Manual therapies in myofascial trigger point treatment: a systematic review

Peñas, César Fernández de las; Campo, M.; Carnero, Josué Fernández; Page, Juan Carlos Miangolarra

doi:10.1016/j.jbmt.2003.11.001

Cited by 111 publications

(59 citation statements)

References 33 publications

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“…8,10,11 Several treatment protocols have been suggested for MTPs. 1,12,13 Physical therapy programs play a significant role in treatment and improvement of symptoms in patients with MTP. Ischemic compression (IC) is one of the most common treatment methods currently used for patients with MTP attending physical therapy clinics.…”

Section: Introductionmentioning

confidence: 99%

“…Ischemic compression (IC) is one of the most common treatment methods currently used for patients with MTP attending physical therapy clinics. 1,12,13 More recently, there has been an increased interest in the use of dry needling (DN) by therapists to treat MTP. 8 Dry needling, also referred to as intramuscular stimulation, is an invasive procedure in which an acupuncture needle is inserted into the skin and muscle.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Latent trigger points are locally painful and do not have a referral pattern on palpation but can cause restricted range and fatigue in the muscle. [42][43][44] The presence of trigger points was recorded as no tenderness, latent, or active (see Figures 16-20 online). In Lucas and colleagues' (2009) systematic review, interrater reliability for identification of tenderness and a tight band, reproduction of the pain, and referred pain and therefore identification of the trigger point showed moderate reliability for tenderness (k ¼ 0.22-10), for tight band (k ¼ 0.57-1.00), and for local twitch response (k ¼ 0.05-0.57).…”

Section: Trigger Point Assessmentmentioning

confidence: 99%

An Exploratory Study to Determine the Relationship between Cervical Dysfunction and Perimenstrual Migraines

Horwitz

Stewart

2015

Physiotherapy Canada

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Purpose: To determine whether an association between cervical dysfunction and perimenstrual migraines exists. Methods: Forty perimenstrual migraine sufferers and 46 controls were compared. Information on the participants' ages and perceptions of neck pain and stiffness were solicited. The blinded physical examination of the cervical area consisted of postural, range of motion, muscle strength, muscle length, trigger point, neural mobility, and segmental cervical joint movement assessment. Results: The migraine group had increased perception of neck pain and stiffness (p < 0.001); reduced bilateral rotation (p ¼ 0.013); decreased muscle length in both trapezii, left sternocleidomastoid, and right occipitals (p ¼ 0.045); more pain on muscle stretch in both levator scapulae, both trapezii, left sternocleidomastoid, and both occipitals (p ¼ 0.013); increased trigger points bilaterally in the left trapezius (p ¼ 0.021), right trapezius (p ¼ 0.023), left sternocleidomastoid (p ¼ 0.0.004), and right sternocleidomastoid (p ¼ 0.021); reduced neural mobility with bilateral elbow lag (p ¼ 0.043); greater C4-C6 pain (p ¼ 0.045); and increased cervical stiffness in C5-C7 (p ¼ 0.023). There were no differences in posture and muscle strength. Decreased muscle length increased the risk of perimenstrual migraines 2.4-6.7 fold, reduced neural mobility 5.8-10.7 fold, and increased C7 stiffness 17.0 fold. Conclusion: The results suggest that an association between cervical dysfunction and perimenstrual headaches should be further explored.Key Words: cervical pain; headache; menstruation; migraine disorders. RÉ SUMÉObjectif : Cette é tude visait à dé terminer s'il y a un lien entre la dysfonction cervicale et les migraines pé rimenstruelles. Mé thodes : On a comparé 40 femmes souffrant de migraines pé rimenstruelles à 46 té moins. On a ré uni de l'information sur l'â ge des participantes et les perceptions de la douleur et de la raideur dans le cou. L'examen mé dical à l'insu de la ré gion cervicale a consisté à é valuer la posture, l'amplitude du mouvement, la force musculaire, la longueur des muscles, le point de dé clenchement, la mobilité neurale et le mouvement de l'articulation cervicale segmentaire. Ré sultats : Les patientes souffrant de migraines avaient une perception accrue de la douleur et de la raideur dans le cou (p < 0,001), une rotation bilaté rale ré duite (p ¼ 0,013); elles pré sentaient une diminution de la longueur musculaire au niveau des deux trapè zes, du sternoclé idomastoïdien gauche et des occipitaux droits (p ¼ 0,045); ressentaient plus de douleur à l'é tirement musculaire au niveau des deux muscles é lé vateurs de la scapula, des deux trapè zes, du sternoclé idomastoïdien gauche et des deux occipitaux (p ¼ 0,013); une é lé vation des points de dé clenchement des deux cô té s dans le trapè ze gauche (p ¼ 0,021), le trapè ze droit (p ¼ 0,023), le sternoclé idomastoïdien gauche (p ¼ 0,0004) et le sternoclé idomastoïdien droit (p ¼ 0,021); une ré duction de la mobilité neurale avec latence du coude de...

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“…The ischemic compression (IC) is currently used for the subjects with MTP attending physical therapy clinics (1,13,22). Dry needling (DN) has been recently used by therapists to treat MTP.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Dry Needling on Range of Motion of Neck Lateral Flexion in Subjects With Active Trigger Point in Upper Trapezius Muscle

Ziaeifar

Arab

Karimi

et al. 2014

Jentashapir J Health Res

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Background: Myofascial trigger point is one of the most common causes of musculoskeletal disorders. Myofascial trigger point in upper trapezius has been reported as a symptom in patients with neck and upper thoracic pain. Objectives: The purpose of this study was to investigate the effect of dry needling compared with ischemic pressure on trigger point in upper trapezius muscle. Materials and Methods: 28 subjects with myofascial trigger point in upper trapezius participated in this study. The subjects were randomly assigned to two groups: dry needling (n = 13) and ischemic pressure (n = 15). The neck lateral flexion range of motion was measured before and after treatment in both groups using a standard goniometer. Paired t-test was used to determine any significant difference in range of motion after treatment sessions compared with pre-treatment score in control and experimental group. Analysis of Covariance (ANCOVA) was calculated to determine the significance of differences between the control and experimental groups in posttest scores, with pre-treatment scores used as covariates in the analysis. Results: Statistical analysis (paired t-test) revealed significant increase in neck lateral flexion range of motion in contra-lateral side after treatment sessions in control and experimental group compared with pre-treatment score (P < 0.05). However, only dry needling was effective in increase of range of motion in Ipsi-lateral side (P = 0.001). In the ANCOVA, controlling for pre-test scores, no significant difference was found between the two groups in the after treatment sessions (P = 0.06) and (P = 0.15). Conclusions: The application of DN produces an improvement in ILF and CLF can be prescribed for subjects with MTP in UT muscles.

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Manual therapies in myofascial trigger point treatment: a systematic review

Cited by 111 publications

References 33 publications

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

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

An Exploratory Study to Determine the Relationship between Cervical Dysfunction and Perimenstrual Migraines

The Effect of Dry Needling on Range of Motion of Neck Lateral Flexion in Subjects With Active Trigger Point in Upper Trapezius Muscle

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