Active Release Technique Research Articles

Gender differences in effects of Graston technique, active release technique, and PNF stretching on hamstring flexibility in knee osteoarthritis

Aims. To seek gender differences among the effects of the Graston Technique (GT), Active Release Technique (ART), and Proprioceptive Neuromuscular Facilitation (PNF) stretching on hamstring flexibility, pain, lower extremity function, and physical function in patients with knee osteoarthritis. Materials and methods. A multicenter, single-blind randomized controlled trial was conducted involving 45 patients – aged above 30 years with knee osteoarthritis – randomly allocated to three equal groups: Group-A (GT), Group-B (ART), and Group C (PNF). Each group received 12 physiotherapy sessions over a four-week intervention period (3 visits per week). Data were collected before and after rehabilitation using the Numeric Pain Rating Scale, Active Knee Extension Test, Lower Extremity Function Scale, and Western Ontario and McMaster Universities Arthritis Index (WOMAC). Results. A statistically significant interaction between the effects of gender and Active Release Technique on lower extremity function was present (p < 0.001) with males (42.4 ± 2.2) showed more improvement than females (35.6 ± 6.6). On the contrary, females showed more improvement (p < 0.001) than males when Graston Technique and PNF techniques were applied. Conclusion. There were no significant gender-based differences among GT, ART, and PNF regarding pain, hamstring flexibility and WOMAC score. However, males showed significantly more improvement in lower extremity function than females with ART, and females showed more improvement in lower extremity function as compared to males with GT and PNF.

Comparison of active release technique and post-isometric relaxation in treatment of plantar fasciitis among traffic police wardens: a quasi-experimental study

BackgroundPlantar fasciitis (PF) is a common cause of chronic foot pain that leads to functional limitations in individuals. There has been recent research on plantar fasciitis, but no studies have compared the effects of the active release technique and post-isometric relaxation in patients to determine which manual therapy technique improves foot pain and function.ObjectiveThis study aimed to compare the effectiveness of the active release technique and post-isometric relaxation on proximal foot pain and functional status and to assess muscular tightness among patients with traffic police wards and plantar fasciitis.MethodsA quasi-experimental study (pre-test, post-test) was conducted in the Physiotherapy Department of Police Hospital, Gujranwala, Pakistan, between October 2022 and April 2023. We included 30 consecutively aged 25- to 60-year-old symptomatic police wardens diagnosed with planter fasciitis, who complained of pain on walking and standing for more than 3 months and met the inclusion criteria. They were equally assorted into two groups (n = 15 in each group) using convenient sampling. Group A received an active release exercise technique, group B received a post-isometric relaxation technique, and the participants in both groups received a similar baseline treatment protocol that consisted of calf stretching and stretching of the plantar fascia (5 repetitions and holding for 15 s). In the outcome measures, we included the Foot Function Index to assess the function of the foot and the Visual Analog Scale to examine the pain intensity measured during rest. The participants in both groups performed the selective protocol 3 days per week for 3 weeks, and we calculated the results at baseline and on the third day of the third week. We analyzed the data using SPSS software version 24 (IBM Corp., Armonk, NY). We compared within-group differences in the VAS score and FFI using paired t tests and analyzed between-group differences in the VAS score and FFI before and after performing the ART and PIR using independent t tests.ResultsThe 8-week intervention therapy revealed a demographic age mean and standard deviation of 36.60 ± 6.11 for group A and 35.60 ± 4.85 for group B. Within-group analysis demonstrated a significant decrease in VAS (pain) score following ART intervention (1.80 ± 0.862, p < 0.01) compared to PIR (6.07 ± 0.884). Between-group analysis indicated a significant reduction in FFI (disability) scores for group A (30.33 ± 3.200, p < 0.03) compared to group B (56.93 ± 4.773). Moreover, ART intervention exhibited significant improvement in VAS scores (p < 0.05), with 95% CI [1.49, 2.11]. The mean difference in FFI scores was substantially greater in the ART group (86.00 to 30.33) compared to the PIR group (p > 0.05), suggesting non-significant differences.ConclusionThe active release exercise intervention is more effective than post-isometric relaxation in improving pain and foot function disability in patients with plantar fasciitis. The present study aimed to help physical therapists choose the most efficient manual therapy exercise intervention to improve functional limitations.

Effect of Hamstring Active Release Technique in Cervicogenic Headache

Objectives: To investigate the effect of Hamstring active release technique on pain intensity level, headache intensity, pressure pain threshold, cervical flexion rotation range of motion and Hamstring flexibility in patients with cervicogenic headache. Methods: Fifty-six patients with cervicogenic headache participated in the study, aged 25-45 years. Patients were randomized into two groups of 28 individuals each. Group A was given conventional physiotherapy only in the form of ultrasonic therapy, stretching as well as strengthening exercises. Group B was given conventional physiotherapy and active release technique for Hamstring. Each group was treated three times a week for one month. Pain intensity level, headache intensity, pressure pain threshold of Sub-occipital and Hamstring muscles trigger points, cervical flexion rotation range of motion and Hamstring flexibility were measured by visual analogue scale, the Arabic version of 6-item headache impact test, digital pressure algometry, CROM device and straight leg raising test respectively, pre and post-treatment. Results: Within group comparison showed significant difference in pain intensity level, headache intensity, pressure pain threshold of Sub-occipital and Hamstring muscles, cervical flexion rotation range of motion and Hamstring flexibility. Between groups comparison showed no significant difference in all variables, pre-study. Where a significant difference in all variables, post study, in favor of group B except right and left cervical flexion rotation range of motion. Conclusion: Hamstring active release technique improves pain intensity level, headache intensity, pressure pain threshold and Hamstring flexibility, in patients with cervicogenic headache.

A Review on Treatment Approaches for Chronic Low Back Pain via Mulligans Movement With Mobilization and Physical Therapy

Abstract One of the main causes of functional impairment is low back pain. Every one of all ages can have low back discomfort, and there are several ways to treat this condition. Physiotherapy's manual therapy is a specialist field that treats neuromuscular discomfort. The Mulligan technique, Maitland mobilisation technique, Active release technique, and many more are examples of manual therapy procedures. The primary focus of manual therapy is on the joint's osteokinematics and arthrokinematics. It is one of the primary methods for treating low back pain. Any ligamentous strain, muscular pathology, spinal dysfunction, or sacroiliac dysfunction can all produce low back discomfort. It is important to determine the reason of the low back discomfort and treat it appropriately. This review leads us to the conclusion that mobility combined with Mulligan mobilisation is a useful strategy for lowering low back pain. Checking the efficacy of manual therapy techniques in treating chronic low back pain requires more research

The Effect of the Active Release Technique on Balance and Functional Movement in Youth Basketball Players

The Effect of the Active Release Technique on Balance and Functional Movement in Youth Basketball Players

Effectiveness of Active Release Technique and Myofascial Release Technique on Pain and Functional Performance in Lateral Epicondylitis

Background: Pain with resisted wrist, middle finger, or both dorsiflexion, along with discomfort and tendernessacross the lateral epicondyle the humerus, are all symptoms of tennis elbow. It affects 1-3% of adults annually,mainly in the dominant hand.This study was designed to inspect the effectiveness of active release technique andmyofascial release technique in lateral epicondylitis.Purpose: To find the effectiveness of active release technique and myofascial release technique in lateralepicondylitis.Materials and Methods: Total of 40 participants were selected from karthik hospital for 4 weeks according toinclusion and exclusion criteria and the participants were explained about treatment safely and about theprocedure and written consent was obtained. All the subjects underwent pretest measurement with NPRS andPRTEE at the beginning of treatmentResults: Statistical analysis of data showed significant differences not only in myofascial group but also in theactive release group. The myofascial release group were significantly higher than the active release group, with ap value of &lt;0.0001Conclusion: Myofascial release Technique is more effective than Active release technique in the lateral epicondylitis

Effects of kinesio taping with and without active release technique in carpal tunnel syndrome

BackgroundKinesio taping is used as a conservative treatment for carpal tunnel syndrome and the active release technique is also effective. ObjectiveThe purpose of the present study was to compare the effects of kinesio taping with and without the active release technique on pain, grip strength, functional disability and range of motion in patients with carpal tunnel syndrome. MethodsIt was a randomized controlled trial. Thirty-two patients with carpal tunnel syndrome were randomly allocated to two groups: Group A received kinesio taping with the active release technique for 4 weeks (3 days/week); Group B received kinesio taping alone for 4 weeks (5 days/week). Outcome measures were the Boston Carpal Tunnel Syndrome Questionnaire, a numeric pain rating scale, goniometry and hand-held dynamometry. SPSS software, version 25, was used for data analysis. ResultsNormal distribution was assessed on the Shapiro-Wilk test and parametric tests were applied. Independent t-test results showed that patients who received kinesio taping with the active release technique showed significantly greater improvement (p < 0.05) in pain, functional status and range of motion than the group that received kinesio taping alone. Within-group analysis (paired t-test) showed that both groups significantly improved (p < 0.05) in all outcome measures. ConclusionKinesio taping with the active release technique procured significantly greater improvement in pain, range of motion and functional disability than kinesio taping alone.Clinicaltrials.gov registration number: 789.

The Effect of Active Release Technique on Hamstring Extensibility: ACritically Appraised Topic.

Hamstring extensibility plays a significant role in maintaining postural alignment essential for a functional musculoskeletal system. When hamstring extensibility is lacking, individuals are placed at a higher risk for developing various lumbar spine, pelvis, knee, and foot dysfunctions. Limited hamstring extensibility is common, occurring in as much as 40% of college students and 86% of the adult population. Therefore, it is essential to maintain hamstring extensibility, which can be aided by understanding intervention effectiveness for improving flexibility. To critically appraise the literature on the effectiveness of Active Release Technique (ART) for the treatment of hamstring extensibility deficits. What is the effect of ART in a healthy population with or without hamstring extensibility deficits? Three studies were included for critical appraisal. Two studies concluded a single treatment session of ART that individuals possessing limited straight leg raise range ofmotion experienced improved active knee extension, popliteal angle, and sit-and-reach test measures. In the third study, a single session of ART was effective at improving hamstring extensibility in males without hamstring extensibility dysfunction. Based on the current level 1 and level 3 evidence, ART may be an effective treatment to produce acute increases in hamstring extensibility. Future research is still needed. Level B evidence exists to support the use of ART to improve hamstring extensibility in the healthy population.

Ab. No. 161 An Immediate Effect of Active Release Technique [ART] Versus Graston Technique [GT] on Neck Pain in Individuals Having Myofascial Trigger Point of Upper Trapezius

Introduction: Myofascial trigger points (MTrPs) are hyperirritable, palpable nodules found along taut bands of muscle fibers. It has been estimated that 85% of people who come to pain in clinics have trigger points in the neck, and they occur more often in women than in men. MTrPs are classified clinically into active and latent. latent trigger points produce pain when palpated and cause restriction of movement. ART can identify and reduce fibrous adhesions, microscopic tissue injury and inflammation. Graston technique is an Instrument assisted soft Tissue Mobilization method. It helps the healing process by intentional micro-trauma, breaking down collagen cross-linkage, increasing blood flow and cellular regeneration. The purpose is to compare the immediate Effect of Active Release Technique Methods: 30 participants age (18-34) years were included, 15 per group. Ethical approval was taken. Groups A received ART &amp; Group B - Graston technique. Pre and post evaluation was done using pain pressure threshold (PPT) and Visual Analogue Scale (VAS) for pain. Result: Within group analysis showed Group A PPT (p&gt;0.05), VAS (p&lt;0.05) and Group B PPT p&gt;0.05), VAS (&lt; 0.05). Between group showed statistical significance in PPT (p&lt;0.05) but did not in VAS (p&gt;0.05). Conclusion: Graston technique is more effective in increasing PPT. Implications: Graston technique can be used to get faster results.

Comparative Effects of Active Release Technique and Positional Release Therapy in Female Students with Tightened Calf Muscles

Background: Prior research has established that regular use of high-heeled shoes significantly alters the gait pattern, impacts ankle joint motion, increases joint forces and moments in the lower extremities, modifies foot pressure distribution, and affects posture and balance. These biomechanical changes can lead to tightened calf muscles and associated discomfort in frequent high heel wearers. Objective: The main objective of this study is to compare the effect of Active Release Technique and Positional Release Therapy in female students with tightened calf muscles. Methods: A randomized clinical trial including 26 subjects by using convenient sampling technique, with subject age ranging from 20-30 years wearing high heels with minimum duration (5 hours a day, 5 times a week and for more than 1 year) with heel height minimum of 2''. The outcome measures were ankle dorsiflexion plantar flexion range of motion measured by goniometer, and pain measured by Numerical Pain Rating Scale. Data was collected for 4 months (Feb-May 2023) from The University of Faisalabad and Government College University Faisalabad. Over four weeks &amp; 3 times per week both groups received ultrasound and traditional Physiotherapy of conventional calf muscle stretching as baseline treatment. Group 1 received Positional Release Therapy, while Group 2 received Active Release Technique. Results: Friedman test showed within-group improvements in NPRS, Dorsiflexion, Plantar flexion, and Cadence (p&lt;0.05) for both groups. Mann Whitney U test revealed significant improvements in NPRS, Dorsiflexion, Plantar flexion, and Cadence at post-treatment (p&lt;0.05) for Positional Release Therapy group more than Active Release Therapy.. Conclusion: Positional Release Therapy (PRT) has more significant effects for calf muscle tightness, exhibiting increased cadence, ankle dorsiflexion, and plantar flexion range of motion, along with significant pain reduction than Active Release Therapy (ART)

A Study of 45 Patients with Chronic Neck Pain to Compare the Effects on Pain and Disability of 4 Weeks of Physical Therapy with the Active Release Technique and Strain-Counterstrain Manipulation with Massage Alone, Before and After Treatment.

BACKGROUND Active release technique (ART) and strain-counterstrain (SCS) have been reported to be beneficial for patients with trigger point pain. Therefore, this study of 45 patients with chronic neck pain aimed to compare the effects of 4 weeks of physical therapy with the ART and SCS manipulation with massage alone, evaluated before and after treatment, using the visual analog scale (VAS) for pain, the neck disability index (NDI), and the pressure pain threshold (PPT). MATERIAL AND METHODS The participants were 45 adults with neck pain lasting >12 weeks, divided into the ART group (n=15), SCS group (n=15), and control group (n=15). All groups received clinical massage (CM) for 15 min twice a week for 4 weeks. The control group received only CM, the ART group received CM and ART for 15 min twice a week for 4 weeks, and the SCS group received CM and SCS for 15 min twice a week for 4 weeks. VAS, NDI, and PPT were measured before and after the interventions. RESULTS In all groups, there were significant changes in VAS, NDI, and PPT after the interventions (P<0.05), and there was a significant difference among groups in the difference before and after intervention (P<0.05). VAS and NDI showed the greatest difference among before and after intervention in the ART group (VAS pre-post 3.38±0.76, NDI pre-post 5.69±2.78). PPT showed the greatest difference among before and after intervention in the SCS group (PPT pre-post 1.75±0.62). CONCLUSIONS The ART technique and the SCS technique effectively reduced neck pain and neck disorders in adults with chronic neck pain.

Comparing the Effects of Post Facilitation Stretching and Active Release Technique on Pain, Pain Pressure Threshold and Patients Satisfaction in Upper Trapezius Trigger Points

Purpose: Trigger points are localized, hyperirritable areas term as “Knots” and are palpable in taut band of muscle fibers, tendon or a ligament. To compare the effects on Post facilitation stretching and Active release technique on pain, pain pressure threshold and level of patients’ satisfaction in upper trapezius trigger points.&#x0D; Methodology: It was a quasi-experimental study with sample size of 30 and convenient sampling was used. Inclusion criteria of study were females and males of age 25 to 40 years, positive jump sign and persistent pain for more than 4 months. Study setting was the physical therapy departments of private hospitals of Faisalabad and Lahore. Study duration was 6 months. Out of 30 patients 15 were enrolled in group-A (baseline therapy and Post facilitation stretching) and remaining 15 were enrolled in group-B (baseline therapy and Active release technique). Pain pressure threshold was measured by algometer, Intensity of pain was assessed by NPRS before and after the treatment of one week and patient satisfaction was measure by PSQ-18 after the treatment. Data was analyzed by software SPSS 24. Demographic data and test statistics was presented in form of tables.&#x0D; Findings: Out of 30 patients, 33.3% were male and 66.7% were females. Wilcoxon Signed-Rank Test for within-group analysis revealed a significance difference (p≤0.05) in NPRS and PPT before and after the treatment in both groups. Mann-Whitney U test for between-group analyses showed the p&gt;0.05, which means that no significant differences was observed in results produced by Post facilitation stretching in group A and Active release technique in group B.&#x0D; Recommendations: A significantly reduction in the pain intensity and enhancement in pain pressure threshold was observed in both groups. Both Post facilitation stretching and active release techniques were equally effective in reducing intensity of pain, improving pain pressure threshold in upper trapezius trigger points and patients of both groups showed equally satisfaction level after the treatment. Informed by targeted intervention theories, the study utilized rigorous research methodologies for validation. Practitioners are advised to undergo specialized training for PFS and ART application, ensuring a tailored approach per individual needs. Policymakers should set stringent licensing standards and promote continued research to bolster the techniques' efficacy and widespread adoption.

Effects of the Tyler Twist Technique Versus Active Release Technique on Pain and Grip Strength in Patients With Lateral Epicondylitis

Effects of the Tyler Twist Technique Versus Active Release Technique on Pain and Grip Strength in Patients With Lateral Epicondylitis

Effect of Active Release Technique and Cyriax approach on pain, grip strength and functional performance in individuals with lateral epicondylitis: a randomized clinical trial protocol

Background: Tennis elbow, also known as lateral epicondylitis, is a painful condition characterized by irritation of the tendons that link the forearm muscles on the outside of the elbow, which can result from using the elbow too much. Active Release Technique (ART) is defined as a hands-on approach that manages cases to enable the identification and treatment of soft tissue injuries. Through the removal of fibrosis and adhesions that can develop in tissues as a result of overload from frequent use, the aim of ART, a soft tissue treatment, is to lessen tissue stress. Deep transverse friction (DTF) and Mill's manipulation, which are used shortly after DTF, have been used by Cyriax and Cyriax to successfully treat tennis elbow. ART and Cyriax techniques have shown promise for lateral epicondylitis sufferers. There hasn't yet been any research comparing these two approaches for participants with lateral epicondylitis. The aim is to examine the efficiency of ART with the Cyriax technique on lateral epicondylitis pain, strength, and function. Methods: A total number of 60 participants will be included as per the inclusion criteria and then they will be further divided into 30 in each group. The physiotherapy intervention will be given to Groups A (ART) and Group B (Cyriax technique) along with conventional 12 sessions spread across four weeks, three times per week. Each patient will be evaluated during and after treatment on the baseline and after four weeks using the Visual Analogue Scale (VAS), hand grip strength dynamometer, and Patient-rated Tennis Elbow Evaluation (PRTEE) scale. Conclusions: This physiotherapy intervention could be used in the treatment of lateral epicondylitis if our study's hypothesis is found to be accurate. Registration: CTRI (CTRI/2023/06/053660; 08/06/2023).

Effectiveness of Active Releasing Technique Vs Mulligan Bent Leg Raise for Footballers with Hamstring Tightness

BACKGROUND: Hamstring tightness is common among football players, which frequently results in hamstring injuries. Although the exact cause of hamstring tightness is unknown, decreased hamstring extensibility may play a role. Stretching techniques of various types have been used to improve muscle flexibility in rehabilitation and sports. Passive stretching is one of the most commonly used methods, and the recent addition of other techniques such as ballistic stretching, Proprioceptive Neuromuscular Facilitation (PNF) techniques with variants have been effective. The current study aimed to compare the effects of Active releasing technique and Mulligan bent leg raise in footballers with hamstring tightness. AIM AND OBJECTIVE: To determine the effectiveness of Active releasing technique and Mulligan bent leg raise in reducing hamstring tightness among football players. METHOD: STUDY DESIGN: Experimental study. SAMPLING TECHNIQUE: Convenient Sampling technique. SAMPLE SIZE: 20 FOOTBALL PLAYERS. RESULT: The values were statistically analysed using paired ‘t-test and the Unpaired ‘t-test. The statistical analysis made with the quantitative data revealed a statistically significant difference between Group A and Group B and also within the group. The post-test mean value of sit and reach flexibility test of group A was 29.40 and group B was 28.50. This showed that the treatment given for group A is comparatively more effective than group B. CONCLUSION:This study shows that there was an improvement in hamstring flexibility in Active release technique as well as Mulligan bent leg raise among footballers with hamstring tightness. However, Active release technique is better as compared to Mulligan bent leg raise technique to improve hamstring flexibility and range of motion in footballers. KEYWORDS: Hamstring tightness, Active release technique, Mulligan bent leg raise, Footballers.

Comparison of an immediate effect of active myokinetic chain release and cryostretching on flexibility and lumbar flexion range in football player with hamstring tightness

Background: Muscles that have been in a shortened state for an extended duration tend to become tight. Muscle soreness, a myogenic condition, arises from profound releases. The hamstrings are dual-joint muscles that function in conjunction with the hip and knee joints. Maintaining the proper flexibility of hamstring muscles is crucial for facilitating smooth movements at the hip and knee joints. Tight hamstrings can contribute to various issues such as knee pain syndrome, abnormal pelvic tilting when sitting, disc protrusion or bulge, sciatic pain, and Spondylolisthesis. This study is design to find out the comparison of an immediate effect of active myokinetic chain release and Cryostretching on flexibility and lumbar flexion range in football player with hamstring tightness. Method: 20 individual having muscle imbalance have been tested by finger to floor distance test. Between the age of 18 – 30 years both male and female are included in the study. lumbar flexion range can be measure using Modified Schober test. The leg that showed more tightness considered as treatment leg in both groups were randomly divided into two group. Group A receive active myokinetic chain release and Group B receive Cryostretching. Outcome measure are Lumbar flexion range of motion and finger to floor distance. Result: A statistically significant (p&lt;0.05) effect was indicated by a within-group examination of all the outcome measures following the intervention. A statistically significant (p&lt;0.05) effect was indicated by a between-group examination of all the outcome measures following the intervention. Conclusion: The Study Show that Both groups are effective in improving Hamstring flexibility. While Comparing Both Group Active myokinetic chain release technique is showed greater Improving in flexibility of hamstring muscle in football Players.

COMPARATIVE STUDY ON THE EFFECTIVENESS OF MUSCLE ENERGY TECHNIQUE AND ACTIVE RELEASE TECHNIQUE ON THE GLENOHUMERAL INTERNAL ROTATION DEFICIT (GIRD) IN YOUNG THROWING ATHLETES

&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Glenohumeral internal rotation deficit (GIRD) is one of the most common causes of impairments in overhead throwing athletes due to high intense and repeated throwing activities. The purpose of this study is to compare the effects of Muscle energy technique and Active release technique in overhead throwing athletes with Glenohumeral internal rotation deficits. &lt;strong&gt;Materials and Methods:&lt;/strong&gt; A total of 42 athletes with age group 18-25 were selected for the study and a simple random lottery method was used to divide the sample into three groups; Group A (n=14) received muscle energy technique and conventional therapy, Group B (n=14) received active release technique and conventional therapy, Group C (n=14) received only conventional therapy. Measurements of shoulder internal rotation ROM (by Goniometer) and SPADI (shoulder pain and disability index) were assessed pre- and post-treatment after 4 weeks. &lt;strong&gt;Results:&lt;/strong&gt; The results showed that Group A shows a significant difference in shoulder internal rotation ROM with a p-value &amp;lt;0.05 than Group B and C, but there was no significant difference was found between all the groups in the SPADI score with p-value &amp;gt;0.600. &lt;strong&gt;Conclusion:&lt;/strong&gt; The study concluded that the muscle energy technique is more effective than the active release technique in improving shoulder internal rotation ROM, but both techniques have equally effective in improving shoulder function among athletes with GIRD.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/soc/0009/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Effectiveness of Myofascial Release in Increasing Hamstring Flexibility: A Brief Study

Hamstring tightness is a common issue that affects many people. The flexibility and range of motion of the joint are both limited when this muscle is contracted. Lower back and lower extremity problems are frequently linked to poor hamstring flexibility. Active release technique and myofascial release technique can improve hamstring flexibility. The major goal of this study is to increase hamstring flexibility so that we can compare active release technique with myofascial release technique for effectiveness. The appropriate course of action for treating those with tight hamstrings to increase their hamstring flexibility can then be determined.

Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder

Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder

Effect of Active Release Technique and Muscle Energy Technique on Cognition and Trigger Point of Upper Trapezius in District Level Pistol shooters - An Annotated Bibliographic Review

[Purpose] Currently, these days general population of 45% and 54% is affected by mechanical neck pain at somepoint in their life that can also lead to severe disability. During air-pistol competitions heightened stress woulddeteriorate shooters abilities to maintain gun stability, thereby resulting in inferior performance. In order tostabilise the gun muscular work of shooter’s shoulder and forearm are majorly involved to improve performancein Air Pistol Olympic Shooting and it is widely agreed that the ability to stabilize the gun is crucial for performancein pistol shooting .[Relevance] Therefore,an effective intervention and exercise protocol that reduces pain as wellas release the trigger points of upper trapezius must be devised so that incidence of muscle tightness at shoulderand neck can be lowered in shooters at training level. The aim of the study was to review the current availableliterature on effect of active release technique and muscle energy technique on cognition and trigger points ofupper trapezius in district level pistol shooters.[Participants] Nine full text articles were included for this review.[Methods] A literature search was performed using Google Scholar with the term active release technique,muscleenergy technique,cognition and upper trapezius trigger points. The articles were checked thoroughly and werereviewed.[Results] Significant improvement in cognition and cervical flexion ROM which was restricted earlierand gradual decrement in pain at trigger points was also observed in group receiving muscle energy technique.[Conclusion] Muscle energy technique proved beneficiary in improving cognition and reducing pain andrestricted ROM due to trigger points,so can be used as an adjunct to conventional physiotherapy management.[Implications] Integrating muscle energy technique in management of upper trapezius trigger points would showbetter results than conventional exercises alone for cases of upper trapezius trigger points presence alongwithaffected cognition in pistol shooters.