion, and weakness of the upper trapezius muscle. The aim of this study was to compare the rate of decline in the neck disability of interventions for Integrated Neuromuscular Inhibitation Technique (INIT), Myofascial Release Syndrome (MRT), and ultrasound therapy. This research used experimental method with pre-test and post-test group design. This experiment was conducted in RSPI Puri Indah, Jakarta. These samples included 20 people who were divided into two groups of samples, are 10 people in the first group and 10 people in the second group. Samples in the first group had an average age of 30.9 years old with men as much as 4 people and women as much as 6 people. While the second group had an average age of 32.8 years old with men as much as five people and women as many as five people. The results of testing the hypothesis by using test independent sample t-test showed significantly differences between the average after intervention disability first group with mean after intervention disabilities neck second group, with the value of the first group (21.6 ± 4.6)% and the second group (15.6 ± 3.6)% with values p <0.05. It was concluded that the Inhibitation Integrated Neuromuscular Technique (INIT) and ultrasonic therapy was better in reducing the neck disability in the upper trapezius muscle myofascial syndrome, compared to Myofascial Release Syndrome (MRT) and ultrasound therapy. The decline in neck disability will significantly optimize the functional activity of the cervical spine.

scholarly journals Application of Combined Laser and Compression Therapy on the Pain and Level of Disability on Trigger Points in Upper Trapezius Muscle

2021 ◽  
Author(s):  
Saeed Rezaei ◽  
Azadeh Shadmehr ◽  
Siamak Bashardoust Tajali ◽  
Behrooz Attarbashi Moghadam ◽  
Shohreh Jalaei
Keyword(s):  
Pain Threshold ◽  
Neck Disability Index ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Compression Therapy ◽  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

Introduction: Musculoskeletal disorders are among the main causes of disability in modern life. Myofascial trigger points are very common among musculoskeletal disorders and may occur through ordinary common activities. This study aimed to determine the combined effects of laser therapy and Ischemic Compression (IC) on the treatment of Myofascial Trigger Points (MTrPs) at the upper trapezius muscle. Materials and Methods: Twenty men with at least one active trigger point at their upper trapezius muscle voluntarily participated in this study. Trigger  points  were under treatment of laser irradiation (6 Joules per point) and also ischemic compression. Treatment approaches were applied over the pain point every other day for 5 sessions in 10 days. Neck disability index, pain intensity by visual analog scale, pressure pain threshold by algometry, and cervical lateral flexion by goniometer were assessed and recorded before the intervention, and immediately after the last session. Results: At the end of treatment, statistically significant improvements were seen in the neck disability index, VAS value, pressure pain threshold, and cervical lateral flexion. VAS values of the treatment and control groups were compared with the baseline (P<0.001). Conclusion: Application of combined laser and compression therapy was effective on the pain and level of disability of patients with trigger points in the upper trapezius muscle.

Prevalence of Upper Cross Syndrome in Different Occupations

2021 ◽  
pp. 04-08
Author(s):  
Rizmi Naseer ◽  
Sana Tauqeer
Keyword(s):  
Rating Scale ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Cross Sectional Study ◽  
Study Data ◽  
Pectoralis Major ◽  
Serratus Anterior ◽  
Cross Sectional ◽  
Upper Trapezius ◽  
Lower Trapezius

Upper crossed syndrome is caused by weak lower and middle trapezius, tight upper trapezius and levator scapulae, weak deep-neck flexors, tight sub occipital muscles and sternocleidomastoid, weak serratus anterior, and tight pectoralis major and minor Objective: To find prevalence of upper cross syndrome in different occupations Methodology: In this cross sectional study data was collected from department of physical therapy Hamza Medical Centre, Islamabad. Study was conducted in 6 months (June 2019 to December 2019).Sample size was 37 that was collected through Epitool calculator. Participants were made aware of the study Pectoralis major contracture test was performed to check the pectoral muscles tightness. After that, trapezius weakness test was performed. In this test weakness of middle and lower trapezius muscle was assessed Verbal consent form was taken. Data collection tools were Numeric pain rating scale (NPRS) and Neck disability index (Pain).Data was analyzed by using SPSS version 20. Results: Total 37 participants were recruited for this The mean age for the participants was 32.11+ 5.606.There were 54.5% male participants and 45.95 female participants.%. Prevalence of upper cross syndrome in desk workers was (12)32.43%.Pravalence of Upper Cross syndrome in Drivers was (9)924.325.Pravalence of upper cross syndrome in House wives was (10)27.035.Pravalence of Upper cross syndrome in teachers was (6)16.22%. Conclusion: This research concluded that there is prevalence of upper cross syndrome in different occupations. This study also concluded that rest and medicine are reliving factors for upper cross syndrome participants

Granisetron vs. lidocaine injection to trigger points in the management of myofascial pain syndrome: a double-blind randomized clinical trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Rezasoltani ◽  
Hanna Ehyaie ◽  
Reza Kazempour Mofrad ◽  
Fatemeh Vashaei ◽  
Reza Mohtasham ◽  
...  
Keyword(s):  
Neck Pain ◽  
Myofascial Pain ◽  
Neck Disability Index ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Double Blind ◽  
Upper Trapezius ◽  
Disability Scale ◽  
Neck Disability

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.

scholarly journals Clinical Efficacy of Scalene Injection for Thoracic Outlet Syndrome

2021 ◽  
Author(s):  
Samuel Baek ◽  
Seok Kim ◽  
Myung Ho Shin ◽  
Tae Min Kim ◽  
Seoung-Joon Lee ◽  
...  
Keyword(s):  
Side Effects ◽  
Clinical Efficacy ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Neck Disability Index ◽  
Vital Signs ◽  
Treatment Technique ◽  
The Novel ◽  
Numerical Rating ◽  
Neck Disability

Purpose: We introduce the novel treatment technique, scalene injection, and study its clinical efficacy for diagnosis, treatment, and pain control for patients with thoracic outlet syndrome.Methods: Between November 2001 and October 2018, 266 patients were studied retrospectively. To evaluate the efficacy and sustainability, we checked the numerical rating scale (NRS) for pain relief and neck disability index (NDI) for functional improvements, prior to and 1, 12 weeks after the injection. The safety was evaluated by examining side effects for at least 24 hours from the point of injection.Results: NRS was improved from 7.12 to 3.11 at 1 week, and to 3.05 at 12 weeks (p<0.05). NDI was improved from 15.87 to 6.15 at 1 week, and to 6.19 at 12 weeks (p<0.05). There were two cases of convulsion immediately after the injection and were treated with prompt oxygen supply and sedatives. Transient side effects included two cases of dyspnea and one case of nausea and were resolved within 1 hour after. All five cases showed symptoms of side effects on the day of injection and were resolved within a day. A total of 242 patients (91.0%) experienced immediate declines in NRS and 161 patients experienced persistent declines for more than 12 weeks. However, 24 patients (9.0%) showed no improvement and 20 patients (7.5%) experienced increases in NRS.Conclusion: Scalene injection is also effective as a therapeutic method. However, this study suggests that it must be done with monitoring of vital signs in an operating room for any possible complications and side effects.

scholarly journals Effectiveness of Progressive Resisted Exercise along with Conventional Exercise and Conventional Exercise Program alone in Subjects with Text Neck Syndrome

2021 ◽  
pp. 536-542
Author(s):  
Divya Jain ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Exercise Program ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: "Text neck" is a term coined to describe the posture created by leaning forward for lengthy periods of time, such as when reading and texting on a cellphone which has been linked to stress injuries. Neck pain, upper back discomfort, shoulder pain, frequent headaches, and greater curvature of the spine are all dangerous indications of text neck. According to a survey, 35% of smartphone users suffer from text neck syndrome. People between the ages of 15 and 18 are more likely to have neck pain. This protocol has been created that describes the design of comparative study to evaluate effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in text neck syndrome. Methods: The participants (n=80) will be recruited in the study suffering from text neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated with conventional therapy and group B will be treated with progressive resisted exercise (PRE) along with conventional therapy. The protocol will cover 4 weeks of treatment. In the rehabilitation period, we will evaluate the pain intensity, strength of neck muscles and functional activity. Our outcome measures will be- Numerical pain rating scale (NPRS) and Neck disability index (NDI). Discussion: Efficacy of the intervention will be evaluated by analyzing the pain intensity by using Numerical pain rating scale (NPRS) and level of functional disability by using Neck disability index (NDI). The result of the study will significantly provide affirmation on either using combination therapy of PRE with conventional exercise or conventional exercise alone.

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