To Study the Effect of Myofascial Trigger Point Release in Upper Trapezius Muscle Causing Neck Disability in Patients with Chronic Periarthritis Shoulder
DOI:
https://doi.org/10.17140/SEMOJ-5-167Keywords:
Periarthritis shoulder, Trigger point, Manual technique, Neck disabilityAbstract
Background
Adhesive capsulitis is a condition in which the shoulder becomes painful to move and movement is often restricted. Trigger points cause weakness and easy fatigue in muscles with 95% of patients, having trigger points in the supraspinatus, infraspinatus, teresminor and subscapularis and other scapular muscles. Trigger points in the neck also produce radiating pain to other areas.
Objective
To investigate whether physical therapy techniques to inactivate myofascial trigger points can reduce symptoms and improve shoulder and neck function in daily activities in the population of chronic periarthris shoulder patients.
Materials and Methods
All 10 eligible patients both male and female were informed about the study; consent was taken from the willingly participating patients. Baseline assessments were done which included a range of motion of neck and shoulder, pain intensity and neck disability index. Treatment starting with inactivation of the active myofascial trigger points by manual techniques employing compression technique combined with an intermittent cold application by using ice-cubes followed by myofascial release, friction massage and stretching the muscle daily for 2 weeks with follow-up on the 14th day was given. Data were collected and statistically analyzed using unpaired t-test and results were obtained.
Results
This study showed that the values on unpaired t-test were significant and relevant in statistical and data analysis on 5% level of significance.
Conclusion
There was an increase in neck flexion and neck extension and a decrease in Neck Disability Index (NDI)s and pain on Visual Analogue Scale (VAS). The myofascial trigger point release is effective in treating neck disability and increasing range of motion.
References
Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: Diagnosis and management in primary care. BMJ. 2005; 331: 1124-1128. doi: 10.1136/bmj.331.7525.1124
Baldry P. Acupuncture, Trigger Points and Musculoskeletal Pain. 3rd edn. London, USA: Churchill Livingstone. 2004.
Luime JJ, Koes BW, Hendriksen IJ, et al. Prevalence and in-cidence of shoulder pain in the general population: A sys-tematic review. Scand J Rheumatology. 2004; 33: 73-81. doi: 10.1080/03009740310004667
Rickards LD. Effectiveness of non invasive treatments for active myofascial trigger point pain: A systematic review of the literature. Int J Osteo Med. 2006; 9: 120-136. doi: 10.1016/j.ijosm.2006.07.007
Fernandez de la Penas C, Campo SM, Fernandez JC, Miango-larra JC. Manual therapies in myofascial trigger point treatment: A systematic review. J Bodywork Mov Ther. 2005; 9: 27-34. doi: 10.1016/j.jbmt.2003.11.001
Fryer G, Hodgson L. The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. J Bodywork Movement Ther. 2005; 9: 248-255. doi: 10.1016/j.jbmt.2005.02.002
Simons DG, Travell JG, Simons LS, Travell JG. Travell & Simons’ Myofascial Pain and Dysfunction. The trigger point manual. 2nd edn. Phila-delphia, USA: Lippincott Williams and Wilkins. 1999.
Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev. 2003; CD004258. doi: 10.1002/14651858.CD004258
Ejnisman B, Andreoli CV, Soares BG, et al. Interventions for tears of the rotator cuff in adults. Cochrane Database Syst Rev. 2004; CD002758. doi: 10.1002/14651858.CD002758.pub2
Hains G, Descarreaux M, Hains F. Chronic shoulder pain of myofascial origin: A randomized clinical trial using ischemic com-Submit your article to this journal | https://openventio.org/submit-manuscript/ 4 Kaprail M, et al. pression therapy. J Manipulative Physiol Ther. 2010; 33(5): 362-369. doi: 10.1016/j.jmpt.2010.05.003
Halkovich R, Walter JP, Peter Clamann, Roberta A. Effect of fluori-methane spray on passive hip flexion. Phys Ther. 1981; 61: 185-189. doi: 10.1093/ptj/61.2.185 Brief Research Report | Volume 5 | Number 1|
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Sports and Exercise Medicine (SEM) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.
