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Sata, Jay
- A Comparative Study between Muscle Energy Technique and Myofascial Release Therapy on Myofascial Trigger Points in Upper Fibres of Trapezius
Authors
1 K.K Sheth Physiotherapy College, Rajkot - 7, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 144-148Abstract
Background: Neck Pain is very commonly shown by most people to be in the region of the back of the neck and between the bases of the neck to the shoulder, primarily indicating the upper region of the trapezius muscle. About two thirds of people will experience neck pain at some point in their lives. Prevalence is highest in middle age, with women being affected more than men. The prevalence of neck pain varies widely between studies, with a mean point prevalence of 13 % (range 5.9 - 38.7 %) and mean lifetime prevalence of 50 % (range 14.2 - 71.0 %). In some industries neck related disorders account for as many days of absenteeism as low back pain.
The myofascial trigger points have been described as a hyperirritable spot, usually within a taut band of skeletal muscles or in the muscles fascia. The spot is painful on compression and can give rise to characteristics referred pain, tenderness and autonomic phenomenon. Myofascial release is a soft tissue mobilization technique, defined as "the facilitation of mechanical, neural and psycho physiological adaptive potential as interfaced via the myofacial system.
Myofascial release which eliminates the fascia's excessive pressure on the pain sensitive structure and restores proper alignment. Hence this technique is proposed to act as a catalyst in the resolution of trapezius spasm.
Muscle energy technique (MET) are manipulative procedures are designed to lengthen muscle and fascia and to mobilize joints. Because principles of neuromuscular inhibition are incorporated into this approach, another term to describe these techniques is "post-isometric relaxation".
Objectives : To compare the efficacy of Muscle energy techniques and Myofascial release therapy on myofascial trigger points in upper fibres of trapezius.
Methods: Study included 52 (Fifty-Two) subjects with myofascial trigger points on upper fibres of trapezius. The subjects were randomly divided into 2 groups: Group A and Group B. Muscle Energy Technique ware given for Group A patients and Myofascial release therapy ware given for Group B patients. The subjects were treated for a period of 6 days a week, Once in a day. Pain was assessed by VAS score, Neck Disability by NDI score and Pain Threshold by PPT score.
Results: There is statistically significant difference in terms of the VAS, PPT, NDI score. The myofascial release group showed better decrease in pain, disability and increase in pain threshold.
Conclusion: Myofascial release proving better than the muscle energy techniques on myofascial trigger points of upper fibres of trapezius.
Keywords
Myofascial Release Therapy, Muscle Energy Techniques, Myofascial Trigger Point
References
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- A Study to Compare the Effectiveness of Conventional Treatment Versus Temporomandibular Joint Mobilization in Patients with Temporomandibular Joint Disorders
Authors
1 Master of Physiotherapy (Sports),Lecturer, K.K Sheth Physiotherapy College,Rajkot-7, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 172-178Abstract
Background: Temporomandibular disorders (TMDs) refers to a group of disorders affecting the temporomandibular joint (TMJ), masticator muscles and the associated structures. These disorders share the symptoms of pain and limited mouth opening due to oral sub mucosal fibrosis (OSMF). So in each group taken both type of patiens,10 patients having TMJ pain and 10 patients having OSMF.
Patient having TMJ pain given conventional therapy in form of Ultrasound and isometric exercises and patients having OSMF given Ultrasound and stretching exercises.
Mobilizations are indicated when the assessment has illuminated any of the following: pain, progressive limitations of functional mobility, post arthroscopic TMJ surgery, reversible joint hypo mobility, or muscle guarding or spasm.
Objectives: To study the effects of a TMJ mobilization programme in relieving pain and on improving maximal mouth opening in patients with TM disorders.
Methods: Study included 40 patients with temporomandibular disorders between age group 20-40 years. The subjects were randomly divided into 2 groups: Group - A and Group - B. They were treated for 3 weeks, 6 days a week once daily. Pain was assessed by Visual Analogue Scale and maximal mouth opening was measured as an objective outcome with the special scale.
Results: Results showed significant improvement in VAS and in maximal mouth opening in both groups. Comparison of Group A and Group B was done with Wilcoxon Rank sum test (Mann Whitney U test) and unpaired t-test, Group B showed significant improvement in VAS (P=0.0047) and in maximal mouth opening (P=0.0383)
Conclusion: TMJ mobilization programme along with conventional physical therapy intervention is more effective in relieving pain and improving maximal mouth opening than conventional physical therapy alone in patients with temporomandibular disorders.
Keywords
TMJ Mobilization, OSMF,TMJ AnkylosisReferences
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