Effects of positional release technique on myofascial trigger points of the upper trapezius in computer users having forward head posture

Asad Ullah, Zahid Mehmood, Zubair Ahmad, Rabia Kanwal, Mehboob Ali, Syeda Khadija Kazmi, Abdul Wahab, Anam Aftab
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Abstract

Background: Forward head posture is associated with the upper trapezius myofascial trigger points and cause pain, restricted range of motion, and referred pain in the arm. The positional release technique is likely to focus on evaluating the efficacy of this manual therapy approach. Objective: To determine the effects of positional release technique for myofascial trigger points of the upper trapezius with forward head posture Method: A randomized control trial study was conducted in the Physiotherapy Department of THQ Hospital Wazirabad, Pakistan, from February 2021 to June 2021 with a sample size of n=32 male participants. Participants were recruited with pain intensity of at least 3 points on the Visual Analogue Scale at baseline, at least one active TrP in the upper trapezius that was diagnosed using the method described by Travel and Simon, and computer users who spend at least 6 hours per day in a sitting posture and are between the ages of 18 and 45. All subjects were randomly and equally allocated into the Positional Release Therapy (PRT) group and a conventional Physical Therapy group. A total 12 treatment sessions were given with 3 days a week for consecutive 4 weeks. The data was collected at the baseline and after the 12th session. The outcome measures for trigger point sensitivity were pain pressure threshold (PPT), visual analogue scale (VAS), active contra lateral flexion (ACLF), cranio-vertebral angle (CVA), and neck disability index (NDI). Data analysis was done through SPSS version-27. Results: The mean age of 34.3±6.57 years. The positional release therapy post-intervention results showed more significant improvement (p≤0.05) in all outcomes PPT, VAS, ACLF, CVA, and NDI between the groups with large effect size. Conclusion: Positional release therapy (PRT) is superior to conventional therapy in decreasing pain intensity and threshold with disability in patients of upper trapezius trigger points Keywords: cranio-vertebral angle; forward head posture; neck disability index; pain pressure threshold; positional release therapy; trigger points; upper trapezius; visual analogue scale.
体位释放技术对前倾头位电脑使用者斜方肌上部肌筋膜触发点的影响
背景:头部前倾与上斜方肌筋膜触发点有关,可引起手臂疼痛、活动范围受限和牵涉性疼痛。体位释放技术可能侧重于评估这种手法治疗方法的疗效。目的:探讨体位释放技术对头前位斜方肌上部肌筋膜触发点的影响。方法:于2021年2月至2021年6月在巴基斯坦瓦济拉巴德THQ医院理疗部进行随机对照试验研究,样本n=32名男性参与者。参与者在基线时疼痛强度在视觉模拟量表上至少为3分,在斜方肌上至少有一个活跃的TrP,使用Travel和Simon描述的方法诊断,年龄在18到45岁之间,每天至少花6小时保持坐姿。所有受试者被随机平均分配到体位释放疗法(PRT)组和常规物理疗法组。共12次治疗,每周3天,连续4周。数据是在基线和第12次会议之后收集的。触发点敏感性的结局指标为痛压阈值(PPT)、视觉模拟评分(VAS)、主动对侧屈曲(ACLF)、颅椎角(CVA)和颈部残疾指数(NDI)。数据分析采用SPSS version-27进行。结果:平均年龄34.3±6.57岁。体位释放治疗干预后各项指标PPT、VAS、ACLF、CVA、NDI在效应量大组间均有显著改善(p≤0.05)。结论:体位释放疗法(PRT)在降低斜方肌上部触发点患者疼痛强度和阈值失能方面优于常规疗法;关键词:颅椎角;头向前;颈部残疾指数;痛压阈值;体位释放疗法;触发点;上斜方肌;视觉模拟量表。
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