Effects of Myofascial Release on Pressure Pain Thresholds in Patients With Neck Pain

Rodríguez-Huguet, Manuel; Gil-Salú, J.L.; Rodríguez-Huguet, Pablo; Cabrera-Afonso, Juan Rafael; Lomas‐Vega, Rafael

doi:10.1097/phm.0000000000000790

Cited by 35 publications

(18 citation statements)

References 33 publications

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“…Paungmali et al found that core stability exercises had a significant therapeutic effect as it increased the PPTs in patients with NSLBP 46. A study showed that MRT is an effective method to increase PPTs in patients with chronic pain 47. The results of our study were consistent with the literature.…”

Section: Discussionsupporting

confidence: 91%

<p>The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study</p>

Özsoy¹,

İlçin²,

Özsoy³

et al. 2019

CIA

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Purpose: To evaluate the effects of Myofascial Release Technique (MRT) with a roller massager combined with core stabilization exercises (CSE) in elderly with non-specific low back pain (NSLBP). Patients and methods: A total of forty-five participants were randomly divided into two groups (CSE and CSE+MRT). A core stabilization exercise program was applied for the participants in the CSE group for 3 days per week for a total of 6 weeks. In addition to the core stabilization exercises, myofascial relaxation technique with a roller massager was performed for 3 days per week for 6 weeks for the participants in the CSE+MRT group. Participants were assessed in terms of pain, low back disability, lower body flexibility, kinesiophobia, core stability endurance, spinal mobility, gait characteristics and quality of life both pre-and post-treatment. Results: It was found that the improvement in core stability endurance (p=0.031) and spinal mobility (in the sagittal plane) (p=0.022) was greater in the CSE+MRT group compared to the CSE group. There was no significant difference between the two groups in terms of pain, low back disability, lower body flexibility, kinesiophobia, gait characteristics and quality of life (p>0.05). Conclusion: The current study suggests that myofascial release technique with a roller massager combined with core stabilization exercises can be a better choice in the treatment of NSLBP in elderly. ClinicalTrials.gov Identifier: NCT03898089.

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Section: Discussionsupporting

confidence: 91%

<p>The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study</p>

Özsoy¹,

İlçin²,

Özsoy³

et al. 2019

CIA

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“…These reports indicate a significant effect of PIR on the minimization of pain and increasing the range of motion in the joints [ 16 , 27 , 32 , 33 , 34 ], accompanied by a decrease in muscle electrical activity [ 35 ]. Although a wide variety of MR techniques can be found in the literature [ 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ]. Authors assessing the outcomes of MR procedures, methodically consistent with the approach carried out in this study, indicate their effectiveness in increasing the pain-free range of motion [ 17 ], reducing pain [ 17 , 36 , 37 ], improving musculoskeletal function [ 36 , 37 ] and reducing muscle stiffness [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

The Application of Manual Techniques in Masticatory Muscles Relaxation as Adjunctive Therapy in the Treatment of Temporomandibular Joint Disorders

Urbański

Trybulec

Pihut

2021

IJERPH

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Temporomandibular disorders (TMD) are primarily characterized by pain as well as disorders concerning the proper functioning of individual elements of the stomatognathic system (SS). The aim of the study was to compare the degree of relaxation of the anterior part of the temporal muscles and the masseter muscles, achieved through the use of post-isometric relaxation and myofascial release methods in patients requiring prosthetic treatment due to temporomandibular joint disorders with a dominant muscular component. Sixty patients who met the inclusion criteria were alternately assigned to one of the two study groups, either group I—patients received post-isometric relaxation treatment (PIR), or group II—patients received myofascial release treatment (MR). The series of ten treatments were performed in both groups. The comparative assessment was based on physiotherapeutic examination, a surface electromyography (sEMG) of the anterior temporal and masseter muscles and the intensity of spontaneous masticatory muscle pain, assessed using the Visual Analogue Scale (VAS). We observed a significant decrease in the electrical activity of examined muscles and a significant drop in the intensity of spontaneous pain in the masticatory muscles both in group I and II. There were no significant differences between groups. Both therapeutic methods may be used as successful forms of adjunctive therapy in the prosthetic treatment of TMD. The trial was registered with an international clinical trials register.

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“…While an interplay between these two treatments is anecdotally reported in chiropractic practice, the synergetic effect on SMT-related PPT changes is unknown. PPT changes following myofascial treatment have previously been shown [ 41 ], supporting the possibility of an additive effect on PPT when SMT and myofascial techniques are used together.…”

Section: Discussionmentioning

confidence: 66%

Pressure pain thresholds in a real-world chiropractic setting: topography, changes after treatment, and clinical relevance?

et al. 2022

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Background Changes in pain sensitivity are a commonly suggested mechanism for the clinical effect of spinal manipulative therapy (SMT). Most research has examined pressure pain thresholds (PPT) and has primarily been conducted in controlled experimental setups and on asymptomatic populations. Many important factors are likely to differ between research and clinical settings, which may affect PPT changes following SMT. Therefore, we planned to investigate PPT before and after clinical chiropractic care and investigate relationships with various potentially clinically-relevant factors. Methods We recruited participants from four Danish chiropractic clinics between May and August 2021. A total of 129 participants (72% of the invited) were included. We measured PPT at eight pre-determined test sites (six spinal and two extra-spinal) immediately before (pre-session) and immediately after (post-session) the chiropractic consultation. We used regression analyses to investigate PPT changes, including the following factors: (i) vertebral distance to the nearest SMT site, (ii) rapid clinical response, (iii) baseline PPT, (iv) number of SMTs performed, (v) at the region of clinical pain compared to other regions, and (vi) if other non-SMT treatment was provided. We also performed topographic mapping of pre-session PPTs. Results After the consultation, there was a non-significant mean increase in PPT of 0.14 kg (95% CIs = − 0.01 to 0.29 kg). No significant associations were found with the distance between the PPT test site and nearest SMT site, the clinical response of participants to treatment, the pre-session PPT, the total number of SMTs performed, or the region/s of clinical pain. A small increase was observed if myofascial treatment was also provided. Topographic mapping found greater pre-session PPTs in a caudal direction, not affected by the region/s of clinical pain. Conclusions This study of real-world chiropractic patients failed to demonstrate a substantial local or generalized increase in PPT following a clinical encounter that included SMT. This runs counter to prior laboratory research and questions the generalizability of highly experimental setups investigating the effect of SMT on PPT to clinical practice.

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Effects of Myofascial Release on Pressure Pain Thresholds in Patients With Neck Pain

Abstract: This study provides evidence that MRT could be better than a multimodal PT program for short-term improvement of pain and PPTs in patients with neck pain.

Cited by 35 publications

References 33 publications

<p>The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study</p>

<p>The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study</p>

The Application of Manual Techniques in Masticatory Muscles Relaxation as Adjunctive Therapy in the Treatment of Temporomandibular Joint Disorders

Pressure pain thresholds in a real-world chiropractic setting: topography, changes after treatment, and clinical relevance?

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