Document Detail

Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points.
MedLine Citation:
PMID:  11002435     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: Myofascial trigger points (TPs) are found among patients who have neck and upper back pain. The purpose of this study was to determine the effectiveness of a home program of ischemic pressure followed by sustained stretching for the treatment of myofascial TPs. SUBJECTS: Forty adults (17 male, 23 female), aged 23 to 58 years (mean=30.6, SD=9.3), with one or more TPs in the neck or upper back participated in this study. METHODS: Subjects were randomly divided into 2 groups receiving a 5-day home program of either ischemic pressure followed by general sustained stretching of the neck and upper back musculature or a control treatment of active range of motion. Measurements were obtained before the subjects received the home program instruction and on the third day after they discontinued treatment. Trigger point sensitivity was measured with a pressure algometer as pressure pain threshold (PPT). Average pain intensity for a 24-hour period was scored on a visual analog scale (VAS). Subjects also reported the percentage of time in pain over a 24-hour period. A multivariate analysis of covariance, with the pretests as the covariates, was performed and followed by 3 analyses of covariance, 1 for each variable. RESULTS Differences were found between the treatment and control groups for VAS scores and PPT. No difference was found between the groups for percentage of time in pain. CONCLUSION AND DISCUSSION: A home program, consisting of ischemic pressure and sustained stretching, was shown to be effective in reducing TP sensitivity and pain intensity in individuals with neck and upper back pain. The results of this study indicate that clinicians can treat myofascial TPs through monitoring of a home program of ischemic pressure and stretching.
W P Hanten; S L Olson; N L Butts; A L Nowicki
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Physical therapy     Volume:  80     ISSN:  0031-9023     ISO Abbreviation:  Phys Ther     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-11-09     Completed Date:  2000-11-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  997-1003     Citation Subset:  AIM; IM    
School of Physical Therapy, Texas Woman's University, 1130 MD Anderson Blvd, Houston, TX 77030, USA.
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MeSH Terms
Analysis of Variance
Back Pain / physiopathology,  therapy
Home Care Services
Middle Aged
Myofascial Pain Syndromes / physiopathology,  therapy*
Neck Pain / physiopathology,  therapy
Pain Measurement / methods
Physical Therapy Modalities
Sensory Thresholds*
Treatment Outcome
Comment In:
Phys Ther. 2001 Apr;81(4):1059-60   [PMID:  11276187 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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