The Effectiveness of Manual versus Algometer Pressure Release Techniques for Treating Active Myofascial Trigger Points of the Upper Trapezius

Publication date: Available online 21 February 2016
Source:Journal of Bodywork and Movement Therapies
Author(s): Walaa Abu-Taleb, Aliaa Rehan Youssef, Amir Saleh
Manual pressure release (MPR) is a popular treatment of trigger points. Yet, treatment response may be influenced by inconsistent application of pressure. Further, it may contribute to increased risk of work-related musculoskeletal disorders of the wrist and hand in therapists. Therefore, this study aimed at introducing a novel method to apply pressure using the algometer and to compare its effectiveness to MPR. Forty-five volunteers with active trigger points of the upper trapezius received algometer pressure release (APR), MPR, or sham ultrasound (US). Pain pressure threshold (PPT) and contralateral active and passive neck side-bending ranges were assessed at baseline and immediately after a single session. Results showed no significant differences in post-treatment PPT between the study groups (p>0.05). The APR group showed a significant increase in passive side-bending range compared with the two other groups, whereas active range improved in the APR compared with the US group (p<0.05). Our results show that using APR to apply pressure release to upper trapezius trigger points is more effective compared with manual release and sham US.



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