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A Comparative Study Between Muscle Energy Technique and Myofascial Release Therapy on Myofascial Trigger Points in Upper Fibres of Trapezius

2012; Institute of Medico-legal Publications Private Limited; Volume: 6; Issue: 3 Linguagem: Inglês

0973-5666

Jay Sata,

Shoulder Injury and Treatment

Background: Neck Pain is very commonly shown by most people to be in region of back of neck and between bases of neck to shoulder, primarily indicating upper region of 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 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 myofacial system. Myofascial release which eliminates fascia's excessive pressure on pain sensitive structure and restores proper alignment. Hence this technique is proposed to act as a catalyst in 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 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 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 muscle energy techniques on myofascial trigger points of upper fibres of trapezius.