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Efficacy of Muscle Energy Technique in Combination with Strain-counterstrain Technique on Deactivation of Trigger Point Pain
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Design: Pretest-Posttest control group design Setting: Outpatient physiotherapy department, Taneja Hospital, Preet Vihar New Delhi.
Patients: Fourty five subjects (only male) with Myofascial Trigger Points Pain. Subjects were randomly placed into three groups: Experimental group A (n=15), Experimental group B (n=15) and a Control group C (n=15).
Intervention: The experimental group A received muscle energy technique in combination with straincounterstrain technique and experimental group B received muscle energy technique alone whereas control group received conventional treatment only.
Main Outcome Measures: Pain pressure threshold was assessed with the pressure threshold meter (PTM). Pain and functional status of the patients were measured by a visual analogue scale (VAS) and the Neck Disability Index scores respectively.
Results: Within group analysis revealed significant improvement in pain pressure threshold, functional status and reduction in pain intensity in all groups. Between group analysis revealed significant difference between group A, group B and group C. Further post hoc analysis revealed significant difference between group A and B, group A and C and group B and C for all variables even after one week of follow up after the termination of intervention.
Conclusion: The combination of muscle energy technique with strain-counterstrain has been shown to produce greater improvement in pain pressure threshold on pressure threshold meter, function status on neck disability index scores and reduction in pain intensity on visual analogue scores even after one week of the termination of intervention. This shows the long term effectiveness of combination of two manual techniques deactivating the myofascial trigger point's pain.
Keywords
- Imamura ST, Fischer AA, Imamura M, Teixeira MJ, et al. Pain management using myofascial approach when other treatment failed. Phys Med Rehabil Clin North Am 1997; 8:179-96.
- Ballantyne, F., Fryer, G., McLaughlin, P., The Effect of Muscle Energy Technique on Hamstring Extensibility: The Mechanism of Altered Flexibility. Journal of Osteopathic Medicine, April 6 (1), 37; 2003.
- Hong CZ, Hsueh TC. Difference in pain relief after trigger point injections in myofascial pain patients with and without fibromyalgia. Arch Phys Med Rehabil 1996; 77:1161-6.
- Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:
- Han SC, Harrison P. Myofascial pain syndrome and trigger-point management. Reg Anesth 1997;22:89-101.
- Ling FW, Slocumb JC. Use of trigger point injections in chronic pelvic pain. Obstet Gynecol Clin North Am 1993;20:809-15.
- Mense S, Schmit RF. Muscle pain: which receptors are responsible for the transmission of noxious stimuli? In: Rose FC, ed. Physiological aspects of clinical neurology. Oxford: Blackwell Scientific Publications, 1977:265-78.
- Hopwood MB, Abram SE. Factors associated with failure of trigger point injections. Clin J Pain 1994; 10:227-34.
- Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral Surg Oral Med Oral Pathol 1985;60:615-23.
- Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:94-173.
- Rachlin ES. Trigger points. In: Rachlin ES, ed. Myofascial pain and fibromyalgia: trigger point management. St. Louis: Mosby, 1994:145-57.
- Simons DG, Travell JG, Simons LS. Travell & Simons' Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:11-93.
- Sola A E, Bonica JJ, Myofascial pain syndrome: the management of pain. 2 ed, Philadelphia: Lea and Febiger,1990,352-57.
- Hou, C.R., Tsai, L.C., Cheng, K.F., Chung, K.C., Hong, C.Z., 2002. Immediate effects of various therapeutic modalities on cervical myofascial and trigger point pain sensitivity; Archives of Physical Medicine and Rehabilitation 1982,1406-14.
- Meseguer A.A, Ferna´ndez-de-las-Pen˜as C, Navarro-Poza J L,. Immediate effects of the strain/counterstrain technique in local pain evoked by tender points in the upper trapezius muscle; Clinical Chiropractic: 2006 vol. 9, 112-118.
- Jensen, M.P., Turbner, J.A., Romano, J.M., Fisher, L.D., 1999. Comparative reliability and validity of chronic pain intensity measures. Pain 83, 157-162.
- Fischer, A., pressure algometry over normal muscle, standard values, validity and reproducibility of pressure threshold, pain 1987, 30; 115-126.
- Simons, D., Hong, C.-Z., 2002. Endplate potentials are common to mid fiber myofascial trigger points. American Journal of Physical Medicine and Rehabilitation 81, 212-222.
- Jaeger, B., Reeves, J.L., 1986. Quantification of changes in myofascial trigger point sensitivity with the pressure algometer following passive stretch. Pain 27, 203-210.
- Hou, C.R., Tsai, L.C.,2002. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of Physical and Medical Rehabilitation 82, 1406-1414.
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