Immediate Effect of Ultrasound and Ischemic Compression Techniques for the Treatment of Trapezius Latent Myofascial Trigger Points in Healthy Subjects: A Randomized Controlled Study

Montañez‐Aguilera, Francisco Javier; Martín, Daniel Pecos; Masanet, Rosana Arnau; Botella, Ana Camps; Soler, Lorena Borja; Morell, Francisco. Bosch

doi:10.1016/j.jmpt.2009.08.001

Cited by 136 publications

(110 citation statements)

References 27 publications

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“…Embora não se conheçam trabalhos que estudaram conjuntamente a eletromiografia dos músculos cervicais e a medida da amplitude do movimento cervical em indivíduos com DTM, uma relação entre estes instrumentos foi parcialmente estabelecida por Aguilera et al 22 . Estes pesquisadores utilizaram diferentes tratamentos miofasciais para pontos gatilhos latentes do músculo trapézio, obtendo redução na atividade elétrica com consequente aumento da flexão lateral cervical, mas sugerem estudos que expliquem o mecanismo de estabelecimento desta relação.…”

Section: Discussionunclassified

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Milanesi¹,

Corrêa

Borin³

et al. 2011

Fisioter. Pesqui.

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A DTM foi diagnosticada pelo critério de diagnóstico em pesquisa para DTM (Research Diagnostic Criteria for Temporomandibular Disorders). A eletromiografia dos músculos esternocleidomastoídeo (ECOM) e trapézio superior foi realizada bilateralmente, na situação de repouso, com frequência de 2 KHz e filtro passa-faixa de 10-1000 Hz. As medidas de ADM de flexão, extensão, lateroflexão e rotação foram realizadas com um flexímetro e a comparação entre os grupos contou com o teste de Mann Whitney. O teste de Spearman foi aplicado para a correlação entre as variáveis, com nível de significância de 5%. Não foi verificada nenhuma diferença na ADM cervical entre os grupos. A atividade elétrica demonstrou-se significativamente maior nos músculos ECOM direito (p=0,0130), trapézio superior direito (p=0,0334) e esquerdo (p=0,0335) no grupo DTM em relação ao grupo controle. Não houve correlação significante entre atividade elétrica e ADM cervical. A dor nos músculos cervicais apresentou-se significativamente maior apenas no músculo ECOM direito (p=0,0055). Conclui-se que os grupos estudados registraram diferença na atividade elétrica dos músculos cervicais, sendo esta maior em indivíduos com DTM. DEScRitORES: transtornos da articulação temporomandibular; eletromiografia; amplitude de movimento articular.ABStRAct: The aim of the research was to evaluate the electrical activity and pain on palpation of the cervical muscles, the cervical range of motion (ROM) and the relationship between electrical activity and ROM in individuals with and without temporomandibular disorder (TMD). Fifty three volunteers took part in the study, being 24 with TMD and 29 without, both genders, from 18 to 32 years old. The TMD was diagnosed through Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). The electromyografhy of Sternocleidomastoideus (SCM) and upper trapezius muscles was carried out bilaterally during rest situation, with a frequency of 2 KHz and band-pass filter of 10-1000Hz. The measures of flexion, extension, lateral tilt and rotation ROM were acquired through a fleximeter and the comparison between groups was analyzed by Mann-Whitney test. The Spearman test verified the correlation between the variables, with 5% of significance level. There were no differences in the cervical ROM between the groups. The electrical activity was significantly higher in the right SCM (p=0,0130), left (p=0,0335) and right (p=0,0334) trapezius muscles in the TMD group. There were no significant correlations between electrical activity and cervical ROM. Pain in the neck muscles was significantly higher only in the right SCM (p=0,0055). It is concluded that the studied groups had difference in the electrical activity of the cervical muscles, which was larger in the individuals with TMD.

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Section: Discussionunclassified

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Milanesi¹,

Corrêa

Borin³

et al. 2011

Fisioter. Pesqui.

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“…The results of a study by Okhovatian et al on LMTP located in the upper trapezius showed that ischemic compression significantly increased the pain threshold and statistically significantly decreased pain intensity [26]. In addition, the results of a study by Aguilera et al showed that immediately after the application of ischemic compression, pain intensity according to the VAS was statistically significantly lower compared to that registered prior to the application of ischemic compression [31]. The results of a study by Fryer et al showed that in subjects with LMTP in the upper trapezius, an ischemic compression procedure lasting 60 seconds statistically significantly decreased the pain threshold [34].…”

Section: Discussionmentioning

confidence: 94%

“…In order to ensure the effectiveness of ischemic compression, pain of 7-8 points was maintained throughout the procedure -i.e., if the subject reported a decrease in pain, the pressure was increased until the pain reached 7-8 points again. Aguilera et al in their study used the same duration of ischemic compression [31]. AL-Shawabka et al [32] Chao et al [33] and Okhovatian et al [26] in their studies applied ischemic compression for 60 second or until pain disappeared, depending on which occurred first.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Different Physical Therapy Techniques for Relieving Pain and Increasing Neck Range of Motion in Patients with Diagnosed Latent Myofascial Trigger Points

Lendraitienė¹,

Bagdonaitė²,

Petruševičienė³

et al. 2017

Orthop Muscular Syst

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Aim:Researchers are demonstrating increasing interest in latent myofascial trigger points (LMTP) because of their significantly higher prevalence, compared to active myofascial trigger points (AMTP). Even though LMTP are quite prevalent and are important for muscle function, their effect is essentially under-researched due the lack of studies in the area. The aim is to compare the effectiveness of different physical therapy techniques for relieving pain and increasing neck range of motion in patients with diagnosed latent myofascial trigger points. Population:The study included 27 volunteers (group I -15 subjects, and group II -12 subjects) with at least one LMTP in the upper part of the trapezius muscle and without any health problems that could affect the results of the study. Methods:Prior to the physical therapy, immediately after it, and one week after its completion, algometric measurements were performed in order to determine which pressure force provoked pain. Also, a 10-point visual analogue pain scale (VAS) was applied in order to determine the severity of pain that could be caused by 4 kg/cm 2 pressure. Goniometric measurements were performed to evaluate changes in the range of motion when performing neck flexion, extension, and lateral flexion. Results:In subjects who underwent ischemic compression procedures (group I), the pain threshold increased significantly from 2.27 ± 0.28 kg/cm 2 at baseline to 3.01 ± 0.33 kg/cm 2 immediately after physical therapy, and to 2.63 ± 0.3 kg/cm 2 at one week after physical therapy (p<0.05). Meanwhile, pain intensity statistically significantly decreased from 5.20 ± 0.56 points at baseline to 3.20 ± 0.78 points immediately after physical therapy, and to 4.53 ± 0.74 points at one week after physical therapy (p<0.05). The range of flexion in the neck statistically significantly increased both immediately and at one week after physical therapy, whereas no changes in the range of motion were observed during extension or lateral flexion. In subjects who underwent taping procedures (group II), the pain threshold increased significantly from 2.13 ± 0.43 kg/cm 2 at baseline to 2.30 ± 0.36 kg/cm 2 immediately after physical therapy, and to 2.33 ± 0.46 kg/cm 2 at one week after physical therapy (p<0.05). Meanwhile, pain intensity statistically significantly decreased only immediately after physical therapy -from 5.33 ± 0.78 points to 5 ± 0.74 points (p<0.05). No changes in the range of motion during neck flexion, extension, or lateral flexion were observed. The comparison of the groups showed that pain intensity in group I subjects (i.e., in those who underwent ischemic compression procedures) was statistically significantly lower immediately after physical therapy and at one-week follow-up. There were no statistically significant differences in the range of motion during neck flexion, extension, or lateral flexion between the groups. Conclusion:Ischemic compression proved to be a more effective physical therapy technique than taping in reducing pain in latent myofasc...

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“…The inclusion criteria for having active TP in UT muscle were as follow [26,27] The selected TP of the UT muscle was located in the middle of the UT muscle.…”

Section: Study Participantsmentioning

confidence: 99%

Immediate Effect of Kinesio-Taping on Cervical Lateral Flexion Range of Motion in Subjects With Myofascial Trigger Point in Upper Trapezius Muscle

Shakeri

Arab

Bargahi

2016

PTJ

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Purpose: The purpose of this study was to investigate the effect of kinesio-taping on the range of motion of cervical lateral flexion point in subjects with trigger point in upper trapezius muscle. Methods:A total of 32 subjects with myofascial trigger point in their upper trapezius muscles participated in this randomized controlled trial (RCT). The subjects were randomly assigned to two groups: Kinesio-taping (KT) (n=16) and KT placebo (n=16). Their ipsilateral and contralateral cervical lateral flexion range of motion was measured before and immediately after treatment in both groups using a standard goniometer. Paired t-test was used to determine any significant difference in the range of motion after treatment sessions compared with pretreatment score in the control and experimental group. Analysis of covariance (ANCOVA) was calculated to determine the significance of differences between two groups in posttest scores, with pretreatment scores used as covariates in the analysis.Results: Statistical analysis (paired t-test) revealed no significant increase in cervical lateral flexion range of motion in both ipsilateral and contralateral side immediately after KT application in both groups compared with pretreatment score (P>0.05). In the ANCOVA, with controlling pretest scores, no significant difference was found between the two groups (KT and placebo) after treatment sessions (P>0.05) Conclusion: Application of kinesio taping cannot immediately produces an improvement in cervical lateral flexion in subjects with trigger point in upper trapezius muscles.

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Immediate Effect of Ultrasound and Ischemic Compression Techniques for the Treatment of Trapezius Latent Myofascial Trigger Points in Healthy Subjects: A Randomized Controlled Study

Abstract: In this group of participants, both treatments were shown to have an immediate effect on latent MTrPs. The results show a relation among AROM of cervical rachis, BEA of the trapezius muscle, and MTrP sensitivity of the trapezius muscle gaining short-term positive effects with use of IC.

Cited by 136 publications

References 27 publications

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

The Effectiveness of Different Physical Therapy Techniques for Relieving Pain and Increasing Neck Range of Motion in Patients with Diagnosed Latent Myofascial Trigger Points

Immediate Effect of Kinesio-Taping on Cervical Lateral Flexion Range of Motion in Subjects With Myofascial Trigger Point in Upper Trapezius Muscle

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