ABSTRACT
Background: The International Headache Society (IHS), 2013 defined Cervicogenic Headache (CGH) as a secondary headache, which implies that headache is caused by a disorder of the cervical spine and its components bony, disc and soft tissue elements. CGH can be a perplexing pain disorder that is refractory to treatment if it is perceived. Patients with CGH exhibited decreases in the quality of life comparable to migraine-patients and patients with tension-type headache, with even lower scores for physical functioning. The objective of the study is to see the effectiveness of PRT versus ischemic compression on pressure pain threshold, range of motion, and headache disability in CGH patients. Methods: Total of 60 patients of CGH was taken based on inclusion and exclusion criteria, who were divided into three groups, i.e., PRT GROUP A, Ischemic Compression GROUP B, and CONTROL group GROUP C. Group A received PRT, Group B received Ischemic Compression and Group C received conventional treatment 3 sessions per week for 4 weeks. Results: Significant reduction in Headache disability followed by improved physical functioning measured by Headache disability index, improvement in Pressure pain threshold and measured by Pressure algometer and Range of motion measured by Universal goniometer in the group who received Positional release technique along with conventional treatment. (p < 0.05) Therefore, it is suggested that the Positional release technique reduces Headache disability, Improves Pressure pain threshold and range of motion in college-going students with Cervicogenic headache. Conclusion: PRT is an effective approach to improve the Pressure pain threshold, Headache disability, and Range of motion, thus improving the patient's physical functioning.
ABSTRACT
OBJECTIVE: To investigate the effects of trigger point injection with or without ischemic compression in treatment of myofascial trigger points in the upper trapezius muscle. METHODS: Sixty patients with active myofascial trigger points in upper trapezius muscle were randomly divided into three groups: group 1 (n=20) received only trigger point injections, group 2 (n=20) received trigger point injections with 30 seconds of ischemic compression, and group 3 (n=20) received trigger point injections with 60 seconds of ischemic compression. The visual analogue scale, pressure pain threshold, and range of motion of the neck were assessed before treatment, immediately after treatment, and 1 week after treatment. Korean Neck Disability Indexes were assessed before treatment and 1 week after treatment. RESULTS: We found a significant improvement in all assessment parameters (p<0.05) in all groups. But, receiving trigger point injections with ischemic compression group showed significant improvement as compared with the receiving only trigger point injections group. And no significant differences between receiving 30 seconds of ischemic compression group and 60 seconds of ischemic compression group. CONCLUSION: This study demonstrated the effectiveness of ischemic compression for myofascial trigger point. Trigger point injections combined with ischemic compression shows better effects on treatment of myofascial trigger points in the upper trapezius muscle than the only trigger point injections therapy. But the duration of ischemic compression did not affect treatment of myofascial trigger point.
Subject(s)
Humans , Muscles , Myofascial Pain Syndromes , Neck , Pain Threshold , Range of Motion, Articular , Trigger PointsABSTRACT
Introdução: Os pontos gatilhos são manifestações comumenteencontradas na Síndrome Dolorosa Miofascial, associados à presençade músculos em estado de encurtamento ou contratura, comaumento do tônus e rigidez. A técnica de compressão isquêmica éum dos vários tratamentos propostos para inibir os pontos gatilhos.Objetivo: Avaliar o efeito imediato da técnica de compressão isquêmicana inibição de pontos gatilhos do músculo trapézio superior,através da percepção dolorosa subjetiva e da análise eletromiográficado referido músculo. Método: Participaram do presente estudo 24indivíduos com presença de ponto gatilho latente ou ativo. Foramanalisados os dados coletados na escala visual analógica adaptadae os valores médios das aquisições RMS (Root Mean Square) daeletromiografia de superfície, antes e após a aplicação da técnica,pelo teste de Wilcoxon, considerando-se um nível de significânciap ≤ 0,05. Resultados: Houve diferença estatisticamente significantena avaliação da escala visual analógica (p = 0,0002), porém a análisedo sinal eletromiográfico do músculo trapézio superior não reveloudiferenças com significância estatística (p = 0,4772). Conclusão:A técnica de compressão isquêmica foi eficaz apenas em reduzirimediatamente o quadro álgico provocado pelo ponto gatilho,sem alterações significantes no sinal eletromiográfico do músculotrápezio superior.
Introduction: Trigger points are manifestations commonlyfound in Myofascial Pain Syndrome, associated to the presenceof muscles in a state of shortening or contraction, with increasedtone and stiffness. The ischemic compression technique is one ofseveral treatments proposed to inhibit trigger points. Objective: Toevaluate the immediate effect of ischemic compression technique inthe inhibition of upper trapezius muscle trigger points, through thesubjective pain perception and muscle electromyographic analysis.Method: The study included 24 subjects with presence of latent oractive trigger point. Data collected were analyzed using the adaptedvisual analogue scale and the RMS (Root Mean Square) averageacquisition of surface electromyography before and after using thetechnique, through Wilcoxon test, considering a significance levelof p ≤ 0.05. Results: There was a statistically significant difference invisual analogue scale evaluation (p = 0.0002), but the electromyographicsignal analysis of the upper trapezius muscle revealed nodifferences with statistical significance (p = 0.4772). Conclusion:The ischemic compression technique was effective only in reducingimmediately the trigger point pain, with no significant changes inthe electromyographic signal of the upper trapezius muscle.