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Effect of Strain-counterstrain Technique on Upper Trapezius Trigger Points
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Aim: To find out the effect of Strain-Counterstrain technique on pain and functional restriction due to active myofascial trigger point in upper trapezius muscle.
Objectives: To assess the pain and function of subjects with active myofascial trigger point in upper trapezius using Visual Analogue Scale and Neck Disability Index, respectively.
Methodology: This is a Quasi experimental study with sample size of 24. Subjects with Active myofascial trigger point in upper trapezius are included by using Convenience sampling and subjects with Open wounds, Sutures, Healing Fractures, Hematoma, Systemic or Local Infection, Hypersensitivity of the Skin are excluded. Baseline data was collected by assessing pain and function. Same therapist treated all Subjects for 6 days consecutively by Strain-Counterstrain technique. Pain was assessed daily pre and post treatment for 6 days and function was assessed after 6th day.
Data Analysis: Data was analysed using Wilcoxon Signed rank test for Neck disability index and Paired t-test for Visual Analogue Scale.
Results: There was a statistically significant reduction in pain and improvement in neck function after application of strain-Counterstrain technique at p=0.001.
Conclusion: Results suggests that Strain- Counterstrain technique is useful in relieving the pain and improving functional abilities in patients with active myofascial trigger points in upper trapezius.
Keywords
- Jones LN. Strain and counterstrain. Newark, Ohio: American Academy of Osteopathy; 1981.
- Simons DG, Travell J, Simons LS. Myofascial pain and dysfunction. The trigger point manual, 2nd edition, vol. 1. Baltimore: Williams & Wilkins; 1999.
- Dimitrios Kostopoulos, Konstantine Rizopoulos. 2001. The manual of trigger point & myofascial therapy. SLACK incorporated.
- Wolfe F, Simons DG, Fricton JR, et al. The fibromyalgia and myofascial pain syndromes: a preliminary study of tender points and trigger points in persons with fibromyalgia, myofascial pain syndrome and no disease. J Rheumatol 1992; 19:944—51.
- Albert Atienza Meseguer, César Fernandez-de-las-Pen, Jose Luis Navarro-Poza a, Cleofa´s Rodrý´guez-Blanco Juan Jose´ Bosca´ Gandia. Immediate effects of the strain/counterstrain technique in local pain evoked by tender points in the upper trapezius muscle. Clinical Chiropractic (2006) 9, 112—118
- Leon Chaitar, Judith Walker Delany. Clinical applications of neuromuscular techniques volume 1. The upper body Churchill Livingston, China 2000.
- Janda V. Evaluation of muscular imbalance, in Liebenson C (ed) : Rehabilitation of the spine :L A practitioners manual. Baltimore, Williams and Wilkins 1996 ; 97-112.
- Ruth Grant. Clinics in physical therapy – Physical therapy of the cervical and thoracic spine 2nd Edition. Churchill Livingston, 1994 – 1998.
- Haman JL. An osteopathic approach to treating chondromalacia- patellae with counterstrain manipulation. J Am Osteopath Assoc 1991;91:255—9.
- Radjieski JM, Lumley MA, Cantieri MS. Effect of osteopathic manipulative treatment on length of stay for pancreatitis: a randomized pilot study. J Am Osteopath Assoc 1998; 98:264—72.
- Lewis C, Flynn TW. The use of strain/ counterstrain in the treatment of patients with low back pain. J Man Manip Ther 2001;9:92—8.
- Walko EJ, Janouschek C. Effects of osteopathic treatment in patients with cervicothoracic pain: pilot study in thermography. J Am Osteopath Assoc 1994;94:135—41.
- Dardzinski JA, Ostrov BE, Hamann LS. Myofascial pain unresponsive to standard treatment. Successful use of a strain and counterstrain technique with physical therapy. J Clin Rheumatol 2000;6:169—74.
- Wong CK, Schauer-Alvarez C. Effect of strain/counterstrain on pain and strength in hip musculature. J Man Manip Ther 2004;12:215—23.
- Goldenberg D. Fibromyalgia, chronic fatigue syndrome and myofascial pain syndrome. Current Opinion in Rheumatol 1993;5:199—208.
- Kerry J. D’Ambrogio, George B. Roth, 1997, Positional Release Therapy. Mosby, St Louis
- Chaitow L.1997, Positional Release Techniques, Churchill Livingstone
- Jensen MP, Turbner JA, Romano JM, Fisher LD. Comparative reliability and validity of chronic pain intensity measures. Pain 1999;83:157—62.
- Huskisson EC. Measurement of pain. The Lancet, 1974; November 9.
- David J. Magee. Orthopedic Physical Assessment. Saunders, St Louis
- Wong CK, Schauer-Alvarez C. Reliability, validity and effectiveness of strain/counterstrain techniques. J Man Manip Ther 2004;12:107—12.
- Korr IM. The neural basics of osteopathic lesion. JAOA, 1947 ; 47 : 191-198.
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