Myofascial Trigger Point Release Research Articles

Manual therapy formyofascial pelvic pain: A case report and narrative review

Background. Myofascial pelvic pain (MFPP) is characterized by the presence of tender myofascial trigger points (MTrPs) in the muscles and fascia of the pelvic floor. Pelvic floor manual therapy is frequently suggested as the first line of treatment for MFPP. Main body of the abstract. The existing literature affirms the beneficial outcomes of manual therapy in the treatment of MFPP and offers a concise summary of how these techniques are applied to patients with MFPP. Literature includes ten techniques; (1) myofascial trigger point release, (2) Thiele massage, (3) internal self-massage, (4) perineal massage, (5) combined manual techniques, (6) pelvic myofascial mobilization, (7) manual visceral therapy, (8) connective tissue manipulation, (9) scar release, and (10) internal coccyx manipulation. Methods. A narrative review was carried out to summarize the available evidence on pelvic floor manual therapy techniques for MFPP. Key content and findings. Upon review of the current research landscape, twenty-five studies met the inclusion criteria. Available evidence suggests that pelvic floor manual therapy is effective in the treatment of MFPP. Conclusion. Although current available studies are limited in number with limitations in study design, manual therapy is considered a promising, effective, and safe option for the treatment of MFPP.

Evaluating the Effectiveness of Attention Distraction Method on Perception of Pain During the Use of Myofascial Trigger Point Release Technique

Background: Distraction techniques are identified as cognitive processes that interfere with pain perception by preventing transmission of pain signals to the brain. The focus of these techniques is to direct the attention of the patient to a different stimulus other than the pain sensation. Dry needling (DN) is a mildly invasive technique which is used to treat pain associated with Myofacial trigger points (MTrPs). Even though previous studies have evaluated the influence of distraction techniques on the pain perception during various interventions, the effects during DN are not available in literature. Objectives: This study evaluated the influence of distraction technique on the perception of pain during MTrP-DN technique and also the influence of age and gender on the differences of pain perception. Methods: Sixty patients with non-specific neck pain were randomly assigned to either the control or interventional groups. Only DN was performed for the control group, while patients in the intervention group, were asked to count backwards from 10 to 1 while slowly breathing in and out without letting their attention be distracted during the DN. The level of pain perception was evaluated immediately after DN by using numeric rating scale (NRS). The ethical approval was obtained by the Ethics Committee of the National Hospital, Kandy. Results: A significant difference was noted (p<0 0.05) in NRS pain scores between control and the intervention groups regardless of the gender and the age category. Conclusion: The counting down distraction technique appears to be effective in improving pain perception during DN in the patients with non-specific neck pain.

EFFECTS OF MYOFASCIAL TRIGGER POINT RELEASE AND THERABAND STRENGTHENING AMONG THE COLLEGIATE VOLLEY BALL PLAYERS WITH GLENOHUMERAL IMPINGEMENT

Background: Volley ball is one of the common sport and most of the college students choose this as a recreational game. Almost 80% of the shoulder injuries are related to spiking movement during the game. This stress the upper arm and the shoulder leading to increased risk of injuries. The common factors that results in shoulder injuries are Glenohumeral internal rotation deficit, Glenohumeral impingement syndrome, scapular dyskinesis and altered biomechanics of ball striking movement. Aim of The Study: The present aim of the study is to identify the effectiveness of Myofascial trigger point release technique and Theraband strengthening on Glenohumeral muscles among the collegiate volley ball players with Glenohumeral impingement syndrome. Methods: There were 30 players taken for the study and pretreatment values were taken. Myofascial trigger point therapy have been applied to supraspinatus muscle. The outcome measures used for the study is Numerical pain rating scale, range of motion and shoulder pain and disability index. The post treatment values were taken. Results: The results of the present study were analyzed using pairedt test and Wilcoxon signed rank test and the test statistics shows statistically significant improvement in the posttest p value < 0.05. Conclusion: The present study concluded that Myofascial trigger point release and Theraband strengthening exercises shows significant improvement in pain reduction, improves range of motion and functional ability among the collegiate volley ball players.

Subacromial Impingement Syndrome: A Systematic Review of Existing Treatment Modalities to Newer Proprioceptive-Based Strategies.

Musculoskeletal pain is a common reason for primary care visits, with many visits for shoulder pain due to subacromial impingement syndrome (SIS). Current treatments lack evidence for effective management, showing only temporary outcomes. This systematic review evaluates existing modalities in comparison to the use of more permanent proprioceptive-based strategies. Specifically, this meta-analysis compared the use of kinesiology tape, myofascial trigger point release (MPTR), scapular stabilization exercises (SSE), and resistance training. PubMed, BioMedCentral, and ScienceDirect databases were queried for studies evaluating proprioceptive-based exercises in the last nine years. In total, 48 studies met the inclusion and exclusion criteria. After removing duplicates, a total of 14 level 1 studies were left. Kinesiology tape use demonstrated a statistically significant reduction in pain-free range of motion. MPTR improved in all pain scores and the disability scores index. SSE also reduced pain; however, mixed results were seen for range of motion. Finally, resistance training not only reduced pain but improved proprioception and joint position sense. Even though all techniques showed some promise in treating SIS, further large-scale studies exploring related outcomes are needed.

The Effects of Myofascial Trigger Point Release and Mobility Exercise on Pain and Functions in Patient with Rotator Cuff Tendinopathy

The Effects of Myofascial Trigger Point Release and Mobility Exercise on Pain and Functions in Patient with Rotator Cuff Tendinopathy

On Muscular Factor Question in the Correction of Transversal Incisor Occlusion

The aim of our study was to evaluate the role of the muscle factor and the effectiveness of manual treatment of masticatory muscle dysfunction in patients with transversal incisor occlusion (TIO). Methods and Results: We examined and treated 35 patients aged 18-25 years with clinical signs of TIO in the clinic of orthopedic dentistry. Diagnostic methods for TIO included an interview, face and oral cavity examination, and clinical functional tests. Occlusion was assessed using anthropometric measurements and examination of plaster jaw models in an articulator for additional diagnostics of the dental factor; a radiological method (jaw orthopantomography with the inclusion of articular joints) was also used for the articular factor diagnostics and examination of masticatory muscles and neck muscles. The treatment methods included manual treatment of masticatory muscle dysfunction: "myofascial trigger point release technique," "stretching-push," and "post-isometric relaxation." All patients' complaints were mainly confined to improper occlusion of the front teeth, namely, a misalignment of the centerline between the upper and lower anterior teeth. Moreover, 71.4% of patients noted intermittent clicking in one or both articular joints of the temporomandibular joint, 42.8% of patients reported pain in the region of one temporomandibular joint, 28.6% of patients noted noise in the ear of the same joint, as well as discomfort while chewing. On external examination, all patients had a slight asymmetry of the lips and cheeks on the habitual chewing side. The apex of the chin was positioned slightly to the side relative to the facial midline. All patients had a disturbed movement trajectory of the lower jaw. During mouth opening, the lower jaw trajectory changed relative to the facial midline: at first, it was straight, for a very short period, and then it deviated sideways, after which it returned to the center. There was a misalignment of the central line of the lower dentition relative to the midline of the face in the anterior region. The radiological picture showed signs of articular joint dysfunction: difference in the size of the articular gaps on the right and left sides. After a single session of manual treatment of masticatory muscles, all patients noted that the improper occlusion of the front teeth was corrected, pain and clicking sensations in the TMJ disappeared in 42.8% of patients, and pain disappeared in the area of one joint, along with noise in the ears and chewing discomfort. Headache in the parietal and temporal areas disappeared. The trajectory of lower jaw movements during mouth opening normalized in all patients after the performed manual treatment. Conclusion: We can conclude that when diagnosing and treating occlusal disorders, it is necessary to pay attention not only to the position of the teeth and the TMJ elements, but also to the muscular factor – the condition of the masticatory muscles. Special attention should be paid to the condition of the lateral wing muscles.

The PENGARUH MYOFASCIAL TRIGGER POINT RELEASE DAN MYOFASCIAL RELEASE TERHADAP PENURUNAN NYERI PADA TENSION HEADACHE: NARRATIVE REVIEW:

Tension headache is a type of pain referred to the surface of the head that comes from the inner structure. Tension headaches that are aggravated by coughing, exertion, sexual activity, Valsalva maneuver, or sleep suggest arteriovenous malformation, subarachnoid hemorrhage, or vascular disease. The study aimed to determine the effect of myofascial release and myofascial trigger point release in reducing pain in tension headaches. The study applied narrative review using the PICO method. Journal searches were conducted on online journal portals such as Google Scholar, PubMed, and Science direct. Myofascial release and myofascial trigger point release can reduce pain in tension headaches from 10 journals that have been reviewed. Suggestion in this study for someone with tension headache condition, it is recommended to do myofascial release or myofascial trigger point release in reducing pain in tension headache.

Diagnostic and Management Strategies for Patients with Chronic Prostatitis and Chronic Pelvic Pain Syndrome.

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common and often heterogenous condition that can have severe consequences on patient quality of life. In this review, we describe the pathophysiology, diagnostic work-up, and treatment of patients with CP/CPPS incorporating the most recent literature. Studies have demonstrated that CP/CPPS involves a complex pathophysiology, including infectious, immunologic, neurologic, endocrinologic, and psychologic etiologies, with frequent intersections between the different entities. Despite robust research assessing a variety of therapeutics targeting these etiologies, clinical trials have failed to identify an empiric treatment strategy applicable specifically to older adult male patients with CP/CPPS. As such, it can be challenging to manage older male patients with this condition. The advent of clinical phenotyping of patients with CP/CPPS has led to advances in tailored management strategies. Monomodal therapy has been largely unsuccessful because of the unclear and complex etiology of CPPS. As a result, CP/CPPS therapy has transitioned to a multimodal approach, including both pharmacologic and non-pharmacologic therapies. The best studied pharmacologic therapies include antibiotics, alpha-blockers, anti-inflammatory and immunomodulatory agents, phytotherapies, phosphodiesterase inhibitors, hormonal agents, neuromodulatory agents, and antidepressants. The best studied non-pharmacological therapies include pelvic floor physical therapy, myofascial trigger point release, acupuncture and electroacupuncture, psychological support and biofeedback, and electrocorporeal shockwave therapy and local thermotherapy.

A CASE REPORT ON IMPORTANCE OF SHOULDER PROPRIOCEPTIVE TRAINING AND PNF TECHNIQUES ALONG WITH CONVENTIONAL EXERCISES IN FUNCTIONAL RECOVERY OF THE INDIVIDUAL WITH ADHESIVE CAPSULITIS SECONDARY TO ROTATOR CUFF TENDINOSIS.

BACKGROUND AND PURPOSE Adhesive capsulitis is a condition where there is inammation of shoulder capsule (capsulitis) which in turn causes bands of sticky connective tissue (adhesions) between the joint's surfaces. Due to this (1) shoulder movement becomes painful and often completely restricted .The purpose of this case report is to highlight Importance of Shoulder Proprioceptive training and shoulder PNF techniques using theraband and inatable ball (30 cm) along with Conventional exercises in Functional Recovery of the patient with adhesive capsulitis secondary to rotator cuff tendinosis. CASE DESCRIPTION A 66-year-old female who presented with right shoulder pain and neck pain and limited range of motion (ROM) since 1 month with a past medical history of type II diabetes mellitus, hypertension and hypothyroidism on medication was diagnosed with adhesive capsulitis secondary to rotator cuff tendinosis based on clinical examination, ROM assessment, Radiographical investigations-MRI and past medical history. INTERVENTION The patient was treated for a total of 10 physical therapy sessions over the span of 2 weeks. Interventions included were incorporating shoulder proprioceptive exercises with a help of inatable ball and textured towel, shoulder PNF patterns using Red theraband along with cryotherapy(icepacks),mobilizations (Maitland grade 2) with oscillatory techniques, therapeutic exercises, Active assisted ROM exercises with the help of a wooden wand, capsular stretching, myofascial trigger point release, postural correction exercises, strengthening and home exercise program. Outcome measures included ROM goniometric measurements, pain rating scale, Angle reproduction test for proprioception, Manual muscle testing and the Disabilities of the Arm, Shoulder and Hand (DASH) Score. DISCUSSION AND CONCLUSION This case report conclude that appropriate combinations of interventions including shoulder proprioceptive exercises with an inatable ball, shoulder pnf patterns(D1-D2) , stretching, mobilisations, MFR and strengthening exercises resulted in an improvement in overall functional performance of the patient with adhesive capsulitis secondary to rotator cuff tendinosis .An improvement in post-test scores of Manual Muscle Testing (MMT) , ROM , DASH scores was observed after 10 sessions. Rationale for treatment was based on various research articles. The treatment was altered based on patient's need and response.

The Effects of Massage Therapy on a Patient with Migraines and Cervical Spondylosis: a Case Report.

BackgroundMigraines involve moderate-to-severe neck and face pain that lasts four to 72 hours, and are followed by fatigue and stiffness. Migraines are treated using medications, massage therapy (MT), and non-pharmacological alternatives. Cervical spondylosis (CS) is characterized by degeneration of the intervertebral discs, neck pain, and involvement of soft tissues in the cervical area. CS is treated using medications and manual therapy, including MT.ObjectiveTo determine the effects of MT on cervical range of motion and daily function in a patient with migraines and CS.Case PresentationThe patient was an active 56-year-old female diagnosed with migraines and CS. Initial evaluation included cervical range of motion (ROM), goniometry, reflexes, myotomes, dermatomes, local sensation testing and orthopedic tests. Assessment was followed by five MT treatments. Swedish massage, myofascial trigger point release, and proprioceptive neuromuscular facilitation (PNF) stretching were applied to the back, neck, head, and face. The Headache Disability Index (HDI) was administered on the initial and final visits to evaluate patient function. Cervical ROM was measured pre- and posttreatment using a universal goniometer. Treatment was conducted by a second-year MT student at the MacEwan Massage Therapy Teaching Clinic in Edmonton, Alberta.ResultsAll cervical ranges of motion improved. The Headache Disability Index score decreased, but was not considered significant. The patient reported decreased stiffness in the upper back and shoulders, reduced migraines, and better sleeping patterns after the MT intervention.ConclusionMT was effective in increasing cervical ROM, but had no significant effect on daily function. Further research is warranted on effects of MT on CS and migraines.

Effects of myofascial release applied to neck muscles and craniocervical flexor training in patients with chronic myofascial TMD: A single arm study

ObjectiveTo evaluate the effects of myofascial trigger point release applied to superficial neck muscles and strengthening of the deep flexor muscles in subjects with myofascial temporomandibular disorders (mTMD). MethodsFourteen women (23.4 ± 3.32 years old) presenting with mTMD and trigger points (TrPs) in the sternocleidomastoid, suboccipital, and upper trapezius muscles were included in this study. They were evaluated on two occasions during a baseline period (3 weeks apart) with no intervention and a third time after a 5-weeks intervention protocol. Outcome measures included pressure pain threshold (PPT) over the masticatory muscles, mandibular function, orofacial pain intensity, maximum mouth opening, and the craniocervical flexion test. All women received 10 treatment sessions that included strain-counterstrain technique applied to TrPs found in the prior listed superficial neck muscles and stabilization exercise using a pressure biofeedback for the deep neck flexor muscles. One-way ANOVA or correspondent non-parametric tests as well as effects sizes were used to compare the outcomes at baseline and after the treatment. ResultsStatistically significant improvements were found in the PPT over left masseter and temporalis (p < 0.05) (mean difference (MD) of 0.50 and 0.42 kg/cm2), orofacial pain intensity (MD = −3.39 points), mandibular function (MD = −7.22 points) and performance of the deep cervical muscles (MD = 130.42 points) compared to baseline period. Effect sizes were moderate or large. ConclusionThe protocol intervention may have positive effects in patients with mTMD. However, studies with better methodological quality need to be performed to confirm those effects. Registrationensaiosclinicos.gov.br (RBR-7x828q);

Myofascial Trigger Point Release Therapy in the Management of Plantar Heel Pain

Study design: Interventional Trial Objectives: To investigate the effect of myofascial trigger point release (MFR) therapy in management of unilateral plantar heel pain (PHP). Background: PHP is characterized by pain in the heel region and is restricted to the sole of foot with tenderness of the heel region. Plantar heel pain is more common foot condition managed by health care professionals and accounts for 8 % of all injuries. It’s not known whether inclusion of MFR can further improve the outcomes in patients with PHP. Methods: 42 patients, 14 men, 28 females (mean ± SD age, 42.76±11.73) with diagnosis of unilateral PHP where divided into two groups. Patients in control (CRT) group received ultrasound therapy and stretching therapy. In addition, experimental (ERT) group received MFR. The result was measured using following outcomes: Dorsiflexion range of motion, Pain Pressure Threshold (PPT), self reported pain Outcome measure (Numerical Pain Rating Scale-NPRS), Foot and Ankle Ability Measure (FAAM). Outcome of interest were measured at baseline and after 10 day follow-up. Results: Significant difference was present between groups in all outcomes. In additionally within group and between group effect size were calculated using Cohen d co-efficient. The effect sizes for the variables were found to be moderate to large demonstrating the positive effects of MFR. Conclusion: This study proves that addition of MFR results in superior short-term outcomes compared to stretching with ultrasound therapy alone in treatment of unilateral PHP.

Efficacy of Maitland Mobilization and Myofascial Trigger Point Release in Patients of Osteoarthritis of Knee

Background and Purpose: Osteoarthritis (OA) of knee is the most common type of arthritis and the leading cause of disability that impacts the elderly and middle-aged worldwide. In knee osteoarthritis degenerative changes occurs in joint and muscles of knee joint become weak. There are numerous previous studies in which Maitland mobilization with conventional was given but there are few research in which both maitland mobilization and myofascial trigger point release had been given. Aim and Objective: To study the effects of Maitlandmobilization and Myofascial Trigger point release on Pain,Range of Motion and function disability in patient of osteoarthritis with knee. Materials and Method: A total number of 72 subjects were screened as per inclusion and exclusion criteria. The subjects were divided into two groups, Group A received Maitland mobilization with conventional therapy and Group B received Myofascial trigger point Release with conventional therapy. Treatment session was given for 3 days alternately a week for 6 weeks for 30-35mins. Pre and Post evaluation was done on Pain on VAS, Range of Motion on Universal Goniometer, Functional Disability on WOMAC scale. Results: Results showed statistically significant improvement in both groups for VAS, ROM and functional disability by using student’s Paired and unpaired t test. Group A showed more significant improvement than Group B. The level of significance was P&lt;0. 0001. Conclusion: In conclusion, Maitland Mobilization and Conventional therapy ism ore effective than Myofascial Trigger Point Release in relieving pain, improving range of motion and functional well-being in subjects with kneeosteoarthritis.

Remedial massage therapy interventions including and excluding sternocleidomastoid, scalene, temporalis and masseter muscles for Chronic Tension Type Headaches: A case series.

Tension-type headache (TTH) is the most prevalent primary headache type world-wide. Chronic TTH (CTTH) of >15 headache-affected days per month for > 3 months can cause considerable pain and disability. This case series aimed to investigate whether massage therapy interventions were more effective when muscles of the anterior neck, jaw, and cranium were included. Four female clients suffering CTTH received six pre-determined massage therapy interventions, 45 minutes each, over three weeks. Case A and B (exclusion cases) received interventions addressing shoulder, posterior neck, and occiput muscles; Case C and D (inclusions cases) received interventions addressing the same areas as well as the sternocleidomastoid, scalene, temporalis, and masseter muscles. Treatment included myofascial trigger point release, neuromuscular therapy, and consideration of central sensitization mechanisms present in CTTH. Headache frequency (primary), intensity, and duration (secondary) were recorded via headache diaries for baseline measures (one week), interventions (three weeks), and a runout period (two weeks). Secondary measures also included a headache disability inventory (HDI) at baseline, intervention conclusion, and final measures. After final measures, clients received stretching education and four weeks later, a follow-up phone conversation to note subjective headache reports. All cases had headache frequency and HDI score reductions, while intensity and duration measures fluctuated. At final measures, exclusion Case A and both inclusion cases (C and D) had headache frequency reductions to below CTTH diagnostic criteria, clinically meaningful (> 16%) HDI score reductions, and subjectively reported continued improvements after study completion. Inclusion cases overall had greater decreases in headache frequency and HDI measures. Comparative results suggest there may be additional benefit in reducing headache frequency and disability with inclusion of anterior neck, jaw, and cranial muscles in treatment strategies of CTTH. However, limited sample size makes it difficult to rule out outliers or individual variables. Further investigation is recommended.

Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in management of acute mechanical neck pain: a randomized controlled trial.

To compare the effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy on pain, disability and cervical range of motion in patients with acute mechanical neck pain. The randomised control trial was conducted at the District Headquarter Hospital in Nowshehra, Pakistan, from July to December 2017 and comprised subjects of either gender aged 16-49 years with acute neck pain. They were randomised into three groups; post-isometric relaxation group 1, myofascial trigger point release group 2 and routine physical therapy group 3. Neck disability index, numeric pain rating scale and cervical goniometry were documented before intervention, after the first session and after 6 sessions in two weeks. Data was analysed using SPSS 21. Of the 60 patients, there were 20(33.3%) in each of the three groups. Mean age in group 1 was 32.25±9.56 years, group 2 2.35±9.05 years and in group 3 it was 32.75±7.82 years. Scores for neck disability index and numeric pain rating scale as well as rotation to right and left showed significant difference among the groups post-treatment (p<0.05). Within group analysis showed significant improvements in all parameters post-treatment in all the groups (p<0.0001). Acute mechanical neck pain treated with post-isometric relaxation technique had more and faster effect in decreasing pain and disability and in improving mobility.

Completion Rates and Clinical Changes of Patients Seeking Non-Invasive Treatment for Low Back Pain in 13 Centres of a Sports Medicine Institute in India

Background/Aim: Low back pain (LBP) is the major cause of disability worldwide. The existing treatments are expensive and associated with complications. The present study aimed to determine the proportion of patients completing therapy and rehabilitation phases and describe the changes in self-reported symptoms and functional disability among LBP patients enrolled in a private sports medicine institute. Methods: This is a cohort study involving review of case records. We studied 2 phases out of 3 of non-invasive treatment of LBP: therapy of around 10 days (myofascial trigger point release therapy, cryotherapy, aqua therapy and acupuncture) and rehabilitation of around 3 weeks (muscle strengthening exercises). Results: A total of 443 patients were enrolled; their mean (SD) age was 46 (15) years, 46% were male, and 193 (44%) presented with chronic (>6 months) pain. The numbers of patients who completed the therapy and rehabilitation phases were 327 (74%) and 115 (26%), respectively. The median (IQR) visual analogue scale pain scores were 7 (6–9) at entry, 2 (1–3) at completion of therapy and 1 (0–2) at completion of rehabilitation (p < 0.001). The median (IQR) functional disability scores were 32 (22–53) at entry, 15 (6–26) at completion of therapy and 4 (0–14) at completion of rehabilitation (p < 0.001). Conclusion: Low completion rates were observed. Patients who completed therapy reported reduction in pain and improved functionalities.

Effects of Different Myofascial Trigger Point Release Techniques on Pain, Function and Quality of Lifef for Patients after Surgical Treatment of the Rotator Cuff

Research background. Musculoskeletal pain in the shoulder joint is a major cause of non-traumatic upper limb pain (Tejera-Falcón et al., 2017). Miofascial release is a fast-moving form of manual therapy to reduce pain and restore soft tissue functions. Chronic pain relief in the movement apparatus is a major burden on health care systems and state economics due to the deteriorating quality of life of people experiencing these problems (Laimi et al., 2018). Research aim was to determine the effect of different myofascial trigger release techniques on pain, function and quality of life in patients after surgical treatment of rotator cuff. Methods. The study included volunteers (n = 14) who met the selection criteria. Research methods included a VAS pain scale, active range of motion, isometric muscle strength and subjective assessment of functional changes (PSFS) and quality of life (SF-36). Results. After 14 days of physiotherapy exercises involving the release of myofascial trigger points, the intensity of pain decreased signifcantly from 5.6 ± 1.4 points to 1.8 ± 1.5 points (p &lt; 0.05). After treatment of the range of motion, isometric muscle strength signifcantly increased (p &lt; 0.05). The treatment used had a positive effect on subjective functional changes (before 3.1 ± 0.8 points, followed by 7.8 ± 1.4 points, p &lt; 0.05) and quality of life. Conclusion. The use of different myofascial trigger release techniques is effective in reducing myofascial trigger pain, improving function and quality of life in patients after surgical treatment of rotator cuffs. However, there were no statistically signifcant differences between the groups after treatment.Keywords: myofascial pain syndrome, myofascial trigger point, ischemic compression, soft tissue mobilization.

Myofascial Trigger Point Release and Paced Breathing Training for Chronic Low Back Pain

Myofascial Trigger Point Release and Paced Breathing Training for Chronic Low Back Pain

Effects of Myofascial Trigger Point Release on Power and Force Production in the Lower Limb Kinetic Chain.

Devereux, F, O'Rourke, B, Byrne, PJ, Byrne, D, and Kinsella, S. Effects of myofascial trigger point release on power and force production in the lower limb kinetic chain. J Strength Cond Res 33(9): 2453-2463, 2019-The purpose of this study was to first investigate the effects of treating latent myofascial trigger points (MTrPs) in the lower limb kinetic chain with respect to performance during sporting actions, as opposed to the traditional goal of pain management with active MTrPs. The second aim was to investigate the effects of dry needling (DN) on performance parameters over time to establish treatment timeframe guidelines before performance. Forty male athletes were assigned to 4 groups; rectus femoris DN (group 1), medial gastrocnemius DN (group 2), rectus femoris and medial gastrocnemius DN (group 3), and no DN (group 4). Subjects completed 6 sessions; familiarization, baseline, immediately after DN, 48, 72, and 96 hours after intervention. Subjects performed squat jumps at 5 incremental loads and were recorded using the My Jump app (iOS) for jump height, power output, optimal force, and optimal velocity. A between-within subject's analysis of variance was used for statistical analysis. Results showed a significant increase in jump height in group 2 (gastrocnemius muscle only) from immediately after to 48 hours after intervention (p = 0.01); however, no other statistical significance was observed. From 48 hours onward, a trend for improved performance was observed, with jump height, power, and velocity showing trivial increases. This study found improved jump performance from immediately after to 48 hours post-DN of the gastrocnemius muscle only. This study suggests a likely immediate decrease in jump performance after DN, with levels increasing above baseline between 48 and 96 hours, which may have clinical significance.

To Study the Effect of Myofascial Trigger Point Release in Upper Trapezius Muscle Causing Neck Disability in Patients with Chronic Periarthritis Shoulder

To Study the Effect of Myofascial Trigger Point Release in Upper Trapezius Muscle Causing Neck Disability in Patients with Chronic Periarthritis Shoulder