Effect of Post-Isometric Relaxation and Laser on Upper Trapezius Trigger Point Pain in Patients with Mechanical Neck Pain

Ahmed, Hashim U.; Jarrar, MA; Ahmed, R; Alqhtani, Raee S.; Alshahrani, Adel

doi:10.4103/njcp.njcp_6_20

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…The findings of this study are consistent with previous research, [ 36 , 37 ] which also reported significant improvements in similar variables following similar interventions. The study conducted by Hashim et al (2020) revealed that both Post-Isometric Relaxation and Laser Therapy interventions demonstrated efficacy in decreasing pain pressure threshold and pain intensity among patients with muscle trigger point discomfort.…”

Section: Discussionsupporting

confidence: 92%

Efficacy of cervical mobilization with post-isometric relaxation in managing mechanical neck pain, ROM, and functional limitations associated with myofascial trigger points

Ghulam,

Alqhtani,

Alshahrani

et al. 2023

Medicine

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Background: Sedentary lifestyle, age-related degenerative changes or traumatic injuries leads to cervical spine structural mal-alignment, which results in neck pain and other symptoms. Various therapeutic exercises and manual techniques have been proven to be beneficial in terms of managing these symptoms. This study aimed to determine the combined effects of cervical mobilization and post-isometric relaxation (PIR) technique on managing neck pain, cervical side flexion range of motion, and functional limitation in participants with mechanical neck pain linked with myofascial trigger points. Methods: This study followed a 2-arm, parallel-group, pretest-posttest randomized comparative design. Thirty participants with mechanical neck pain associated with myofascial trigger points aged 30.87 ± 4.45 years were randomly allocated to Groups 1 and 2. Group 1 received conventional intervention, PIR, and cervical mobilization techniques while Group 2 received conventional intervention and PIR technique only. Neck pain, muscle tenderness, cervical range of motion, and functional limitations were assessed using a visual analog scale, pressure pain threshold (PPT), goniometer, and neck disability index (NDI) questionnaire, respectively at baseline on day 1 and post-intervention on day 7, 14, and 21. Wilcoxon signed-rank test and the Mann–Whitney U test evaluated within-group and between-group analyses, respectively. Statistical significance was established at a 95% confidence interval, indicated by P < .05. Results: Significant differences (95% confidence interval [CI], P < .05) were observed within each group for all the outcomes scores when compared to the baselines across multiple time points. Significant variations were observed between the groups when comparing visual analog scale and NDI scores at weeks 1, 2, and 3 post-interventions. In contrast, insignificant differences (95% CI, P > .05) were observed for side flexion range of motion and PPT compared at weeks 1, 2, and 3 post-interventions except for PPT at week 3 post-intervention (95% CI, P < .05). Additionally, Cohen d test revealed the superiority of group 1 over group 2 in reducing pain and functional limitations and improving cervical side flexion range of motion and PPT. Conclusion: The combination of cervical mobilization and Post-isometric relaxation techniques was discovered to effectively alleviate neck pain and enhance functional abilities when contrasted with the application of post-isometric relaxation alone in patients with mechanical neck pain linked with myofascial trigger points.

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Section: Discussionsupporting

confidence: 92%

Efficacy of cervical mobilization with post-isometric relaxation in managing mechanical neck pain, ROM, and functional limitations associated with myofascial trigger points

Ghulam,

Alqhtani,

Alshahrani

et al. 2023

Medicine

View full text Add to dashboard Cite

show abstract

“…Finally, 26 (12 three-arm and 14 two-arm) RCTs (1170 participants, mean age 21–49 years, intervention duration 1 day to 10 weeks) were included. Among the three-arm RCTs, one compared MET, low-level laser, and conventional treatment [ 30 ], two compared MET, ischemic compression technique, and conventional interventions [ 31 , 32 ], one compared MET plus shock wave and shock wave monotherapy [ 33 ], one compared MET, massage plus stretching exercise, and no intervention [ 34 ], two compared MET, myofascial release, and routine physical therapy [ 35 , 36 ], one compared MET, ischemic compression and strain counter-strain therapy [ 37 ], one compared MET, proprioceptive neuromuscular facilitation, and supervised home exercises [ 38 ], one compared MET, MET with dry needling, and dry needling alone [ 39 ], one compared MET associated with PIR, MET associated with RI, and conventional interventions [ 40 ], one compared MET, deep neck flexor exercise, and conventional interventions [ 41 ] and one compared MET, neck stabilization exercise, and neck care education [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

Muscle energy technique to reduce pain and disability in cases of non-specific neck pain: A systematic review and meta-analysis of randomized controlled trials

Lin,

Chang

et al. 2023

Heliyon

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“…By lowering muscle arteriole spasm and oxidative stress, laser therapy can enhance tissue oxygenation and lessen muscular fatigue. 8 The LLLT may boost endogenous endorphin production and lower pro-inflammatory neuropeptides such substance P, hence lowering pain. 9 The action of LLLT on the sodium-potassium pump changed nerve excitation and conduction, which decreased pain perception.…”

Section: Discussionmentioning

confidence: 99%

Immediate effects of 850 nm Diode Laser on patients with Cervical Myofascial Pain Syndrome: a Randomized-controlled trial

Zahreldin Ali,

ElBasiouny,

Morsy

et al. 2024

Bangladesh J Med Sci

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Objectives Myofascial pain syndrome (MPS) is one of the most common causes of chronic neck pain. Low level laser therapy (LLLT) is a physical therapy modality that can be used to reduce pain and improve function of patients with MPS. The aim of this study was to assess and evaluate the effects of LLLT added to the conventional physical therapy in comparison with the conventional physical therapy alone on pain intensity, pressure pain threshold (PPT) and cervical range of motion (ROM) in cervical MPS patients. Methods and Materials Twenty-four adults diagnosed with cervical MPS according to Travell and Simons’ criteria were randomized into 2 equal groups; Group A: receive LLLT on upper trapezius trigger points with conventional physical therapy, while Group B: receive conventional physical therapy alone. Measured outcomes were pain, PPT and cervical flexion and extension ROM, using Numerical Rating Scale (NRS), Algometer and Goniometer, respectively. Outcomes were measured pre-treatment and immediately post-treatment. Results and Discussion A significant improvement in the pain, PPT and cervical flexion and extension were observed in all groups after treatment, compared to the pre-treatment values (P < .05). However, there was no significant difference between the study groups post treatment for all measured outcomes. Conclusion Low-level laser therapy is not considered a beneficial extension to the standard conventional therapy on active MPS as it didn’t add to the immediate effect of conventional physical therapy on pain, PPT and ROM in patients with cervical MPS. Bangladesh Journal of Medical Science Vol. 23 No. 02 April’24 Page : 337-344

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Effect of Post-Isometric Relaxation and Laser on Upper Trapezius Trigger Point Pain in Patients with Mechanical Neck Pain

Cited by 6 publications

References 7 publications

Efficacy of cervical mobilization with post-isometric relaxation in managing mechanical neck pain, ROM, and functional limitations associated with myofascial trigger points

Efficacy of cervical mobilization with post-isometric relaxation in managing mechanical neck pain, ROM, and functional limitations associated with myofascial trigger points

Muscle energy technique to reduce pain and disability in cases of non-specific neck pain: A systematic review and meta-analysis of randomized controlled trials

Immediate effects of 850 nm Diode Laser on patients with Cervical Myofascial Pain Syndrome: a Randomized-controlled trial

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