Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Case Report
Authors: Montañez-Aguilera, F. Javiera; * | Valtueña-Gimeno, Noemía | Pecos-Martín, Danielb | Arnau-Masanet, Rosanac | Barrios-Pitarque, Carlosd | Bosch-Morell, Franciscoe
Affiliations: [a] Department of Physical Therapy, Universidad CEU-Cardenal Herrera, Valencia, Spain | [b] Department of Physical Therapy, Universidad de Alcalá de Henares, Madrid, Spain | [c] Hospital Clínico Universitario, Valencia, Spain | [d] Department of Surgery, Universidad de Valencia, Spain | [e] Department of Physiology, Farmacology and Toxicology, Universidad CEU-Cardenal Herrera, Valencia, Spain
Correspondence: [*] Address for correspondence: F. Javier Montañez Aguilera, Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera. Edificio Seminario s/n, 46113 Moncada (Valencia), Spain. Tel.: +34 96 136 90 00 (ext 1371); Fax: +34 96 139 52 72; E-mail: francisco.monta@uch.ceu.es
Abstract: Objective:To describe the immediate effects of ischemic compression (IC) as a trigger point therapy in a case of a patient with neck pain. The application of IC is a safe and effective method to successfully treat elicited myofascial trigger points. The purpose of this method is to deliberate the blockage of blood in a trigger point area in order to increase local blood flow. This washes away waste products, supplies necessary oxygen and helps the affected tissue to heal. In this case study, we treated a 27-year-old female patient with a medical report of neck pain for at least four months. The physical examination revealed a neck pain and stiffness at the left side and pain increases when moving the neck. An active myofascial trigger point was found in the left trapezius muscle. The following data were recorded: active range of motion of cervical rachis measured with a cervical range of motion instrument, basal electrical activity of the left trapezius measured with electromyography, and pressure tolerance of the myofascial trigger point measured with visual analogue scale, assessing local pain evoked by the application of 2.5 kg/cm2 pressure with an analogue algometer. Results:Immediately after application of the IC, all measured parameters improved compared to base line. The application of IC has been shown effective in the treatment of myofascial trigger points in a patient with neck pain. The results show a relation between active range of motion of cervical rachis, basal electrical activity of the trapezius muscle and myofascial trigger point sensitivity. Conclusions:In this case of a patient with neck pain, active range of motion of cervical rachis, basal electrical activity of the trapezius muscle and myofascial trigger point sensitivity gaining short-term positive effects with the application of one single ischemic compression session. Nevertheless, randomized controlled double-blinded studies should be conducted in future to examine the effectiveness of this ischemic compression technique in case of the presence of myofascial trigger points in the neck.
Keywords: Myofascial pain syndrome, myofascial trigger points, algometry, ischemic compression
DOI: 10.3233/BMR-2010-0255
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 23, no. 2, pp. 101-104, 2010
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
sales@iospress.com
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
info@iospress.nl
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info@iospress.nl
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
china@iospress.cn
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
如果您在出版方面需要帮助或有任何建, 件至: editorial@iospress.nl