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Effect of High Power Pain Threshold Static Ultrasound Combined with Transverse Friction Massage and Stretching on Upper Trapezius Myofascial Trigger Point


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1 Orthopaedics, Department of Physiotherapy, Maharishi Markandeshwar University, Mullana, Ambala
     

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Objective: To investigate the additional effect of HPPT static ultrasound when combined with TFM and stretching on myofascial trigger point of upper trapezius muscle fibre.

Materials and method: This study was done on the 30 subjects who were divided randomly into 2 groups. 15 subjects were included in each group and treated as follows:

Group A - HPPT Static Ultrasound + TFM + Static Stretching of upper trapezius muscle.

Group B - TFM + Static Stretching of upper trapezius muscle.

Group A and B were given intervention 2 times per week for 4 weeks. Only pre-test, after 2 week and post-test measures were taken of LFROM, NPRS and NPDI.

Results: Study shows that there is significant difference in group A and group B in reducing trigger point, pain and improving function. Group A shows greater significant difference in outcome measure in comparison to group B.

Conclusion: Physical therapy interventions focusing on high power pain threshold static ultrasound, transverse friction massage and static stretching exercise should be indicated for patients presenting with myofascial trigger points as it relieves pain, improves the ROM and function.


Keywords

HPPT (High Power Pain Threshold), LFROM (Lateral Flexion Range of Motion), TFM (Transverse Friction Massage), NPRS (Numeric Pain Rating Scale), NPDI (Neck Pain Disability Index)
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  • Effect of High Power Pain Threshold Static Ultrasound Combined with Transverse Friction Massage and Stretching on Upper Trapezius Myofascial Trigger Point

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Authors

R. Hari Haran
Orthopaedics, Department of Physiotherapy, Maharishi Markandeshwar University, Mullana, Ambala
Anand Kumar Singh
Orthopaedics, Department of Physiotherapy, Maharishi Markandeshwar University, Mullana, Ambala

Abstract


Objective: To investigate the additional effect of HPPT static ultrasound when combined with TFM and stretching on myofascial trigger point of upper trapezius muscle fibre.

Materials and method: This study was done on the 30 subjects who were divided randomly into 2 groups. 15 subjects were included in each group and treated as follows:

Group A - HPPT Static Ultrasound + TFM + Static Stretching of upper trapezius muscle.

Group B - TFM + Static Stretching of upper trapezius muscle.

Group A and B were given intervention 2 times per week for 4 weeks. Only pre-test, after 2 week and post-test measures were taken of LFROM, NPRS and NPDI.

Results: Study shows that there is significant difference in group A and group B in reducing trigger point, pain and improving function. Group A shows greater significant difference in outcome measure in comparison to group B.

Conclusion: Physical therapy interventions focusing on high power pain threshold static ultrasound, transverse friction massage and static stretching exercise should be indicated for patients presenting with myofascial trigger points as it relieves pain, improves the ROM and function.


Keywords


HPPT (High Power Pain Threshold), LFROM (Lateral Flexion Range of Motion), TFM (Transverse Friction Massage), NPRS (Numeric Pain Rating Scale), NPDI (Neck Pain Disability Index)

References