A comparison of the effect of the active release and muscle energy techniques on the latent trigger points of the upper trapezius

Sadria, Golnaz; Hosseini, Mahya; Rezasoltani, Asghar; Bagheban, Alireza Akbarzadeh; Davari, Ahmadreza; Seifolahi, Afsaneh

doi:10.1016/j.jbmt.2016.10.005

Cited by 40 publications

(45 citation statements)

References 31 publications

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“…The spinal accessory nerve runs underneath the SCM muscle or directly passes through the muscle belly, and thus, when myofascial trigger points (MTrPs) are created from a microinjury compress and excite the nerve, pain may be caused by ischemia in the UT muscle that is innervated. [ 11 ] Direct interventions for MTrPs of the UT muscle include active release techniques, muscle energy techniques, [ 12 ] positional release therapy, [ 13 ] and ischemic compression. [ 14 ] As shown, to reduce UT muscle pain, it is not only necessary to apply direct intervention to the UT muscle, but also to the SCM muscle and surrounding tissues innervated by the same nerve.…”

Section: Introductionmentioning

confidence: 99%

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Kim

Lee

2018

Medicine

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Few studies have been performed regarding the reduction of pain in the upper trapezius (UT) muscle by applying interventions to the sternocleidomastoid (SCM) muscle, which is innervated by the same nerves.The purpose of this study was to investigate the effects of soft tissue release intervention on the SCM and suboccipital muscles with regard to muscle hardness and pressure pain threshold (PPT) of the SCM and UT muscles in smartphone users with latent myofascial trigger points (MTrPs) in the UT muscle.Seventeen smartphone users (5 men and 12 women) with latent MTrPs in the UT muscle participated in the study. This study used a single blinding, cross-over design, wherein sternocleidomastoid soft tissue release (SSTR) and suboccipital release (SR) were applied on the subjects in random order one week apart. Muscle hardness and the PPT of the SCM and UT muscles were assessed before and after the intervention.After SSTR was applied, the SCM and UT muscles showed a significant decrease in muscle hardness and a significant increase in PPT. After SR was applied, the UT muscle showed a significant decrease in muscle hardness and a significant increase in PPT. When comparing the amount of change between the SSTR and SR interventions, significant differences were found for SCM muscle hardness and PPT of the UT muscle in the SSTR intervention, compared with the SR intervention.Therefore, we suggest that, to reduce pain in the UT muscle, it may be useful to apply intervention directly to the UT muscle, as well as to the SCM muscle, which is innervated by the same nerve.

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Section: Introductionmentioning

confidence: 99%

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Kim

Lee

2018

Medicine

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“…As a result of single MET application, this variable increased by 0.9 cm (13.4%), whereas after AR it increased by 1.1 cm (17.4%). For both methods, a significant therapeutic effect (p < 0.001) was noted in the intra-group analysis [28]. The authors of this work did not assess changes in the scope of mobility in other directions.…”

Section: Range Of Motionmentioning

confidence: 82%

“…The beneficial effect of the monotherapy described above has already been confirmed several times [1,[24][25][26][27][28]. There are also reports in the scientific literature about combining different rehabilitation methods in order to achieve the best therapeutic effect [26,[29][30][31].…”

Section: Introductionmentioning

confidence: 90%

“…Sadria et al [28] in 2017 assessed the effectiveness of MET and active release (AR), which is included in the broadly understood trigger point therapy. For this purpose, 64 patients characterized by neck pain lasting more than 3 months were examined.…”

Section: Range Of Motionmentioning

confidence: 99%

“…In our study, we noted a 9.9% increase in lateral flexion to the right and 8.9% to the left due to the application of the MET combined with the TPT method. It should be emphasized that Sadria et al [28] compared pain patients who probably already had functional disorders of the cervical spine. As such, the therapeutic effect obtained could be clearer.…”

Section: Range Of Motionmentioning

confidence: 99%

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Evaluation of the Combination of Muscle Energy Technique and Trigger Point Therapy in Asymptomatic Individuals with a Latent Trigger Point

Wendt¹,

Waszak²

2020

IJERPH

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(1) Background: The aim of the study was to determine the effect of the combination therapy of Muscle Energy Technique (MET) and Trigger Point Therapy (TPT) on the angular values of the range of movements of the cervical spine and on the pressure pain threshold (PPT) of the trapezius muscle in asymptomatic individuals. METHODS: The study involved 60 right-handed, asymptomatic students with a latent trigger point in the upper trapezius muscle. All qualified volunteers practiced amateur symmetrical sports. The study used a tensometric electrogoniometer (cervical spine movement values) and an algometer (pressure pain threshold (PPT) of upper trapezius). Randomly (sampling frame), volunteers were assigned to three different research groups (MET + TPT, MET and TPT). All participants received only one therapeutic intervention. Measurements were taken in three time-intervals (pre, post and follow-up the next day after therapy). (2) Results: One-time combined therapy (MET + TPT) significantly increases the range of motion occurring in all planes of the cervical spine. One-time treatments of single MET and single TPT therapy selectively affect the mobility of the cervical spine. The value of the PPT significantly increased immediately after all therapies, but only on the right trapezius muscle, while on the left side only after the therapy combining MET with TPT. (3) Conclusion: The MET + TPT method proved to be the most effective, as it caused changes in all examined goniometric and subjective parameters.

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Massage for neck pain

Gross,

Lee,

Ezzo

et al. 2024

Cochrane Database of Systematic Reviews

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A comparison of the effect of the active release and muscle energy techniques on the latent trigger points of the upper trapezius

Cited by 40 publications

References 31 publications

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points

Evaluation of the Combination of Muscle Energy Technique and Trigger Point Therapy in Asymptomatic Individuals with a Latent Trigger Point

Massage for neck pain

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