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Miraj, Mohd.
- Efficacy of Ischaemic Compression Technique in Combination with Strain Counterstrain Technique in Managing Upper Trapezius Myofascial Trigger Point Pain
Authors
1 Hamdard University, IN
2 Institute of Health and Management Studies, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 4, No 2 (2010), Pagination: 10-15Abstract
Objective
To establish the best possible long term effective choice of treatment program for deactivating MTrPs by using the combination of ischaemic compression technique with strain-counterstrain technique.
Design
Pretest-Posttest control group design.
Setting
Outpatient physiotherapy department, Northern Railway Central Hospital, New Delhi.
Patients
Fourty five subjects (only male) with Myofascial Trigger Points Pain. Subjects were randomly placed into three groups: Experimental group A (n=15), Experimental group B (n=15) and a control group C (n=15).
Intervention
The experimental group A received ischaemic compression technique in combination with straincounterstrain technique and experimental group B received ischaemic compression technique alone whereas control group received conventional treatment only. Main Outcome Measures: Pain pressure threshold was assessed with the pressure threshold meter (PTM). Pain and functional status of the patients were measured by a visual analogue scale (VAS) and the Neck Disability Index scores respectively.
Results
Within group analysis revealed significant improvement in pain pressure threshold, functional status and reduction in pain intensity in all groups. Between group analysis revealed significant difference between group A, group B and group C. Further post hoc analysis revealed significant difference between group A and B, group A and C and group B and C for all variables even after one week of follow up after the termination of intervention.
Conclusion
The combination of ischaemic compression technique with strain-counterstrain has been shown to produce greater improvement in pain pressure threshold on pressure threshold meter, function status on neck disability index scores and reduction in pain intensity on visual analogue scores even after one week of the termination of intervention. This shows the long term effectiveness of combination of two manual techniques. This study may provide a rationale for the clinical use of these two manual techniques in deactivating the myofascial trigger points pain.
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- Effect of Muscle Energy Technique and Static Stretching on Hamstring Flexibility in Healthy Male Subjects
Authors
1 Jamia Hamdard University, New Delhi, IN
2 IHM, OGHRC, NOIDA, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 4, No 3 (2010), Pagination: 32-36Abstract
Objective
To compare the effectiveness of Muscle Energy Technique and Static Stretching in improving the hamstring muscle flexibility in healthy male subjects.
Design
Pretest-posttest control group design
Participants
Forty five healthy male subjects were included in this study. Subjects were randomly placed into three groups: Muscle Energy Technique, Static Stretching and Control group.
Setting
Outpatient physiotherapy department, ESI Hospital, Okhla, New Delhi.
Intervention
Muscle Energy Technique group received 5 second isometric contraction followed by 3 second relaxation for four contractions for five consecutive days. Static Stretching group received 10 minutes of static stretching with the help of pulley and weight system for five consecutive days. Control group received only moist heat for 20 minutes for five consecutive days. All the groups were received the home exercise program during one week follow-up.
Result
On comparing the PKE1 between 3 groups i.e. group A, B and C a significant difference was obtained (p=.000), but further post hoc analysis revealed an insignificant difference between group A and group B (p=1.00). Group B and C showed a significant difference (p=.000) and so did group A and C (p=.004). On comparing the PKE5 between 3 groups i.e. group A, B and C a significant difference was obtained (p=.000), but further post hoc analysis revealed an insignificant difference between group A and group B (p=.156). Group B and C showed a significant difference (p=.000) and so did group A and C (p=.000). Comparison of the final reading i.e PKE12 using one way ANOVA revealed a significant difference between the groups (p=.000), but further post hoc analysis revealed an insignificant difference between group A and group B (p=.316). Group B and C showed a significant difference (p=.000) and so did group A and C (p=.000)
Conclusion
The result of this study indicates that both muscle energy technique and static stretching are equally effective as there is no significant difference between the improvements in range of motion between the two groups.