Soo A Kim1, Ki Young Oh, Won Hyuck Choi, In Kyum Kim. 1. Department of Physical Medicine and Rehabilitation, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
Abstract
OBJECTIVE: To investigate the effects of trigger point injection with or without ischemic compression in treatment of myofascial trigger points in the upper trapezius muscle. METHODS: SIXTY PATIENTS WITH ACTIVE MYOFASCIAL TRIGGER POINTS IN UPPER TRAPEZIUS MUSCLE WERE RANDOMLY DIVIDED INTO THREE GROUPS: group 1 (n=20) received only trigger point injections, group 2 (n=20) received trigger point injections with 30 seconds of ischemic compression, and group 3 (n=20) received trigger point injections with 60 seconds of ischemic compression. The visual analogue scale, pressure pain threshold, and range of motion of the neckwere assessed before treatment, immediately after treatment, and 1 week after treatment. Korean Neck Disability Indexeswere assessed before treatment and 1 week after treatment. RESULTS: We found a significant improvement in all assessment parameters (p<0.05) in all groups. But, receiving trigger point injections with ischemic compression group showed significant improvement as compared with the receiving only trigger point injections group. And no significant differences between receiving 30 seconds of ischemic compression group and 60 seconds of ischemic compression group. CONCLUSION: This study demonstrated the effectiveness of ischemic compression for myofascial trigger point. Trigger point injections combined with ischemic compression shows better effects on treatment of myofascial trigger points in the upper trapezius muscle than the only trigger point injections therapy. But the duration of ischemic compression did not affect treatment of myofascial trigger point.
RCT Entities:
OBJECTIVE: To investigate the effects of trigger point injection with or without ischemic compression in treatment of myofascial trigger points in the upper trapezius muscle. METHODS: SIXTY PATIENTS WITH ACTIVE MYOFASCIAL TRIGGER POINTS IN UPPER TRAPEZIUS MUSCLE WERE RANDOMLY DIVIDED INTO THREE GROUPS: group 1 (n=20) received only trigger point injections, group 2 (n=20) received trigger point injections with 30 seconds of ischemic compression, and group 3 (n=20) received trigger point injections with 60 seconds of ischemic compression. The visual analogue scale, pressure pain threshold, and range of motion of the neck were assessed before treatment, immediately after treatment, and 1 week after treatment. Korean Neck Disability Indexes were assessed before treatment and 1 week after treatment. RESULTS: We found a significant improvement in all assessment parameters (p<0.05) in all groups. But, receiving trigger point injections with ischemic compression group showed significant improvement as compared with the receiving only trigger point injections group. And no significant differences between receiving 30 seconds of ischemic compression group and 60 seconds of ischemic compression group. CONCLUSION: This study demonstrated the effectiveness of ischemic compression for myofascial trigger point. Trigger point injections combined with ischemic compression shows better effects on treatment of myofascial trigger points in the upper trapezius muscle than the only trigger point injections therapy. But the duration of ischemic compression did not affect treatment of myofascial trigger point.
Entities:
Keywords:
Ischemic compression; Myofascial pain syndromes; Trigger point injection
Authors: Jose V León-Hernández; Aitor Martín-Pintado-Zugasti; Laura G Frutos; Isabel M Alguacil-Diego; Ana I de la Llave-Rincón; Josue Fernandez-Carnero Journal: Braz J Phys Ther Date: 2016-07-11 Impact factor: 3.377
Authors: Irene Campa-Moran; Etelvina Rey-Gudin; Josué Fernández-Carnero; Alba Paris-Alemany; Alfonso Gil-Martinez; Sergio Lerma Lara; Almudena Prieto-Baquero; José Luis Alonso-Perez; Roy La Touche Journal: Pain Res Treat Date: 2015-11-10