Myofascial Trigger Points of the Shoulder

McEvoy, Johnson; Dommerholt, Jan

doi:10.1016/b978-1-4377-0740-3.00015-5

Cited by 4 publications

(4 citation statements)

References 177 publications

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“…Limited to one modality is insufficient in treating chronic shoulder pain and the importance of incorporating other modalities was clear to get the best outcomes [20]. Investigations carried out by Yamany and salim (2011) revealed that the application of Low level laser therapy plus exercise was more efficient than placebo laser with exercise [14], since the outcomes showed a decrease in pain intensity level, an increase in shoulder range of motion and increase trigger point PPT in myofascial trigger points of shoulder pain by applying the LLLT and exercise protocol.…”

Section: Discussionmentioning

confidence: 99%

“…The shock wave applicator was directed in most tender point near the insertion of rotator cuff at greater tuberosity under the acromion and other myofascial trigger points in rotator cuff muscle. The treatment area was prepared with a coupling gel to minimize the loss of shockwave at the interface between applicator tip and skin (20). Both groups were treated under the same conditions and the patients were treated individually to avoid influencing one another.…”

Section: Methodsmentioning

confidence: 99%

“…Thus; myofascial pain assessment ought to be regularly performed while assessing shoulder pain [3]. A wide range of structures may cause shoulder pain, incorporating the structures in the subacromial space such as the subacromial bursa, the rotator cuff, the long head of biceps and muscle specifically myofascial trigger points [4,5]. Some investigation announced that the alluded pain inspired by active TrPs in the supraspinatus, infraspinatus, pectoralis major and subscapularis muscles duplicated pain level pattern in subjects with shoulder impingement [6].…”

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confidence: 99%

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Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Lasheen¹,

Mohamed²

2017

IJPR

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Background: Myofascial trigger points(MTrPs) are perceived by numerous clinicians to be one of the most prevalent cause of pain and dysfunction in musculoskeletal system. Purpose: of this study was to examine the effect of shock wave therapy versus low level laser (LLLT) in treatment of myofascial trigger points (MTrPs) of rotator cuff muscle dysfunction. Materials and Methods: Thirty patients from both genders were randomly distributed into two groups (fifteen patients for each group). They were all diagnosed as unilateral shoulder pain and suffering from myofascial trigger points in rotator cuff muscle. The first group(A) with a mean age of 34.67(± 5.95) years subjected to LLLT( Gallium-Arsenide I.R laser of 904 nm wave length with 3J / point for 90 sec pulse) in addition to ischaemic pressure for 12 sessions, 3 session a week. While the second group(B) with a mean age of 34.07 (± 4.51) got shock wave treatment (6000shocks, 2000 shock/ session, 4 session separated by one week, energy flux density 0.38 mJ/ mm2, 1.6 barand10HZ) in addition to ischemic pressure for 12 sessions, 3 sessions a week. Pre and post treatment evaluations were recorded with respect to measuring pain intensity level, pressure pain threshold of myofascial trigger points and range of motion (ROM) of shoulder flexion and abduction.Results: Patients of both groups showed statistical significant improvement in all the measured variables. Between groups difference the shock wave group (B) showed a statistical significant improvement in decreasing pain intensity level, increasing pressure pain threshold and improving shoulder range of motion than LLLT group (A) (p value<0.05). Conclusion:Both shock wave and LLLT had a significant effect on decreasing shoulder pain intensity level, increasing pressure pain threshold and increasing in shoulder flexion and abduction (ROM). However, the shockwave therapy was more effective than LLLT in treatment of myofascial trigger points of rotator cuff muscle dysfunction.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Lasheen¹,

Mohamed²

2017

IJPR

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“…A single physiotherapy treatment session was implemented for patients in group A, including myofascial release based-manual therapy applied only to pectoralis minor muscle followed by therapeutic strengthening exercises for shoulder depressors and scapular adductors [20,21]. For myofascial release therapy, the maneuver was modified from McEvoy, and Dommerholt [20] as follows;…”

Section: Physiotherapy Intervention (Manual Therapy and Therapeutic Exementioning

confidence: 99%

Acute Effect of Combined Manual Therapy and Therapeutic Exercise versus Short-Acting Bronchodilator on Ventilatory Function in Patients with COPD

Ahmad

Halim²,

Sadek

2018

CRMR

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Background: Manual Therapy has recently gained popularity and interests from health care providers in the field of Pulmonary Rehabilitation programs for COPD patients as it has proved to have great health and clinical benefits. Additional benefits in clinical outcomes may be obtained by adding therapeutic exercise to manual therapy. Objective: The aim of this research was to study the acute effect of combined myofascial release based-manual therapy for pectoralis minor muscle and therapeutic strengthening exercises for shoulder depressors and scapular adductors, compared to the effect of a single administration of shortacting bronchodilator in COPD patients. Method: Fifty four male patients with COPD were equally divided into two groups; group A (n=27) received one physiotherapy treatment session combining pectoralis minor muscle myofacial release and therapeutic strengthening exercises for shoulder depressors & scapular adductors, while group B (n=27) received an inhaled short-acting bronchodilator for one time. Measurement included ventilatory function as the main outcome, and chest expansion & Verbal Descriptor Scale (VDS) of muscle pain as secondary outcomes. Results: FEV 1 , FVC, MVV, chest expansion, and VDS of pectoralis minor muscle tightness pain significantly improved only in group A (P ˂ 0.05). Nevertheless, there was no statistically significant difference between the two groups except for VDS. Conclusion: a single physiotherapy intervention of myofascial release-based manual therapy combined with therapeutic exercise has succeeded to induce some clinical benefits in patients with COPD. This protocol may represent an alternatively novel physiotherapy intervention that can be included in pulmonary rehabilitation programs for COPD patients.

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Trigger point dry needling

McEvoy¹

2013

Trigger Point Dry Needling

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Myofascial Trigger Points of the Shoulder

Cited by 4 publications

References 177 publications

Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Low Level Laser Versus Shockwave Therapy in Treatment of Myofascial Trigger Points of Rotator Cuff Muscle Dysfunction: Randomized Controlled Trial

Acute Effect of Combined Manual Therapy and Therapeutic Exercise versus Short-Acting Bronchodilator on Ventilatory Function in Patients with COPD

Trigger point dry needling

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