THE EFFECTS OF TRADITIONAL THAL SELF-MASSAGE USING WILAI MASSAGE STICKTM IN PATIENTS ON UPPER TRAPEZIUS WITH MYOFASCIAL TRIGGER POINTS: A RANDOMIZED CONTROL TRIAL

2016 ◽  
Author(s):  
Phanida Wamontree
Keyword(s):  
Randomized Control Trial ◽  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Randomized Control

Effects of thoracic spine manipulation on pressure pain sensitivity of rhomboid muscle active trigger points: a randomized control trial

2021 ◽  
pp. 1-12
Author(s):  
Bibi Haleema ◽  
Huma Riaz
Keyword(s):  
Thoracic Spine ◽  
Randomized Control Trial ◽  
Rating Scale ◽  
Trigger Points ◽  
Control Group ◽  
Pressure Sensitivity ◽  
Myofascial Trigger Points ◽  
Pain Pressure Threshold ◽  
Significant Difference ◽  
Randomized Control

Abstract Objective: The objective of study was to determine the effects of thoracic spine manipulation on interscapular pain and pain pressure sensitivity, thoracic mobility and disability due to active myofascial trigger points in rhomboid muscle. Methods: A randomized control trial was conducted at Women Institute of Rehabilitation Sciences Abbottabad, from July to December 2019.Ethical permission was taken fromResearch ethical committee of Riphah international university Islamabad. Participants were selected through non-probability purposive sampling technique as per inclusion criteria. It consisted of 60 participants with forward head posture having active trigger points in rhomboid muscle, with age ranging from 18 to 30 years. The participants were randomly allocated through sealed envelope method into two groups that are experimental and control. Experimental group has received thoracic manipulation along with conventional physical therapy (CPT) whereas control group has only received CPT including manual pressure release and therapeutic exercise. Intervention was applied with 2 sessions / week with 3 weeks in total. Pre and Post assessment was done with outcome measurement tools comprised of Numeric pain rating scale (NPRS) for pain severity, Algometry for pain pressure threshold(PPT), Inclinometer for Range of movement(ROM) and Neck disability index (NDI) for associated disability. Data analysis was done using SPSS-20 version. Results: Between group analysis has shown significant improvement of pain & pain pressure sensitivity with p value <0.01 and <0.05 respectively. All outcome measures have shown significant difference in pre post treatment (p<.000) in both groups. Continuous...

Comparison of shoulder strength in males with and without myofascial trigger points in the upper trapezius

2017 ◽  
Vol 49 ◽  
pp. 134-138 ◽  
Author(s):  
H.A. Kim ◽  
U.J. Hwang ◽  
S.H. Jung ◽  
S.H. Ahn ◽  
J.H. Kim ◽  
...  
Keyword(s):  
Trigger Points ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Shoulder Strength

scholarly journals The neurophysiological effects of dry needling in patients with upper trapezius myofascial trigger points: study protocol of a controlled clinical trial

BMJ Open ◽  
2013 ◽  
Vol 3 (5) ◽  
pp. e002825 ◽  
Author(s):  
Maryam Abbaszadeh-Amirdehi ◽  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Gholamreza Olyaei ◽  
Mohammad Reza Nourbakhsh
Keyword(s):  
Clinical Trial ◽  
Study Protocol ◽  
Trigger Points ◽  
Controlled Clinical Trial ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Upper Trapezius

scholarly journals Ultrasound assessment of the myofascial trigger point. A systematic review

2019 ◽  
Vol 02 (02) ◽  
pp. 068-068
Author(s):  
López San Miguel G. ◽  
Barbe Mendibil I. ◽  
Torres Chica B. ◽  
Ríos Diaz J.
Keyword(s):  
Systematic Review ◽  
Observational Studies ◽  
Public Health Problem ◽  
Trigger Points ◽  
Risk Of Bias ◽  
Quality Analysis ◽  
Lumbar Region ◽  
Myofascial Trigger Points ◽  
Upper Trapezius ◽  
Black Scale

Abstract Introduction Myofascial pain syndrome is an important and prevalent public health problem. The lack of consensus on the diagnostic criteria, together with the scarce reliability of the manual detection of the manual detection of myofascial trigger points (MTrPs) point to the need to develop objective methods to enable confirmation of the presence of MTrPs. Ultrasound is an accessible method which enables the assessment of tissue properties in real time, helping to characterize the MTrP, understand its physiopathology and define its diagnosis. Aims To identify observational studies researching the use of ultrasound in the assessment of MTrPs. Also, to learn about and compile the advances in the study of the characteristics of MTrPs and their sonographic diagnosis. Material and Methods A systematic review was performed by two independent reviewers, searching biomedical databases using terms related with “ultrasound” and “trigger points”. Observational studies were selected evaluating the characteristics of MTrPs. Subsequently, an analysis of the diagnostic quality of studies was performed using the QAREL scale and a study of the methodological quality took place based on the Downs and Black scale. Furthermore, an assessment of the reproducibility of the acquirement of images was performed, via the analysis of the description of the ultrasound method. The risk of bias was evaluated according to the Cochrane guidelines. Results 18 studies based on B Mode methods, elastography and Doppler, were included in the review. The anatomic regions which were most explored were the cervical area and the upper limb, evaluated in 14 of the 18 papers. The most common muscle was the upper trapezius (61%). Two articles were located corresponding to the lumbar region and one article concerned the lower limb. The analysis of the sonographic method showed a low level, 5 of the 9 items did not overcome 17% of fulfillment, in 3 papers the frequency was below 6%. The QAREL scale also displayed low levels, only 3 items out of 11. Inter-evaluator blinding, correct testing and statistical methods were fulfilled in over 50%. The mean score obtained by the studies in the Downs and Black scale was 5.4 points out of 10, ranging between 2 and 7 points. The risk of bias according to the Cochrane guidelines was mid- to high. Conclusion Important steps have been taken in the study of the sonograhic characteristics of the MTrP, however, we are still far from standardizing the use of the same as a diagnostic method. The poor results in the quality analysis of the present study suggest caution in the interpretation of the present findings. Future research is necessary, including different anatomic regions, analytic methods, better defined exploration protocols and more robust reliability studies for the different methods available.

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