Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Ischemic Compression and Picking Up in Treating Tender Point of Upper Trapezius Muscle


Affiliations
1 BPT, India
2 Banarsidas Chandiwala Institute of Physiotherapy, New Delhi, India
     

   Subscribe/Renew Journal


Purpose

The aim of this study was to compare the immediate effect on pain threshold and range of motion which follows a single treatment of tender points in the upper trapezius muscle among ischemic compression and picking up with ultrasonic therapy.

Methods

50 subjects presenting with upper trapezius muscles spasm, 9 male and 41 female, aged 20-30 years old, participated in this study. Subjects underwent a screening process to establish the presence of tender points in upper trapezius muscle. Subjects were divided randomly into 2 groups. Group A = Ischemic Compression + Ultrasonic Therapy (1.2 w/cm2 5 minutes) Group B = Picking Up + Ultrasonic Therapy (1.2 w/cm2 5 minutes) The outcome that is range of motion and Visual Analogue Scale are assessed pre treatment and 2 minutes post treatment after treatment allocation of the subject.

Result

Paired T-test is done between pre and post values of range of motion(ROM) and Visual Analogue Scale(VAS) which shows two-tailed P <0.0001 which by conventional criteria is considered to be extremely statistically significant. Whereas, t value for pre and post VAS of ischemic compression group is 12.4378, and for picking up group is 15.1399. T value for pre and post ROM of ischemic compression group is 6.2164, and for picking up group is 5.9318. Unpaired T-test between two groups for ROM shows twotailed P value=0.4151 which is not statistically significant. T value for the same is 0.8220. Unpaired T-test between two groups for VAS shows two-tailed P value=0.5695 and t value is 0.5727.

Conclusion

This study concludes that both the techniques used in research namely ischemic compression and picking up are equally effective in treating tender point of upper trapezius muscle.


Subscription Login to verify subscription
User
Notifications
Font Size


  • Haraldsson B, Gross A, Myers CD, Ezzo J, Morien A, Goldsmith CH, Peloso PMJ, Brønfort G, Cervical Overview Group. Massage for mechanical neck disorders. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD004871. DOI: 10.1002/14651858.CD004871.pub3.

  • Anne Asher, About.com Guide Updated January 12, 2008 About.com Health’s Disease and Condition.

  • The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P, et al. University of Kansas, Arthritis Center, Wichita 67214.

  • Integrated Neuromuscular Inhibition Technique (INIT) - In Treatment of Pain and Trigger Points - An Introduction© 1995 Leon Chaitow N.D., D.O., M.R.O. Journal of Bodywork and Movement Therapies

  • Elizabeth Holey and Eileen Cook, Evidence Based Therapeutic Massage: A Practical Guide for Therapists (second ed.), Churchill Livingstone, New York (2003) ISBN 0-443-07230-2 (343pp. £ 29.99). Manual Therapy, Volume 11, Issue 4, Pages e3-e3 P. van den Dolder

  • Tidy’s, 12th edition Ann Thomson, Alison Skinner, Joan Piercy

  • Mosby’s Fundamentals of therapeutic massage Page - 34

  • S. Lakshmi Narayanan. Textbook of therapeutic exercises. Pg40.

  • Pushpal Kumar Mitra. Handbook of Practical Electrotherapy, first edition, 2006. Page- 99

  • Gray’s anatomy en.wikipedia.org/wiki/Trapezius_muscle

  • Cynthia C. Norkin, D Joyce White. Measurement of joint motion a guide to Goniometry. Pg 16, 18.

  • Mosby’s Fundamentals of Therapeutic Massage. Pg 316- 317

  • Schneider M. Tender points or Fibromyalgia versus trigger point or myofascial pain syndrome. A need for clarity in terminology and differential diagnosis. J Manipulative Physiol Ther 1995; 398-406

  • Borg Stein J, Stein J. Trigger points and tender points: one and the same? Does injection treatment help? Rheum Dis Clin North Am 1996; 2292: 305-322.

  • Travel JG, Simon DG. Myofascial pain dysfunction. The trigger point Manual. 2nd edition. William and Wilkins, Baltimore 1992.

  • 33 Cohen JH, Gibbons RW, Raymond L. Nimmo and the evolution of trigger point therapy, 1929-1986.J Manipulative Physiol Ther 1998; 21(3):167-172.

  • Norregaard J, Jacobsen S, Kristensen JH. A narrative review on classification of pain conditions of the upper extremity. Scand J Rehab Med 1998; 31:153-164.

  • Gatterman M, Lee HK. Chiropractic adjusting technique. In: Chiropractic: An illustrated history (Ed: Peterson D, Weise G). Chicago, Mosby; 1995:240-261.

  • Kovacs FM, Abraira V, Pozo F et al. Local and remote sustained trigger point therapy for exacerbations of chronic low back pain. A randomized, double-blinded, controlled,multicenter trial. Spine 1997; 22(7):786-797.

  • Margaret Hollis. Massage For Therapists. 2nd edition pg 17-19, 30-44.

  • Margaret Hollis. Massage for therapists. 2nd edition. Pg 93.

  • Christensen MG. Job Analysis of Chiropractic. National Board of Chiropractic Examiners 2000. Greeley, CO.

  • Handbook of Pain Management. G.P.Dureja. Pg 101.

  • Simons DG, Travell JG, Simons LS. Travell & Simons’ Myofascial pain and dysfunction: the trigger point manual. 2d ed. Baltimore: Williams & Wilkins, 1999:94-173.

  • Frederick Wolfe Ann Rheum Dis 1997;56:268-271 doi:10.1136/ard.56.4.268

  • Gam AN, Warming S, Larsen LH, Jensen B, Hoydalsmo O, Allon I, et al. Treatment of myofascial trigger points with ultrasound combined with massage and exercise- a randomized controlled trial. Pain 1998; 77:73-9.

  • Low Ann Reed.4th edition. Pg 251-300.

  • Claytons Electrotherapy. 9th edition. Pg 165-179.

  • Leon Chaitow. Muscle energy techniques.

  • Pietrobon R, Coeytaux RR, Carey TS, Richardson WJ, DeVellis RF: Standard scales for measurement of functional outcome for cervical pain or dysfunction. Spine 2002, 27:515-522. PubMed Abstract

  • Vernon H, Mior S: The Neck Disability Index: A study of reliability and validity. J Manipulative Physiol Ther 1991, 14:409-415. PubMed Abstract

  • Stratford PW, Riddle DL, Binkley JM: Using the Neck Disability Index to make decisions concerning individual patients. Physiother Can 1999, 51:107-112

  • Antonopoulou M, Ekdahl C, Sgantzos M, Antonakis N, Lionis C: Translation and standardisation into Greek of the standardised general Nordic questionnaire for the musculoskeletal sympt

  • Vet de HC, Bouter LM, Bezemer PD, Beurskens AJ: Reproducibility and responsiveness of evaluative outcome measures. Theoretical considerations illustrated by an empirical example. Int J Technol Assess Health Care 2001, 17:479-487oms. Eur J Gen Pract 2004, 10:33-34.

  • Jaeschke R, Singer J, Guyatt GH: Measurement of health status: Ascertaining the minimal clinically important difference. Control Clin Trials 1989, 10:407-415

  • Kramer MS, Feinstein AR: Clinical biostatistics LII: the biostatistics of concordance. Clin Pharmacol Ther 1981, 26:111-123

  • Walter SD, Eliasziw M, Donner A: Sample size and optimal designs for reliability studies. Sta

  • Wyrwich K, Tierney W, Wolinsky F: Further evidence supporting a SEM-based criterion for identifying meaningful intra-individual changes in health related quality of life. J Clin Epidemiol 1999, 52:861-873t Med 1998, 17:101-110.

  • Korr I. Neurological mechanisms in manipulative therapy. New York: Plenum Press. 1978.

  • Walker et. al “Psychological factors in fibromyalgia caompared with RA 11, sexual, physical and emotional abuse and neglect”. Psychosomatic medicine. 1997, 59(6): 572.

  • Leon Chitow, Muscle Energy Technique. Pg 252.

  • Schwartz H. The use of counter strain in an acutely ill in hospital population. J Am Ost Ass1986; 433-442.

  • Leon Chaitow , Sandy Fritz. A massage therapist guide finding, locating and treating myofascial trigger points. Pg-70.

  • De Vellis RF; Scale development: Theory and application, Newbury Park, CA: Sage; 1991


Abstract Views: 536

PDF Views: 0




  • Effect of Ischemic Compression and Picking Up in Treating Tender Point of Upper Trapezius Muscle

Abstract Views: 536  |  PDF Views: 0

Authors

Mridu Agrawal
BPT, India
Sumit Kalra
Banarsidas Chandiwala Institute of Physiotherapy, New Delhi, India

Abstract


Purpose

The aim of this study was to compare the immediate effect on pain threshold and range of motion which follows a single treatment of tender points in the upper trapezius muscle among ischemic compression and picking up with ultrasonic therapy.

Methods

50 subjects presenting with upper trapezius muscles spasm, 9 male and 41 female, aged 20-30 years old, participated in this study. Subjects underwent a screening process to establish the presence of tender points in upper trapezius muscle. Subjects were divided randomly into 2 groups. Group A = Ischemic Compression + Ultrasonic Therapy (1.2 w/cm2 5 minutes) Group B = Picking Up + Ultrasonic Therapy (1.2 w/cm2 5 minutes) The outcome that is range of motion and Visual Analogue Scale are assessed pre treatment and 2 minutes post treatment after treatment allocation of the subject.

Result

Paired T-test is done between pre and post values of range of motion(ROM) and Visual Analogue Scale(VAS) which shows two-tailed P <0.0001 which by conventional criteria is considered to be extremely statistically significant. Whereas, t value for pre and post VAS of ischemic compression group is 12.4378, and for picking up group is 15.1399. T value for pre and post ROM of ischemic compression group is 6.2164, and for picking up group is 5.9318. Unpaired T-test between two groups for ROM shows twotailed P value=0.4151 which is not statistically significant. T value for the same is 0.8220. Unpaired T-test between two groups for VAS shows two-tailed P value=0.5695 and t value is 0.5727.

Conclusion

This study concludes that both the techniques used in research namely ischemic compression and picking up are equally effective in treating tender point of upper trapezius muscle.


References