Comparison of Immediate Effect of High-Power Pain Threshold Ultrasound and Deep Transverse Friction Massage on Active Myofascial Trigger Points
-
Mehrdad Sadeghnia
,
Azadeh Shadmehr
,
Seyed Mohsen Mir
,
Mohammad-Reza Hadian Rasanani
,
Shohreh Jalaei
,
Saman Salehi
Abstract
Introduction: The study was conducted to compare the immediate effect of high-power pain threshold ultrasound (HPPTUS) and deep transverse friction massage (DTFM) as a traditional technique on the treatment of upper trapezius active myofascial trigger points in male patients with mechanical neck pain.
Materials and Methods: In this parallel single-blind randomized clinical trial study, 60 men with mechanical neck pain (mean age: 30.57±6.19 years) who met the inclusion and exclusion criteria were randomly assigned to HPPTUS and DTFM as the control group. A visual analog scale (VAS), pain pressure threshold (PPT), and range of motion (ROM) of cervical lateral flexion (CLF) were assessed before and after treatment.
Results: Analysis of pre- and post-treatment findings showed that the VAS (P<0.01), PPT (P<0.01), and ROM of CLF (P<0.01) improved significantly in both groups while ROM of CLF increased significantly more in the HPPTUS group. An indirect correlation was found between the pre-treatment ROM of CLF and ROM of CLF improvement in both groups. A significant indirect correlation was observed between pre-treatment VAS and ROM of CLF improvement in the HPPTUS group. In the DTFM group a significant indirect correlation was found between pre-treatment ROM of CLF and VAS improvement.
Conclusion: The results showed that HPPTUS can be used as an effective treatment for active trigger points (TP). It seems that this method is more effective than deep transverse friction massage.
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| Files | ||
| Issue | Vol 17 No 3 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v17i3.13066 | |
| Keywords | ||
| High-power pain threshold ultrasound (HPPTUS) Static ultrasound; Friction massage Trigger points Myofascial trigger point Myofascial pain syndrome (MPS) | ||
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