Effect of ischemic pressure using a Backnobber II device on discomfort associated with myofascial trigger points

Gulick, Dawn T.; Palombaro, Kerstin M.; Lattanzi, Jill Black

doi:10.1016/j.jbmt.2010.06.007

Cited by 22 publications

(11 citation statements)

References 44 publications

(41 reference statements)

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“…Gulick et al [24] reported that PPT value increased significantly in patients treated with ischemic compression of 30 seconds compared to that of untreated patients. Herein, there were no differences in treatment effects between group 2 and group 3; and thus, it is considered that transient local ischemia can be achieved with only 30 seconds of compression.…”

Section: Discussionmentioning

confidence: 99%

Ischemic Compression After Trigger Point Injection Affect the Treatment of Myofascial Trigger Points

Kim

Choi

et al. 2013

Ann Rehabil Med

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ObjectiveTo investigate the effects of trigger point injection with or without ischemic compression in treatment of myofascial trigger points in the upper trapezius muscle.MethodsSixty patients with active myofascial trigger points in upper trapezius muscle were randomly divided into three groups: group 1 (n=20) received only trigger point injections, group 2 (n=20) received trigger point injections with 30 seconds of ischemic compression, and group 3 (n=20) received trigger point injections with 60 seconds of ischemic compression. The visual analogue scale, pressure pain threshold, and range of motion of the neck were assessed before treatment, immediately after treatment, and 1 week after treatment. Korean Neck Disability Indexes were assessed before treatment and 1 week after treatment.ResultsWe found a significant improvement in all assessment parameters (p<0.05) in all groups. But, receiving trigger point injections with ischemic compression group showed significant improvement as compared with the receiving only trigger point injections group. And no significant differences between receiving 30 seconds of ischemic compression group and 60 seconds of ischemic compression group.ConclusionThis study demonstrated the effectiveness of ischemic compression for myofascial trigger point. Trigger point injections combined with ischemic compression shows better effects on treatment of myofascial trigger points in the upper trapezius muscle than the only trigger point injections therapy. But the duration of ischemic compression did not affect treatment of myofascial trigger point.

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Section: Discussionmentioning

confidence: 99%

Ischemic Compression After Trigger Point Injection Affect the Treatment of Myofascial Trigger Points

Kim

Choi

et al. 2013

Ann Rehabil Med

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“…Only a few studies have examined the effect of stretching the levator scapulae on signs and symptoms in patients with shoulder or neck pain 74 75. On the other hand, studies investigating the effect of manually treating trigger points in this muscle have recently begun to emerge, although its outcome is still unclear 76 77…”

Section: Rehabilitation Of Scapular Dyskinesismentioning

confidence: 99%

Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete

et al. 2013

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The scapula functions as a bridge between the shoulder complex and the cervical spine and plays a very important role in providing both mobility and stability of the neck/shoulder region. The association between abnormal scapular positions and motions and glenohumeral joint pathology has been well established in the literature, whereas studies investigating the relationship between neck pain and scapular dysfunction have only recently begun to emerge. Although several authors have emphasised the relevance of restoring normal scapular kinematics through exercise and manual therapy techniques, overall scapular rehabilitation guidelines decent for both patients with shoulder pain as well as patients with neck problems are lacking. The purpose of this paper is to provide a science-based clinical reasoning algorithm with practical guidelines for the rehabilitation of scapular dyskinesis in patients with chronic complaints in the upper quadrant.

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“…However controlled, and especially placebo-controlled, studies on this topic are lacking. 10–14 In clinical settings, the MTrP is often acted upon over multiple sessions to address a pain complaint. Insight into changes that occur at the MTrP following multiple treatment sessions is lacking in the research literature, but is needed to identify the magnitude of change per session and to identify when treatment gains plateau.…”

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confidence: 99%

Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages

Moraska

Schmiege

Mann

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective This study aimed to assess the effects of single and multiple massage treatments on pressure-pain threshold (PPT) at myofascial trigger points (MTrPs) in people with myofascial pain syndrome expressed as tension-type headache. Design Individuals (n=62) with episodic or chronic tension-type headache were randomized to receive twelve twice-weekly 45 minute massage or sham ultrasound sessions, or wait-list control. Massage focused on trigger point release (ischemic compression) of MTrPs in the bilateral upper trapezius and suboccipital muscles. PPT was measured at MTrPs with a pressure algometer pre and post the first and final (12th) treatments. Results PPT increased across the study timeframe in all four muscle sites tested for massage, but not sham ultrasound or wait-list groups (p<0.0001 for suboccipital; p<0.004 for upper trapezius). Post hoc analysis within the massage group showed 1) an initial, immediate increase in PPT (all p-values<0.05), 2) a cumulative and sustained increase in PPT over baseline (all p-values<0.05), and 3) an additional immediate increase in PPT at the final (12th) massage treatment (all p-values<0.05, except upper trapezius left, p=0.17). Conclusions Single and multiple massage applications increase PPT at MTrPs. The pain threshold of MTrPs have a great capacity to increase; even after multiple massage treatments additional gain in PPT was observed.

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Effect of ischemic pressure using a Backnobber II device on discomfort associated with myofascial trigger points

Cited by 22 publications

References 44 publications

Ischemic Compression After Trigger Point Injection Affect the Treatment of Myofascial Trigger Points

Ischemic Compression After Trigger Point Injection Affect the Treatment of Myofascial Trigger Points

Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete

Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages

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