COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS

BACKGROUND AND OBJECTIVE: Various treatments of electrotherapy and manual therapy were suggested for management of trigger points, but there were not randomized controlled trials to compare these two methods. The purpose of this study was to compare the treatment effect of muscle energy technique an...

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Autores principales:	F Ghiasi, A Akbari, M Abed
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2008
Materias:	myofascial trigger point ultrasound muscle energy technique upper trapezius muscle Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/775b2969aa0b428b963f55713b10b151
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spelling	oai:doaj.org-article:775b2969aa0b428b963f55713b10b1512021-11-10T09:07:50ZCOMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS1561-41072251-7170https://doaj.org/article/775b2969aa0b428b963f55713b10b1512008-12-01T00:00:00Zhttp://jbums.org/article-1-3095-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Various treatments of electrotherapy and manual therapy were suggested for management of trigger points, but there were not randomized controlled trials to compare these two methods. The purpose of this study was to compare the treatment effect of muscle energy technique and ultrasound therapy on myofascial trigger points in upper trapezius.METHODS: In this randomized controlled trial 45 patients with trigger points in upper trapezius were randomly assigned to one of three groups: ultrasound group (N=15), muscle energy group (N=15) and control group (N=15). In ultrasound group, frequency of ultrasound 1 MHz, continuous mode, intensity 1.5 W/cm2 and duration 4.5 min was selected. In muscle energy group, Jandas approach (post-isometric relaxation with stretching) was used, and control group did not receive any treatment. A 10 session treatment program which lasted 2 weeks was performed for interventional groups, and follow-up was done 3 months after treatment. Outcome was based on self–reported pain (neck disability index (0-50 scores) and shoulder pain and disability questionnaire (0-130 scores)) (ordinal), range of motion (degrees) and muscles strength (kg) were measured immediately before, after and three months after intervention. Data were analyzed using one-way ANOVA and repeated measurement tests.FINDINGS: Neck disability index scale was decreased from 19.1±7.3 to 7.8±4.6 (ordinal) in ultrasound group (p<0.05), and from 17.2±8.4 to 6.8±3.2 (ordinal) in muscle energy group (p<0.05), and in control group neck disability index scale was decreased from 21.2±5.1 to 20.4±5.5 (ordinal) that was not seen significant decrease. Results of follow-up showed that significant difference was not seen in score of neck and disability index in ultrasound group, but shoulder disability score was increased in ultrasound group after three months of treatment.CONCLUSION: The results of this study support the effectiveness of ultrasound and muscle energy technique to reduce disability and pain in the short term in patients with myofascial trigger points. However, muscle energy therapy had more long benefit effect than ultrasound therapy therefore this method for treatment of trigger point was suggested.F Ghiasi,A AkbariM AbedBabol University of Medical Sciencesarticlemyofascial trigger pointultrasoundmuscle energy techniqueupper trapezius muscleMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 5, Pp 7-14 (2008)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	myofascial trigger point ultrasound muscle energy technique upper trapezius muscle Medicine R Medicine (General) R5-920
spellingShingle	myofascial trigger point ultrasound muscle energy technique upper trapezius muscle Medicine R Medicine (General) R5-920 F Ghiasi, A Akbari M Abed COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS
description	BACKGROUND AND OBJECTIVE: Various treatments of electrotherapy and manual therapy were suggested for management of trigger points, but there were not randomized controlled trials to compare these two methods. The purpose of this study was to compare the treatment effect of muscle energy technique and ultrasound therapy on myofascial trigger points in upper trapezius.METHODS: In this randomized controlled trial 45 patients with trigger points in upper trapezius were randomly assigned to one of three groups: ultrasound group (N=15), muscle energy group (N=15) and control group (N=15). In ultrasound group, frequency of ultrasound 1 MHz, continuous mode, intensity 1.5 W/cm2 and duration 4.5 min was selected. In muscle energy group, Jandas approach (post-isometric relaxation with stretching) was used, and control group did not receive any treatment. A 10 session treatment program which lasted 2 weeks was performed for interventional groups, and follow-up was done 3 months after treatment. Outcome was based on self–reported pain (neck disability index (0-50 scores) and shoulder pain and disability questionnaire (0-130 scores)) (ordinal), range of motion (degrees) and muscles strength (kg) were measured immediately before, after and three months after intervention. Data were analyzed using one-way ANOVA and repeated measurement tests.FINDINGS: Neck disability index scale was decreased from 19.1±7.3 to 7.8±4.6 (ordinal) in ultrasound group (p<0.05), and from 17.2±8.4 to 6.8±3.2 (ordinal) in muscle energy group (p<0.05), and in control group neck disability index scale was decreased from 21.2±5.1 to 20.4±5.5 (ordinal) that was not seen significant decrease. Results of follow-up showed that significant difference was not seen in score of neck and disability index in ultrasound group, but shoulder disability score was increased in ultrasound group after three months of treatment.CONCLUSION: The results of this study support the effectiveness of ultrasound and muscle energy technique to reduce disability and pain in the short term in patients with myofascial trigger points. However, muscle energy therapy had more long benefit effect than ultrasound therapy therefore this method for treatment of trigger point was suggested.
format	article
author	F Ghiasi, A Akbari M Abed
author_facet	F Ghiasi, A Akbari M Abed
author_sort	F Ghiasi,
title	COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS
title_short	COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS
title_full	COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS
title_fullStr	COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS
title_full_unstemmed	COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS
title_sort	comparison of muscle energy techniques with ultrasound therapy in myofascial trigger point treatment in upper trapezius
publisher	Babol University of Medical Sciences
publishDate	2008
url	https://doaj.org/article/775b2969aa0b428b963f55713b10b151
work_keys_str_mv	AT fghiasi comparisonofmuscleenergytechniqueswithultrasoundtherapyinmyofascialtriggerpointtreatmentinuppertrapezius AT aakbari comparisonofmuscleenergytechniqueswithultrasoundtherapyinmyofascialtriggerpointtreatmentinuppertrapezius AT mabed comparisonofmuscleenergytechniqueswithultrasoundtherapyinmyofascialtriggerpointtreatmentinuppertrapezius
_version_	1718440207709110272

COMPARISON OF MUSCLE ENERGY TECHNIQUES WITH ULTRASOUND THERAPY IN MYOFASCIAL TRIGGER POINT TREATMENT IN UPPER TRAPEZIUS

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