The Effect of Laser Therapy and Ischemic Compression on Active Trigger Points in Upper Trapezius Muscle
-
Saeed Rezaei
,
Azadeh Shadmehr
,
Siamak Bashardoust Tajali
,
Behrooz Attarbashi Moghadam
,
Shohreh Jalaei
Abstract
Introduction: Myofascial Pain Syndrome (MPS) is a common muscular disorder characterized by a referral pain to a particular area after irritating the myofascial trigger point. This study aimed to determine the combined treatment effect of laser therapy and ischemic compression of an active myofascial trigger point in the upper trapezius muscle.
Materials and Methods: This is a clinical trial study conducted on 15 subjects with Active Trigger Points (ATPs). In one session, 15 subjects received laser therapy and ischemic compression. The assessment was done immediately after the treatment. We used the visual analog scale for the measurement of pain intensity, algometry (FG-5020, Taiwan made) for pressure pain threshold, and goniometer for cervical lateral flexion.
Results: The cervical lateral flexion after the intervention was significantly higher than that before the intervention (P<0.001). Also, the post-operative pressure pain threshold was significantly higher than that before the intervention (P<0.001). The level of pain decreased after the intervention, but this difference was not statistically significant (P=0.90).
Conclusion: according to this study, the laser therapy combined with ischemic compression can significantly change the pressure pain threshold and cervical lateral flexion in patients with active trigger points in their upper trapezius muscles.
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21. Aguilera FJM, Martín DP, Masanet RA, Botella AC, Soler LB, Morell FB. Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: A randomized controlled study. Journal of Manipulative and Physiological Therapeutics. 2009; 32(7):515-20. [DOI:10.1016/j.jmpt.2009.08.001] [PMID]
22. Huang YY, Chen ACH, Carroll JD, Hamblin MR. Biphasic dose response in low level light therapy. Dose-Response. 2009; 7(4):358-83. [DOI:10.2203/dose-response.09-027.Hamblin] [PMID] [PMCID]
23. Thorsen H, Gam A, Svensson B, Jess M, Jensen M, Piculell I, et al. Low level laser therapy for myofascial pain in the neck and shoulder girdle. A double-blind, cross-over study. Scandinavian Journal of Rheumatology. 1992; 21(3):139-41. [DOI:10.3109/03009749209095086] [PMID]
24. Falaki F, Nejat AH, Dalirsani Z. The effect of low-level laser therapy on trigeminal neuralgia: A review of literature. Journal of Dental Research, Dental Clinics, Dental Prospects. 2014; 8(1):1-5. [DOI:10.5681/joddd.2014.001] [PMID] [PMCID]
25. Cagnie B, Dewitte V, Coppieters I, Van Oosterwijck J, Cools A, Danneels L. Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: A cohort study. Journal of Manipulative and Physiological Therapeutics. 2013; 36(8):482-9. [DOI:10.1016/j.jmpt.2013.07.001] [PMID]
26. de las Peñas CF, Campo MS, Carnero JF, Page JCM. Manual therapies in myofascial trigger point treatment: A systematic review. Journal of Bodywork and Movement Therapies. 2005; 9(1):27-34. [DOI:10.1016/j.jbmt.2003.11.001]
2. Sarrafzadeh J, Ahmadi A, Yassin M. The effects of pressure release, phonophoresis of hydrocortisone, and ultrasound on upper trapezius latent myofascial trigger point. Archives of Physical Medicine and Rehabilitation. 2012; 93(1):72-7. [DOI:10.1016/j.apmr.2011.08.001] [PMID]
3. Okhovatian F, Mehdikhani R, Naimi SS. RETRACTED: Comparison between the immediate effect of manual pressure release and strain/counterstrain techniques on latent trigger point of upper trapezius muscle. Clinical Chiropractic. 2012; 15(2):55-61. [DOI:10.1016/j.clch.2012.04.003]
4. Celik D, Mutlu EK. Clinical implication of latent myofascial trigger point. Current Pain and Headache Reports. 2013; 17(8):353. [DOI:10.1007/s11916-013-0353-8] [PMID]
5. Llamas-Ramos R, Pecos-Martín D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, et al. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: A randomized clinical trial. Journal of Orthopaedic & Sports Physical Therapy. 2014; 44(11):852-61. [DOI:10.2519/jospt.2014.5229] [PMID]
6. Bron C, Dommerholt JD. Etiology of myofascial trigger points. Current Pain and headache Reports. 2012; 16(5):439-44. [DOI:10.1007/s11916-012-0289-4] [PMID] [PMCID]
7. Gulick DT, Palombaro K, Lattanzi JB. Effect of ischemic pressure using a Backnobber II device on discomfort associated with myofascial trigger points. Journal of Bodywork and Movement Therapies. 2011; 15(3):319-25. [DOI:10.1016/j.jbmt.2010.06.007] [PMID]
8. Pal US, Kumar L, Mehta G, Singh N, Singh G, Singh M, et al. Trends in management of myofacial pain. National Journal of Maxillofacial Surgery. 2014; 5(2):109-16. [DOI:10.4103/0975-5950.154810] [PMID] [PMCID]
9. Deana NF, Zaror C, Sandoval P, Alves N. Effectiveness of low-level laser therapy in reducing orthodontic pain: A systematic review and meta-analysis. Pain Research and Management. 2017; 2017:8560652. [DOI:10.1155/2017/8560652] [PMID] [PMCID]
10. Beckerman H, de Bie RA, Bouter LM, De Cuyper HJ, Oostendorp RAB. The efficacy of laser therapy for musculoskeletal and skin disorders: A criteria-based meta-analysis of randomized clinical trials. Physical Therapy. 1992; 72(7):483-91. [DOI:10.1093/ptj/72.7.483] [PMID]
11. Simons DG. Understanding effective treatments of myofascial trigger points. Journal of Bodywork and Movement Therapies. 2002; 6(2):81-8. [DOI:10.1054/jbmt.2002.0271]
12. Kannan P. Management of myofascial pain of upper trapezius: A three group comparison study. Global Journal of Health Science. 2012; 4(5):46-52. [DOI:10.5539/gjhs.v4n5p46] [PMID] [PMCID]
13. Collins SL, Moore RA, McQuay HJ. The visual analogue pain intensity scale: What is moderate pain in millimetres? Pain. 1997; 72(1-2):95-7. [DOI:10.1016/S0304-3959(97)00005-5]
14. Sciotti VM, Mittak VL, DiMarco L, Ford LM, Plezbert J, Santipadri E, et al. Clinical precision of myofascial trigger point location in the trapezius muscle. Pain. 2001; 93(3):259-66. [DOI:10.1016/S0304-3959(01)00325-6]
15. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al. Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: A systematic literature review. Journal of Pain and Symptom Management. 2011; 41(6):1073-93. [DOI:10.1016/j.jpainsymman.2010.08.016] [PMID]
16. Simons D. Muscular pain syndromes. American Journal of Physical Medicine & Rehabilitation.1975; 54(6):289-311
17. Vučinić N, Erić M, Tomašević-Todorović S, Milekić B. Application of algometry in patients with cervical and lumbar radiculopathy. Journal of Back and Musculoskeletal Rehabilitation. 2018; 31(3):567-75. [DOI:10.3233/BMR-170965] [PMID]
18. Reese NB, Bandy WD. Joint range of motion and muscle length testing-E-book. Amsterdam: Elsevier Health Sciences; 2016. https://books.google.com/books?id=oAzhCwAAQBAJ&dq
19. Fryer G, Hodgson L. The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. Journal of Bodywork and Movement Therapies. 2005; 9(4):248-55. [DOI:10.1016/j.jbmt.2005.02.002]
20. Hakgüder A, Birtane M, Gürcan S, Kokino S, Nesrin Turan F. Efficacy of low level laser therapy in myofascial pain syndrome: An algometric and thermographic evaluation. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery. 2003; 33(5):339-43. [DOI:10.1002/lsm.10241] [PMID]
21. Aguilera FJM, Martín DP, Masanet RA, Botella AC, Soler LB, Morell FB. Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: A randomized controlled study. Journal of Manipulative and Physiological Therapeutics. 2009; 32(7):515-20. [DOI:10.1016/j.jmpt.2009.08.001] [PMID]
22. Huang YY, Chen ACH, Carroll JD, Hamblin MR. Biphasic dose response in low level light therapy. Dose-Response. 2009; 7(4):358-83. [DOI:10.2203/dose-response.09-027.Hamblin] [PMID] [PMCID]
23. Thorsen H, Gam A, Svensson B, Jess M, Jensen M, Piculell I, et al. Low level laser therapy for myofascial pain in the neck and shoulder girdle. A double-blind, cross-over study. Scandinavian Journal of Rheumatology. 1992; 21(3):139-41. [DOI:10.3109/03009749209095086] [PMID]
24. Falaki F, Nejat AH, Dalirsani Z. The effect of low-level laser therapy on trigeminal neuralgia: A review of literature. Journal of Dental Research, Dental Clinics, Dental Prospects. 2014; 8(1):1-5. [DOI:10.5681/joddd.2014.001] [PMID] [PMCID]
25. Cagnie B, Dewitte V, Coppieters I, Van Oosterwijck J, Cools A, Danneels L. Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: A cohort study. Journal of Manipulative and Physiological Therapeutics. 2013; 36(8):482-9. [DOI:10.1016/j.jmpt.2013.07.001] [PMID]
26. de las Peñas CF, Campo MS, Carnero JF, Page JCM. Manual therapies in myofascial trigger point treatment: A systematic review. Journal of Bodywork and Movement Therapies. 2005; 9(1):27-34. [DOI:10.1016/j.jbmt.2003.11.001]
| Files | ||
| Issue | Vol 13 No 4 (2019) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.32598/JMR.13.4.221 | |
| Keywords | ||
| Myofascial pain syndromes Pain Trigger points Laser therapy Manual therapy | ||
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How to Cite
1.
Rezaei S, Shadmehr A, Bashardoust Tajali S, Attarbashi Moghadam B, Jalaei S. The Effect of Laser Therapy and Ischemic Compression on Active Trigger Points in Upper Trapezius Muscle. jmr. 2019;13(4):221-226.
