Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1399
10
1
gregorian
2021
1
1
35
1
online
1
fulltext
en
Comparison of the effects of instrument assisted soft tissue mobilization and dry needling on active myofascial trigger points of upper trapezius muscle
Physiotherapy
Physiotherapy
Original Research
Original Research
<strong>Background: </strong>Myofascial pain syndrome is one of the most common complaints in patients referring to orthopedic treatment centers. The present study aimed to examine the effects of instrument-assisted soft tissue mobilization (IASTM) and dry needling (DN) on active myofascial trigger points (AMTrP) of the upper trapezius muscle (UTM).<br>
<strong>Methods:</strong> The current study was designed as a randomized clinical trial and a total of 81 patients, aged 18-40 years, with active myofascial trigger points in the upper trapezius muscle were randomly divided into 3 groups: group 1 (n = 30) received DN treatment, group 2 (n = 26) received IASTM treatment, and group 3 (n = 25) was considered as the control group (no intervention). The numeric pain scale (NPS), pain pressure threshold (PPT), active cervical contra-lateral flexion (ACLF), neck disability index (NDI), and muscle thickness (MT), according to rehabilitative ultrasonic imaging (RUSI), were measured at baseline, immediately after the last session (session 4 in week 2), and 1 month after the last session. The statistical analysis was conducted at a 95% confidence level. The P values less than .05 were considered as statistically significant.<br>
<strong>Results: </strong>Both techniques were effective in treating active trigger point of the upper trapezius (p<0.05), but there was no significant difference between the treatment groups in terms of any of the above variables except for ACLF (p>0.05)<br>
<strong>Conclusion:</strong> Both IASTM and DN were determined to improve NPS, PPT, ROM, and NDI in participants with active trigger points in the upper trapezius, although IASTM was more effective in increasing ACLF in these patients.
Instrument Assisted Soft Tissue Mobilization Technique, Dry Needling, Active Myofascial Trigger Points, Trapezius Muscle, Myofascial Pain Syndrome
448
456
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-5926-1&slc_lang=en&sid=1
Zeinab
Ahmadpour Emshi
zeinab.ahmadpour1372@gmail.com
200319475328460063258
200319475328460063258
No
Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Farshad
Okhovatian
farshadokhovatian1965@gmail.com
200319475328460063259
200319475328460063259
Yes
Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Marzieh
Mohammadi kojidi
Marzieh68mohammadi@gmail.com
200319475328460063260
200319475328460063260
No
Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Alireza
Akbarzadeh Baghban
akbarzad@gmail.com
200319475328460063261
200319475328460063261
No
Proteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hadi
Azimi
azimi.hz@gmail.com
200319475328460063262
200319475328460063262
No
Department of English Language Teaching, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran