Immediate effect of ischaemic compression and trigger point pressure release on neck pain and upper trapezius trigger points: A randomised controlled trial

Gemmell, Hugh; Miller, Peter; Nordström, Henrik

doi:10.1016/j.clch.2007.09.001

Cited by 105 publications

(106 citation statements)

References 28 publications

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“…Pain of at least 30 mm on a numeric pain scale (NPS). 24 The selected MTP of the UT muscle was located in the middle of the more nearly horizontal fibers of the UT. 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.…”

Section: Participantsmentioning

confidence: 99%

“…To evaluate the pain intensity, the NPS was used simultaneously with the algometer application. 24,25,30 Assessment of PPT A pressure threshold algometer (Lutron electronic, FG5005, RS232) was used to measure PPT in the MTP of the UT muscle before and after treatment. At first, the procedure was clearly explained to the patient.…”

Section: Assessment Of Pain Intensitymentioning

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: Participantsmentioning

confidence: 99%

Section: Assessment Of Pain Intensitymentioning

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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“…[17][18][19] Non-invasive approaches, including TrP compression release and spray and stretch, are also used to treat TrPs. [20][21][22][23][24] Trigger point dry needling is an invasive technique with potential for Adverse Events (AEs).…”

Section: Introductionmentioning

confidence: 99%

Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists

Brady

McEvoy

Dommerholt

et al. 2013

Journal of Manual & Manipulative Therapy

135

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“…Prior to recording PPT in the identified MTrP, a PPT-familiarization test was performed on the biceps muscle for all volunteers. To provoke pain, continuous pressure was applied at a rate of 1 kg.cm 2 .s -1 (11,23,24) until pressure was associated with pain for the patient (11).…”

Section: Pptmentioning

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

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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.

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Immediate effect of ischaemic compression and trigger point pressure release on neck pain and upper trapezius trigger points: A randomised controlled trial

Cited by 105 publications

References 28 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

Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists

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

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