Comparison of the efficacy of myofascial release therapy and static stretching on pain and cervical lateral flexion ROM in trapezius spasm patients

  • Aparna Sarkar Amity Institute of Physiotherapy, Amity University Campus, K-Block, Sector-44, Noida
  • Shipra Bhatia Amity Institute of Physiotherapy, Amity University Campus, K-Block, Sector-44, Noida
  • Nitesh Bansal Amity Institute of Physiotherapy, Amity University Campus, K-Block, Sector-44, Noida
  • Soumya Saggar Amity Institute of Physiotherapy, Amity University Campus, K-Block, Sector-44, Noida
Keywords: Myofascial release, Static stretching, Trapezius

Abstract

Background: Neck pain is very commonly shown by most people to be in the region of the back of the neck and between the bases of the neck to the shoulder, primarily indicating the region of the trapezius muscle. The aim of the study was to compare the efficacy of myofascial release therapy and static stretching on trapezius muscle spasms.
Methods: 30 subjects (15 in each group) at the age group of 30-60 years were selected for two groups by random selection. Group A received MFR therapy for 15 minutes followed by thermotherapy for 20 minutes and Group B received static stretching of trapezius by side flexing the neck to the contralateral side of spasm, with each stretch lasting for 10 seconds was done for 10 minutes then thermotherapy was given for 20 minutes. Each patient was given a Visual Analog Scale (VAS) to rate the perceived pain from 0 to 10 and the range of motion of cervical lateral flexion was taken with the help of a universal goniometer. The follow up of each subject was taken and the pain (VAS) and range of motion of the trapezius muscle were measured after 5 days of treatment. The two groups were then compared to determine which of the two methods of treatment of trapezius spasm was more efficient in relieving pain and increasing range of motion of lateral flexion. Students t-test was used as statistical test for data analysis.
Results and Discussion: Intergroup and intra group analysis was done. There was a significant decrease in pain and increase in cervical lateral flexion in the intergroup analysis with a significant difference.
Conclusion: We conclude from this study that there was a significant decrease in pain and increase in cervical lateral flexion in the intergroup analysis. Myofascial release therapy showed better results in decreasing pain and increasing the range of motion for cervical lateral flexion.

References

Ana Claudia Violino Cunha, Thomaz Nogueira Burke, Fabio Jorge Renovato Franca and Amelia Pasqual Marques. 2008. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: A randomized clinical trial. Clinics, 63(6): 763-770.

Bendtsen L, Jensen R and Olesen J. 1996. Qualitative altered nociception in chronic myofascial pain. Pain, 65(2-3): 259-264.

Bronfort G, Haas M, Evans RL and Bouter LM. 2004. Efficacy of spinal manipulation mobilization for low back pain and neck pain. Department of research, Wolfe-Harris center for clinical studies, Northwestern health sciences University, 2501 4(3): 335-356.

Carol J. Manheim. 2008. The Myofascial release manual. Slack Incorporate, 4th ed. 325 P.

Chuen-Ru H, Li-Chen Tsai, Kuang-Feng Cheng, Kao-Chi Chung and Chang-Zern Hong. 2002. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of physical medicine and rehabilitation, 83(10): 1406-1414.

Copper BC, Alleva M, Copper DL and Lucente FE. 1986. Prevalence of myofascial pain dysfunction: analysis of 476 patients. Laryngoscope, 96: 1099-1106.

Cynthia C. Norkin and Joyce D. White. 2009. Measurement of Joint Motion: a guide to goniometry by Daniells. Part 4- testing of the spine and TMJ. Chapter 10 – The cervical spine, 192-193 P.

F Javier Montañez Aguilera, Daniel Pecos Martín, Rosana Arnau Masanet, Ana Camps Botella, Lorena Borja Soler and Francisco Bosch Morell. 2009. Immediate effect of ultrasound and ischaemic compression techniques for the treatment of trapezius myofascial trigger points in Healthy Subjects: A Randomized Controlled Study. Journal of Manipulative and Physiological Therapeutics, 32(7):515-520.

Howard V and Barry KH. 2008. Chronic mechanical neck pain in adults treated by manual therapy: A systematic review of change scores in randomized controlled trials of a single session. Journal of Manual and Manipulative Therapy, 16(2): E42-E52.

Howard V and Michael S. 2009. Chiropractic management of myofascial trigger points and myofascial pain syndrome. Journal of Manipulative and Physiological Therapeutics, 32(1): 14-24.

Janet G. Travell and David G. Simons. 1998. Myofascial pain and dysfunction The Trigger Point Manual. LWW 2nd ed. 1056 P.

Luke DR. 2006. The effectiveness of non-invasive treatments for active myofascial trigger point pain: A systematic review of the literature. International Journal of Osteopathic Medicine, 9(4): 120-136.

Warner Hammer. 2007. Functional soft tissue examination and treatment by manual methods. Jones and Bartlett Learning; 3rd ed. 775 P.
Published
2019-11-22
How to Cite
Sarkar, A., Bhatia, S., Bansal, N., & Saggar, S. (2019). Comparison of the efficacy of myofascial release therapy and static stretching on pain and cervical lateral flexion ROM in trapezius spasm patients. Journal of Research in Biology, 9(8), 2762-2768. Retrieved from https://ojs.jresearchbiology.com/ojs1/index.php/jrb/article/view/505