Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity

Hou, Chuen-Ru; Tsai, Li-Chu; Cheng, Kuang-Feng; Chung, Kao‐Chi; Hong, Chang‐Zern

doi:10.1053/apmr.2002.34834

Cited by 307 publications

(273 citation statements)

References 31 publications

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“…15 Others suggested that pain relief from TrP pressure may result from reactive hyperemia within the TrP or a spinal reflex mechanism induced by the relief of muscle tension. 18 Current results support that inclusion of TrP treatment into a self-stretching protocol is effective for improving function and decreasing pain in patients with plantar heel pain. Nevertheless, we do not know if the specific soft tissue manual therapy technique that was applied over the TrP was the most effective.…”

Section: Discussionmentioning

confidence: 53%

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Renan-Ordine¹,

Alburquerque‐Sendín²,

Rodrigues-de-Souza³

et al. 2011

J Orthop Sports Phys Ther

141

149

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Plantar fasciitis or plantar heel pain is the most common foot pain condition treated by healthcare providers. 28 It has been estimated that plantar fasciitis occurs in approximately 2 million Americans annually 10 and affects as much as 10% of the general population over the course of a lifetime. 29 In fact, some authors have reported that plantar fasciitis accounts for between 8% and 15% of foot complaints in nonathletic and athletic populations. 31,37 Plantar heel pain has a negative impact on foot-specific and general health-related quality of life, 20 and shows distinct patterns of disability on different functional domains. 30 To date, there is evidence that this condition may not be characterized by inflammation but, rather, by noninflammatory degenerative changes in the plantar fascia. 21 These findings suggest that this painful T T OBJECTIVE:To investigate the effects of trigger point (TrP) manual therapy combined with a self-stretching program for the management of patients with plantar heel pain. T T BACKGROUND:Previous studies have reported that stretching of the calf musculature and the plantar fascia are effective management strategies for plantar heel pain. However, it is not known if the inclusion of soft tissue therapy can further improve the outcomes in this population. T T METHODS:Sixty patients, 15 men and 45 women (mean  SD age, 44  10 years) with a clinical diagnosis of plantar heel pain were randomly divided into 2 groups: a self-stretching (Str) group who received a stretching protocol, and a self-stretching and soft tissue TrP manual therapy (Str-ST) group who received TrP manual interventions (TrP pressure release and neuromuscular approach) in addition to the same self-stretching protocol. The primary outcomes were physical function and bodily pain domains of the quality of life SF-36 questionnaire. Additionally, pressure pain thresholds (PPT) were assessed over the affected gastrocnemii and soleus muscles, and over the calcaneus, by an assessor blinded to the treatment allocation. Outcomes of interest were captured at baseline and at a 1-month follow-up (end of treatment period). Mixed-model ANOVAs were used to examine the effects of the interventions on each outcome, with group as the between-subjects variable and time as the within-subjects variable. The primary analysis was the group-by-time interaction. T T RESULTS:The 2 × 2 mixed-model analysis of variance (ANOVA) revealed a significant groupby-time interaction for the main outcomes of the study: physical function (P = .001) and bodily pain (P = .005); patients receiving a combination of self-stretching and TrP tissue intervention experienced a greater improvement in physical function and a greater reduction in pain, as compared to those receiving the self-stretching protocol. The mixed ANOVA also revealed significant group-by-time interactions for changes in PPT over the gastrocnemii and soleus muscles, and the calcaneus (all P<.001). Patients receiving a combination of self-stretching and TrP tissue intervention showed a gre...

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Section: Discussionmentioning

confidence: 53%

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Renan-Ordine¹,

Alburquerque‐Sendín²,

Rodrigues-de-Souza³

et al. 2011

J Orthop Sports Phys Ther

141

149

View full text Add to dashboard Cite

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“…19 Patients were also excluded if they had a history of fibromyalgia syndrome, whiplash injury, cervical spine surgery and fracture, cervical radiculopathy, having MTP therapy within the past month before the study, or if they had a diagnosis of any systematic disease such as rheumatism, tuberculosis, cervical myelopathy, or multiple sclerosis. [25][26][27][28][29] The patients, who underwent DN, also had no contraindication for needling such as local infection, pregnancy with threatened abortion, taking anticoagulants (eg, warfarin), or long-term steroid use. After the initial screening, 31 patients fulfilled all inclusion criteria.…”

Section: Participantsmentioning

confidence: 99%

Clinical Effectiveness of Dry Needling Immediately After Application on Myofascial Trigger Point in Upper Trapezius Muscle

Ziaeifar

Arab

Nourbakhsh

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the effect of dry needling (DN) on pain intensity and pressure pain threshold (PPT) compared with ischemic compression (IC) immediately and 48 hours after each treatment session in individuals with myofascial trigger points in the upper trapezius muscle. Methods: Thirty-one patients with myofascial trigger points in the upper trapezius muscle participated in this study. Patients were randomly assigned to a standard (N = 17) or experimental group (N = 14). The treatment protocol for the standard group consisted of IC, whereas the patients in the experimental group received DN. Results: The results indicated that the effect size of the DN methods for pain intensity and PPT was considerably greater after 2 days compared with immediately after the treatment session. In contrast, the effect of the IC for PPT was greater immediately after treatment compared with the measures after 2 days. There was also no noticeable difference in the effect size for IC on pain intensity between the scores obtained immediately and 2 days after treatment. However, our data also revealed a greater effect size for DN on PPT after 2 days compared with the IC technique. Conclusions: In this study, DN improved the pain intensity and PPT after 2 days. However, it had no clinical improvement immediately after application because of muscle soreness. Thus, assessment of the effect of DN immediately after application can be criticized, and the results should be interpreted with caution. (J Chiropr Med 2016;15:252-258)

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“…3,[5][6][7] A variety of therapeutic interventions are also used to manage MTrPs. Myofascial release techniques are used to relax contracted muscle, stimulate the mechanoreceptors, increase the blood flow and neuron conductance.…”

Section: Introductionmentioning

confidence: 99%

“…Myofascial release techniques are used to relax contracted muscle, stimulate the mechanoreceptors, increase the blood flow and neuron conductance. 7,8 Exercises are used to reduce muscle tightness and fear of movement, thereby enhancing confidence in independent movements. 9,7,10,11 These include stretching, strengthening and exercises to improve scapular stability and active range of motion (AROM).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effectiveness of Transcutaneous Electrical Nerve Stimulation and Interferential Therapy on the Upper Trapezius in Myofascial Pain Syndrome

Dissanayaka

Pallegama

Suraweera

et al. 2016

American Journal of Physical Medicine &Amp; Rehabilitation

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Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity

Cited by 307 publications

References 31 publications

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Clinical Effectiveness of Dry Needling Immediately After Application on Myofascial Trigger Point in Upper Trapezius Muscle

Comparison of the Effectiveness of Transcutaneous Electrical Nerve Stimulation and Interferential Therapy on the Upper Trapezius in Myofascial Pain Syndrome

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