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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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  • Simons DG, Travell JG, Simons LS.Travell and Simons’ Myofascial pain and dysfunction: The trigger point manual, vol 1, Upper half of body. 2nded, Pennsylvania,Baltimore, Md: Williams and Wilkins;1999.
  • Alvarez J David, Rockwell G Pamella. Trigger point: Diagnosis and management. American family physian.2002 Feb; 65:653-660.
  • Huguenin K Leesa. Myofascial trigger point: The current evidence. Physical therapy in sports.2003 Nov; 5:2-12.
  • Shah J. P, Danof J. V. Biochemical associated with pain and inflammations are elevated in sites near to and remote from active myofascial trigger points. Arch phys med rehab.2008 Jan; 89(1): 157-159.
  • Lavelle ED,Lavelle W, Myofascial trigger point. Anesthesiology clinics.2007; 25:841-851.
  • Hoyle Jeffrey A, Marras William S. Effect of postural and visual stressor on myofascial trigger point development and motor unit rotation during computer work. Journal of electromyography and kinesiology.2011; 21:41-48.
  • Balbis Peter, Pollard Henry. Neuroemotional technique for the treatment of trigger point sensitivity in chronic neck pain sufferers: A controlled clinical trial. Chiropractic and osteopathy.2008; 16(4).
  • Hanten P William, Oslon L Sharon, Butts L Nicole. Effectiveness of a home program of ischaemic pressure followed by sustained stretch for treatment of myofascial trigger point.2000 Oct; 80:997-1003.
  • Hong Chang-zern. Myofascial trigger point: Pathophysiology and correlation with acupuncture points. Acpuncture in medicine.2000; 18(1):41-47.
  • Dommerholt Jan, Baron Caral. Myofascial trigger point: An evidenced-informed review. The journal of manual and manipulative therapy.2006; 14(4):203-221.
  • Huijbregts Peter A. Myofascial trigger point and myofascial pain syndrome:a critical review of recent literature an introduction by the editor in chief. The journal of manual and manipulative therapy.2006; 14(4):124-171.
  • Simons David G. Understanding effective treatment of myofascial triggers point. Journal of bodywork and movement therapy.2002; 6(2): 81-88.
  • Javed Majlesi, MD, HalilUnalal, MD. High-power pain threshold Ultrasound technique in the treatment of active Myofascial trigger points: a randomized, double-blind, case- control study. Archives Physical Medicine Rehabilitation.2004; 85:833-6.
  • Michelle H. Cameron. Physical agents in Rehabilitation -2nd Edition, 1999:196.
  • Kisner Carolyn, Colbey Lynn Allen. Therapeutic exercise foundation and techniques.4th edition. New delhi: Jaypee brothers medical publisher.
  • Gamn Arne N, Warming S. Treatment of myofascial trigger-points with ultrasound combined with massage and exercise – a randomized controlled trial. Pain.1998; 77(1): 73–79.

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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