Pathan Nawaj Mehtab, Thakur Snehal, Kadam Kajal, Lohade Sayali, Chandak Neelam
Head of the Department of Neurophysiotherapy, MGM School of Physiotherapy, Aurangabad, Maharashtra, India.
Assistant Professor in Department of Community Physiotherapy, MGM School of Physiotherapy, Aurangabad, Maharashtra, India.
J Family Med Prim Care. 2021 Aug;10(8):2839-2844. doi: 10.4103/jfmpc.jfmpc_1608_20. Epub 2021 Aug 27.
BACKGROUND/OBJECTIVE: The intent of the current study was to compare the immediate effects of positional release therapy (PRT) and manual trigger point release (MTpR) on neck range of motion and pain in upper trapezitis.
Sixty participants with upper trapezius myofascial trigger points (MTrPs)' participated in this study. Subjects were randomly classified into two groups (30 in each group): the subjects in Group A received PRT in a shortened position while those in Group B received MTpR in the neutral position for the upper trapezius muscle. They received four therapy sessions every day for four days. The pain intensity and range of motion were measured using the Numerical Pain Rating Scale (NPRS) and cervical range of motion (CROM), respectively, before treatment sessions and repeated immediately after the first and fourth treatment sessions in each group till the last day of their interventions.
Paired and unpaired t-Test was used for the data analysis. Pre- and postinterventional effects measured on each day and between groups, revealed that CROM and NPRS values were significantly improved in (MTpR) group (CROM, and NPRS < 0.05).
Both groups (PRT and MTpR) showed an increase in range of motion on CROM and a decrease in pain intensity on the NPRS during four sessions of therapy, but MTpR showed to be more effectual in these participants.
背景/目的:本研究旨在比较位置释放疗法(PRT)和手动触发点释放(MTpR)对上斜方肌炎患者颈部活动范围和疼痛的即时影响。
60名患有上斜方肌肌筋膜触发点(MTrPs)的参与者参与了本研究。受试者被随机分为两组(每组30人):A组受试者在缩短位置接受PRT,而B组受试者在上斜方肌的中立位置接受MTpR。他们连续四天每天接受四次治疗。在治疗前以及每组第一次和第四次治疗后立即重复测量疼痛强度和活动范围,分别使用数字疼痛评分量表(NPRS)和颈椎活动范围(CROM),直至干预的最后一天。
采用配对和非配对t检验进行数据分析。在每天以及组间测量的干预前后效果显示,(MTpR)组的CROM和NPRS值有显著改善(CROM,P<0.05;NPRS,P<0.05)。
在四个疗程的治疗中,两组(PRT和MTpR)均显示CROM活动范围增加,NPRS疼痛强度降低,但MTpR对这些参与者显示出更有效的效果。