Physiotherapy

Biography

Biography: Sidra Manzoor

Abstract

Objective: To determine the short-medium term effectiveness of Ischemic Compression and Passive Stretching for the treatment of Myofascial trigger point in the Upper Trapezius muscle.

Methods: fifty eight volunteers, all women jail survivor, participated in this study .Subjects did vocational work on daily basis. Subjects were healthy individuals, diagnosed with active Myofascial trigger point in the upper trapezius muscle following palpation criteria given by Travell & Simons. Subjects were randomly placed into Two groups: G1, which received Ischemic compression treatment for Myofascial trigger point; G2, which received Passive Stretching treatment for Myofascial trigger point .Treatment is given in one session to both groups. The following data was recorded three times; baseline data, after five minute of intervention and after one week of intervention: active range of motion of cervical measured with Goniometer, pressure tolerance of Myofascial trigger point measured with Visual analogue scale  and ADLs limitation was measured by using Neck Disability index.

Results:

Both IC and Passive Stretching are effective but IC is more effective than passive stretching in short term and passive stretching is comparatively more effective in medium term to decrease pain, to increase neck ROM, to decrease the problems limiting normal ADLs e.g. pain intensity and percentage disability as well as enhancing the concentration, lifting and reading abilities according to NDI scale.

Conclusion:

Both IC and Passive Stretching are effective for treatment of Myofascial trigger point but IC is more effective for immediate decrease in pain, increase in ROM and improved ADL’s and Passive Stretching have significant progressive effect.

Key Indexing Terms: Myofascial pain syndrome, Myofascial trigger points, Ischemic Compression, Passive stretching.