Treatment of myofascial trigger points of pelvic floor with physiotherapeutic package: a case report

Background: There are various factors that may cause pain and dysfunction in the pelvic region. Myofascial trigger points can likewise contribute in pelvic pain. Common treatments for myofascial trigger points include electrotherapy, laser therapy, massage, ischemic compression, dry-needling, stretch, icing, heating, and biofeedback

Case Report: A 26 year old man with an exertion-related pain that lasted 5 months was referred for physiotherapy consultation. He had no pain at rest but reported a referral pain from perineal region to the anus and muscular stiffness following a bout of physical activity. On palpation there was a trigger point in the perineal region with referral pain to anus. At the beginning of the treatment, the patient was asked to stop his physical activities. The patient received a treatment package which was useful in the management of trigger points. After 7 sessions of treatment the pain was diminished and there was no exercise induced stiffness. The patient was followed for 10 months later and no pain and stiffness was reported

Conclusion: The application of heat, friction massage, stretching, combined with endurance exercise could be an effective treatment for reliving the pain and muscular stiffness caused by trigger points

comparison of Neurodevelopmental-Bobath approach with occupational therapy home program on gross motor function of children with cerebral palsy

Background: Traditional Bobath approach [TBA] is one of the several methods which is used for the treatment of children with cerebral palsy [CP] who are referred to occupational therapy settings. In this study the effect of TBA on the gross motor function [GMF] of children with CP was compared with that of the Home Program Bobath approach [HPBA]

Methods: Thirty children with CP participated in this study. They were randomly assigned in two groups. Control group received Bobath traditional services for 12 sessions. In the intervention group, along with these services, parents participated in training program and followed the exercises. Scale was used to assess GMF before and after intervention

Results: Participants of this study consisted of 9 girls and 6 boys in traditional group and 10 girls and 5 boys in home-based group. The mean age of homebased group was 19.53+/-3.35 months and traditional group was 17.20+/-6.80. GMF increased significantly in both groups. In addition, differences between the two groups were significant [P=0.007]

Conclusion: the results of this study showed that TBA with HPBA was more effective than the traditional ones