Efficacy of Extracorporeal Shock Wave Therapy on Active Trigger Point in the Upper Trapezius Muscle
-
Karrar Hasan Albomahmood
,
Azadeh Shadmehr
,
Mohammad Reza Hadian
,
Shohreh Jalaie
,
Jameel Tahseen
,
Sara Fereydounnia
Abstract
Introduction: To demonstrate the effectiveness of extracorporeal shock wave therapy (ESWT) in treating active trigger points to relieve pain and increase range of motion (ROM) and improve the function of the cervical region in fewer sessions.
Materials and Methods: In this single-group, pretest-posttest study, 15 participants with active myofascial trigger points (MTrPs) in the upper trapezius muscle took part. Before and after each treatment, visual analog scale (VAS), pressure pain threshold (PPT), neck disability index (NDI) questionnaire, and range of active contra lateral flexion (CLF) were assessed. Participants were given three treatments over a week, with at least a two-day break between them, and then all outcomes were evaluated.
Results: The general results of this study demonstrate a significant reduction in pain perception in terms of VAS (P=0.0001), increased pressure pain threshold (P=0.0001), increased CLF of ROM (P=0.0001), and improved neck function by reduction of NDI (P=0.0001), after the third session of ESWT intervention in participants with MTrP in the upper trapezius muscle.
Conclusion: It reveals that ESWT has positive effects on pain reduction, cervical range of motion, and cervical function in participants treated with MTrPs in the upper trapezius muscle.
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(2) Zhuang X, Tan S, Huang Q: Understanding of myofascial trigger points. Chin Med J (Engl) 2014;127:4271–7
(3) Ma C, Szeto GP, Yan T, et al: Comparing biofeedback with active exercise and passive treatment for the management of work-related neck and shoulder pain: a randomized controlled trial. Arch Phys Med Rehabil 2011;92:849–58
(4) Simons DG: Clinical and etiological update of myofascial pain from trigger points. J Musculoskelet Pain 2010;4:93
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(7) Huguenin LK 2004. Myofascial Trigger Points: the current evidence. Physicl Therapy in Sport. 5: 2 – 12.
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(9) Maier M et al. Substance P and prostaglandin E2 release after shock wave application to the rabbit femur. ClinOrthopRelat Res.2003, (406): 237 – 45.
(10) Oh JH, Lhee SH, Park JY, et al.: Extracorporeal shock wave therapy versus platelet-rich plasma injection for the treatment of lateral epicondylitis: a prospective randomized clinical trial. J Korean Soc Surg Hand, 2011, 16: 241–246.
(11) MushtaqShagoofa. Comparision of two treatment techniques:shockwave therapy and ischaemic compression in subjects with upper trapezius myofascial trigger point. International Journal of Development Research. 2017; Vol. 07, Issue, 10, pp.15753-15760, October,
(12) Nussbaum EL, Downes L. Reliability of clinical pressure pain algometric measurements obtained on consecutive days. PhysTher 1998;78:160-9.
(13) Fryer G, Hodgson L. The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. J BodywMovTher. 2005;9:248–255.
(14) YeganehLariAmeneh. The effect of the combination of dry needling and MET on latent trigger point upper trapezius in females. Manual Therapy. 2015. 10.1016/j.math.08.004.
(15) Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 1987;30:115-26
(16) Brennum J, Kjeldsen M, Jensen K, Jensen TS. Measurements of human pressure-pain thresholds on fingers and toes. Pain. 1989;38:211–217.
(17) Reeves JL, Jaeger B, Graff-Radford SB. Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain. 1986;24:313–321.
(18) Gemmell H, Miller P, Nordstorm H. Immediate effect of ischemic compression and trigger point pressure release on neck pain and upper trapezius trigger points: a randomised controlled trial. Clin Chiropract 2008;11:30-6.
(19) Fernandez-de-las-Pe ◌ٌas C, Alonso-Blanco C, Fernandez-Carnero J, Miangolarra JC. The immediate effect of ischemic compression technique and transverse friction massage on tenderness of active and latent myofascial trigger points: a pilot study. J BodywMovTher 2006;10:3-9.
(20) Nussbaum EL, Downes L. Reliability of clinical pressure pain algometric measurements obtained on consecutive days. PhysTher 1998;78:160-9.
(21) Potter L, McCarhy C, Oldham J. Algometer reliability in measuring pain pressure threshold over normal spinal muscles to allow quantification of anti-nociceptive treatment effects. Int J Osteopath Med 2006;9:113-19.
(22) Ylinen J, Nykanen M, Kautiainen H, Hakkinen A. Evaluation of repeatability of pressure algometry on the neck muscles for clinical use. Man Ther 2007;12:192-.
(23) Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion-comparison of three METhods. PhysTher 1991;71: 98–106.
(24) HalilUnalan, JavidMajlesi, FilizYildizAydin, DenizPalamar. Comparison of High-Power Pain Threshold Ultrasound Therapy With Local Injection in the Treatment of Active Myofascial Trigger Points of the Upper Trapezius Muscle. Arch Phys Med Rehabil 2011;92:657-662.
(25) Vernon H, Mior S. The neck disability index – a study of reliability and validity. J Manipulative PhysiolTher 1991;14: 409–15.
(26) Shah JP, Danoff JV, Desai MJ, et al: Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil 2008;89:16–23
(27) Shuo Luan et al. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil 2019;98:677–684
(28) Manafnezhad et al. The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation -1 (2019) 1–8.
(29) Hyun Jeon et al. The Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain Syndrome. Ann Rehabil Med 2012; 36(5): 665-674.
(30) Afaf Ahmed et al. Cross-cultural Adaptation, Reliability, and Validity of the Arabic Version of Neck Disability Index in Patients With Neck Pain. SPINE Volume 38, Number 10, pp E609–E615©2013, Lippincott Williams & Wilkins.
(2) Zhuang X, Tan S, Huang Q: Understanding of myofascial trigger points. Chin Med J (Engl) 2014;127:4271–7
(3) Ma C, Szeto GP, Yan T, et al: Comparing biofeedback with active exercise and passive treatment for the management of work-related neck and shoulder pain: a randomized controlled trial. Arch Phys Med Rehabil 2011;92:849–58
(4) Simons DG: Clinical and etiological update of myofascial pain from trigger points. J Musculoskelet Pain 2010;4:93
(5) Schwatz RG. 1984. Abdominal pain in quadriperisis: MPS and unsuspected case. Archives of Physical Rehabilitation, 65: 44 – 46.
(6) Nordez A, Hug F: Muscle shear elastic modulus measured using supersonic shear imaging is highly related to muscle activity level. J ApplPhysiol 2010;108:1389–94
(7) Huguenin LK 2004. Myofascial Trigger Points: the current evidence. Physicl Therapy in Sport. 5: 2 – 12.
(8) van der Worp H, van den Akker-Scheek I, van Schie H, Zwerver J. ESWT for tendinopathy: Technology and clinical implications. Knee Surg Sports TraumatolArthrosc 2013; 21:1451-1458
(9) Maier M et al. Substance P and prostaglandin E2 release after shock wave application to the rabbit femur. ClinOrthopRelat Res.2003, (406): 237 – 45.
(10) Oh JH, Lhee SH, Park JY, et al.: Extracorporeal shock wave therapy versus platelet-rich plasma injection for the treatment of lateral epicondylitis: a prospective randomized clinical trial. J Korean Soc Surg Hand, 2011, 16: 241–246.
(11) MushtaqShagoofa. Comparision of two treatment techniques:shockwave therapy and ischaemic compression in subjects with upper trapezius myofascial trigger point. International Journal of Development Research. 2017; Vol. 07, Issue, 10, pp.15753-15760, October,
(12) Nussbaum EL, Downes L. Reliability of clinical pressure pain algometric measurements obtained on consecutive days. PhysTher 1998;78:160-9.
(13) Fryer G, Hodgson L. The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. J BodywMovTher. 2005;9:248–255.
(14) YeganehLariAmeneh. The effect of the combination of dry needling and MET on latent trigger point upper trapezius in females. Manual Therapy. 2015. 10.1016/j.math.08.004.
(15) Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 1987;30:115-26
(16) Brennum J, Kjeldsen M, Jensen K, Jensen TS. Measurements of human pressure-pain thresholds on fingers and toes. Pain. 1989;38:211–217.
(17) Reeves JL, Jaeger B, Graff-Radford SB. Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain. 1986;24:313–321.
(18) Gemmell H, Miller P, Nordstorm H. Immediate effect of ischemic compression and trigger point pressure release on neck pain and upper trapezius trigger points: a randomised controlled trial. Clin Chiropract 2008;11:30-6.
(19) Fernandez-de-las-Pe ◌ٌas C, Alonso-Blanco C, Fernandez-Carnero J, Miangolarra JC. The immediate effect of ischemic compression technique and transverse friction massage on tenderness of active and latent myofascial trigger points: a pilot study. J BodywMovTher 2006;10:3-9.
(20) Nussbaum EL, Downes L. Reliability of clinical pressure pain algometric measurements obtained on consecutive days. PhysTher 1998;78:160-9.
(21) Potter L, McCarhy C, Oldham J. Algometer reliability in measuring pain pressure threshold over normal spinal muscles to allow quantification of anti-nociceptive treatment effects. Int J Osteopath Med 2006;9:113-19.
(22) Ylinen J, Nykanen M, Kautiainen H, Hakkinen A. Evaluation of repeatability of pressure algometry on the neck muscles for clinical use. Man Ther 2007;12:192-.
(23) Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion-comparison of three METhods. PhysTher 1991;71: 98–106.
(24) HalilUnalan, JavidMajlesi, FilizYildizAydin, DenizPalamar. Comparison of High-Power Pain Threshold Ultrasound Therapy With Local Injection in the Treatment of Active Myofascial Trigger Points of the Upper Trapezius Muscle. Arch Phys Med Rehabil 2011;92:657-662.
(25) Vernon H, Mior S. The neck disability index – a study of reliability and validity. J Manipulative PhysiolTher 1991;14: 409–15.
(26) Shah JP, Danoff JV, Desai MJ, et al: Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil 2008;89:16–23
(27) Shuo Luan et al. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. Am J Phys Med Rehabil 2019;98:677–684
(28) Manafnezhad et al. The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation -1 (2019) 1–8.
(29) Hyun Jeon et al. The Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain Syndrome. Ann Rehabil Med 2012; 36(5): 665-674.
(30) Afaf Ahmed et al. Cross-cultural Adaptation, Reliability, and Validity of the Arabic Version of Neck Disability Index in Patients With Neck Pain. SPINE Volume 38, Number 10, pp E609–E615©2013, Lippincott Williams & Wilkins.
| Files | ||
| Issue | Vol 16 No 4 (2022) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v16i4.10756 | |
| Keywords | ||
| Myofascial trigger point Extracorporeal shock wave therapy Trapezius | ||
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How to Cite
1.
Albomahmood K, Shadmehr A, Hadian MR, Jalaie S, Tahseen J, Fereydounnia S. Efficacy of Extracorporeal Shock Wave Therapy on Active Trigger Point in the Upper Trapezius Muscle. jmr. 2022;16(4):298-303.
