Comparison Between the Effects of Passive and Active Soft Tissue Therapies on Latent Trigger Points of Upper Trapezius Muscle in Women: Single-Blind, Randomized Clinical Trial

Kojidi, Marzieh Mohammadi; Okhovatian, Farshad; Rahimi, Abbas; Baghban, Alireza Akbaezade; Hadi, A. Hamid A.

doi:10.1016/j.jcm.2016.08.010

Cited by 21 publications

(37 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kumaresan et al also reported a significant decrease in pain and an increase in ROM after 7 treatment sessions with PRT (27). trast to the present study, PPT improvement was statistically significant in the mentioned research (18). In another study, Mohammadi Kojidi investigated the effects of PRT on the latent MTrPs of upper trapezius among computer users.…”

Section: Discussionsupporting

confidence: 44%

See 1 more Smart Citation

The Effects of Manual Passive Muscle Shortening and Positional Release Therapy on Latent Myofascial Trigger Points of the Upper Trapezius: A Double-Blind Randomized Clinical Trial

Amini

Goljaryan

Shakouri

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background: Positional release therapy (PRT) has been suggested as an effective treatment for myofascial trigger points (MTrPs). Considering the mechanism of PRT, a new modified technique, known as Manual Passive Muscle Shortening (MPMS), is introduced for the treatment of MTrPs. Objectives: To compare the effects of MPMS and PRT on the sensitivity of latent MTrPs in the upper trapezius and determine the active cervical lateral flexion range. Methods: In this double-blind randomized controlled trial, 30 female university students, who were identified with latent MTrPs of the upper trapezius, were recruited from Tabriz University of Medical Sciences, Tabriz, Iran. The participants were randomly allocated into experimental (n, 15) and control (n, 15) groups. The experimental group was treated with the MPMS technique, while the control group received PRT. The participants took part in 3 treatment sessions, as well as a follow-up session 1 week after the third session. During each session, the second physiotherapist, who was blind to the pretreatment information, applied the appropriate technique. The visual analogue scale (VAS), pressure pain threshold (PPT), and bilateral active range of cervical lateral flexion were recorded to assess the effects of treatment. The first physiotherapist, who was blind to the treatment approach for the participants, recorded the outcomes before treatment, during the first session, after treatment (third session), and in the follow-up. Results: A total of 30 participants were included in the data analysis. In the follow-up, intergroup changes indicated a significant increase in PPT (P = 0.000), a significant decrease in VAS scores (P = 0.002), and a significant increase in the right lateral flexion (P = 0.012) in the experimental group. Left lateral flexion also increased in this group, although it was not statistically significant (P = 0.254). At the end of the study, there were no significant differences between the groups (P > 0.05). Conclusions: According to the results, both MPMS and PRT were effective techniques in immediate pain relief of upper-trapezius MTrPs. Therefore, MPMS may be used as a new technique in the treatment of MTrPs.

show abstract

Section: Discussionsupporting

confidence: 44%

“…In each session, the order of assessment was randomlay determined, using a table of random numbers. The follow-up was performed 10 days after the first session (1 week after the third session) (18,21).…”

Section: Outcome Measuresmentioning

confidence: 99%

The Effects of Manual Passive Muscle Shortening and Positional Release Therapy on Latent Myofascial Trigger Points of the Upper Trapezius: A Double-Blind Randomized Clinical Trial

Amini

Goljaryan

Shakouri

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

show abstract

“…Among the manual treatment of TrPs several techniques have been proposed that act directly or indirectly on the TrPs. Techniques that are thought to reduce the muscle contraction with mechanical forces (compression, distraction) acting directly on the TrPs site or the surrounding tissues are ischemic compression ( 45 ), myofascial release ( 46 ), acupressure ( 47 ), and specific soft tissues mobilization techniques ( 48 ). Indirect techniques, such as muscle energy ( 49 ), positional release ( 50 ), and strain–counterstrain techniques ( 51 ) are thought to reduce muscle contraction for neurophysiological mechanisms regulating the muscle tone.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Trigger Point Manual Treatment on the Frequency, Intensity, and Duration of Attacks in Primary Headaches: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2018

View full text Add to dashboard Cite

BackgroundA variety of interventions has been proposed for symptomatology relief in primary headaches. Among these, manual trigger points (TrPs) treatment gains popularity, but its effects have not been investigated yet.ObjectiveThe aim was to establish the effectiveness of manual TrP compared to minimal active or no active interventions in terms of frequency, intensity, and duration of attacks in adult people with primary headaches.MethodsWe searched MEDLINE, COCHRANE, Web Of Science, and PEDro databases up to November 2017 for randomized controlled trials (RCTs). Two independent reviewers appraised the risk-of-bias (RoB) and the grading of recommendations, assessment, development, and evaluation (GRADE) to evaluate the overall quality of evidence.ResultsSeven RCTs that compared manual treatment vs minimal active intervention were included: 5 focused on tension-type headache (TTH) and 2 on Migraine (MH); 3 out of 7 RCTs had high RoB. Combined TTH and MH results show statistically significant reduction for all outcomes after treatment compared to controls, but the level of evidence was very low. Subgroup analysis showed a statistically significant reduction in attack frequency (no. of attacks per month) after treatment in TTH (MD −3.50; 95% CI from −4.91 to −2.09; 4 RCTs) and in MH (MD −1.92; 95% CI from −3.03 to −0.80; 2 RCTs). Pain intensity (0–100 scale) was reduced in TTH (MD −12.83; 95% CI from −19.49 to −6.17; 4 RCTs) and in MH (MD −13.60; 95% CI from −19.54 to −7.66; 2RCTs). Duration of attacks (hours) was reduced in TTH (MD −0.51; 95% CI from −0.97 to −0.04; 2 RCTs) and in MH (MD −10.68; 95% CI from −14.41 to −6.95; 1 RCT).ConclusionManual TrPs treatment of head and neck muscles may reduce frequency, intensity, and duration of attacks in TTH and MH, but the quality of evidence according to GRADE approach was very low for the presence of few studies, high RoB, and imprecision of results.

show abstract

“…Therefore, interventions into fascia structures would seem fairly appropriate, supporting the healing process of many orthopaedic or neurological conditions. Some scientific reports suggest that the proper manual stimulation may provide positive modelling of fascia structures in pathological conditions [34][35][36][37][38][39][40][41].…”

Section: Mini Reviewmentioning

confidence: 99%

Characteristics of Fascia in Reference to Treatment Possibilities of Chosen Hand Diseases

Jurecka¹

2020

BJSTR

View full text Add to dashboard Cite

show abstract

Comparison Between the Effects of Passive and Active Soft Tissue Therapies on Latent Trigger Points of Upper Trapezius Muscle in Women: Single-Blind, Randomized Clinical Trial

Abstract: Both passive and active soft tissue therapies were determined to reduce pain intensity and increase ACLF range of motion, although passive therapy was more effective in increasing PPT in these patients compared with the control group.

Cited by 21 publications

References 46 publications

The Effects of Manual Passive Muscle Shortening and Positional Release Therapy on Latent Myofascial Trigger Points of the Upper Trapezius: A Double-Blind Randomized Clinical Trial

The Effects of Manual Passive Muscle Shortening and Positional Release Therapy on Latent Myofascial Trigger Points of the Upper Trapezius: A Double-Blind Randomized Clinical Trial

Effectiveness of Trigger Point Manual Treatment on the Frequency, Intensity, and Duration of Attacks in Primary Headaches: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Characteristics of Fascia in Reference to Treatment Possibilities of Chosen Hand Diseases

Contact Info

Product

Resources

About