The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial

2019 ◽  
Vol 32 (5) ◽  
pp. 811-818 ◽  
Author(s):  
Javad Manafnezhad ◽  
Zahra Salahzadeh ◽  
Mehdi Salimi ◽  
Fariba Ghaderi ◽  
Morteza Ghojazadeh
Keyword(s):  
Shock Wave ◽  
Clinical Trial ◽  
Neck Pain ◽  
Randomized Clinical Trial ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Dry Needling ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

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

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.

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.

scholarly journals Dry needling of the trapezius muscle in office workers with neck pain: a randomized clinical trial

2016 ◽  
Vol 24 (4) ◽  
pp. 223-232 ◽  
Author(s):  
Ester Cerezo-Téllez ◽  
María Torres Lacomba ◽  
Isabel Fuentes-Gallardo ◽  
Orlando Mayoral del Moral ◽  
Beatriz Rodrigo-Medina ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Randomized Clinical Trial ◽  
Trapezius Muscle ◽  
Office Workers ◽  
Dry Needling

scholarly journals Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain

PM&R ◽  
2015 ◽  
Vol 7 (7) ◽  
pp. 711-718 ◽  
Author(s):  
Lynn H. Gerber ◽  
Jay Shah ◽  
William Rosenberger ◽  
Kathryn Armstrong ◽  
Diego Turo ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
Dry Needling ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle
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