Author : Anjali Suresh 1
Date of Publication :24th June 2021
Abstract: Background/aim: The smartphone is a boon to our daily life activities but at the same overuse of it has brought about numerous musculoskeletal problems. The neck is the most affected part of the body.Two manual techniques of Myofascial release for trigger points of the upper trapezius were compared along with Ultrasound therapy. The smartphone addiction scale -short version was administered to all participants to determine the level of addiction and those who scores were high were included in the study. The set criteria in the study included the pain intensity on the visual analogue scale (VAS) ,Pain pressure threshold using Algometer and Craniovertebral angle using the ON protractor app. Subjects and methods: This study assessed the outcome measures within and between groups before, after the intervention and a follow-up was done after 15 days. The target population were smartphone users between the age group of 18 to 35 years. 106 subjects (48 males, 53 females) participants who had been selected from among the eligible participants of 176 and who had TrPs in their upper trapezius muscle. Results: The effect of Trigger point release and Myofascial release on patients of each group with TrPs in the upper trapezius muscle resulted in increase of cervical lateral flexion (P < 0.001), decreased pain intensity on VAS (p < 0.001) and,pain threshold (p<0.001) was increased and the craniovertebral angle was increased (p<.001) within in the groups and betweenthe group there was no significance . Conclusion: The study concluded that both manual techniques i.e., Trigger point release and Myofascial release were effective and neither technique is superior to the other
Reference :
-
- Desai MJ, Saini V, Saini S. Myofascial pain syndrome: a treatment review. Pain Ther. 2013;2(1):21-36. doi:10.1007/s40122-013-0006-y
- Marc S Micozzi, Fundamentals of Complementary and alternative, Elsevier Saunders 2015 286
- Stecco C, Macchi V, Porzionato A, Duparc F, De Caro R. The fascia: the forgotten structure. Ital J Anat Embryol. 2011;116(3):127-38.
- Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A: Evidence for the use of ischemic compression and dry needling in the management of trigger points of the upper trapezius in patients with neck pain: a systematic review. Am J Phys Med RehabSil 2015;94:573
- Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual. Vol 1, upper half of body. 2nd ed. Baltimore: Williams & Wilkins; 1999.
- Langevin HM, Fox JR, Koptiuch C, Badger GJ, Greenan-Naumann AC, Bouffard NA, et al., Reduced thoracolumbar fascia shear strain in human chronic low back pain. BMC Musculoskeletal Disorders .2011, 12:203
- Ajimsha, M. S., Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache. Journal of bodywork and movement therapies, 2015 (4), 431-435.
- Day JA, Stecco C, Stecco A., Application of fascial manipulation technique in chronic shoulder pain anatomical basis and clinical implications. J Body Mov Ther.2009 13:128–35
- Ravish VN, Helen S. To compare the effectiveness of myofascial release technique versus positional release technique with laser in patients with unilateral trapezitis. Journal of Evolution of Medical and Dental Sciences. 2014;3(9):2161-67.
- Chaudhary ES, Shah N, Vyas N, Khuman R, Chavda D, Nambi G. Comparative study of myofascial release and cold pack in upper trapezius spasm. International Journal of Health Sciences and Research (IJHSR). 2013;3(12):20-27.
- Hermans V, Spaepen A. Perceived discomfort and electromyographic activity of the upper trapezius while working at a VDT station. International Journal of Occupational Safety and Ergonomics. 1995;1(3):208-14.