Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius
The aim of the study was to evaluate the combined effects of dry needling and strain counter strain in myofascial trigger points of upper trapezius. A randomized control trial was conducted in physiotherapy department of Mayo Hospital, Lahore, Pakistan between July and September 2020. Patients had...
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Universidade Estadual de Maringá
2025-03-01
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| Series: | Acta Scientiarum. Health Sciences |
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| Online Access: | https://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/66887 |
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| author | Aqsa Aroob Maryam Shabbir Naveed Arshad Maria Mustafa Ahsan Ilyas Sarah Mumtaz Muhammad Bilal Hanif |
| author_facet | Aqsa Aroob Maryam Shabbir Naveed Arshad Maria Mustafa Ahsan Ilyas Sarah Mumtaz Muhammad Bilal Hanif |
| author_sort | Aqsa Aroob |
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The aim of the study was to evaluate the combined effects of dry needling and strain counter strain in myofascial trigger points of upper trapezius. A randomized control trial was conducted in physiotherapy department of Mayo Hospital, Lahore, Pakistan between July and September 2020. Patients had rigid band, local tenderness, referred pain, localized twitch response and jump sign, both gender male and female, age 20-40 years, the presence of active symptomatic trigger points in upper trapezius, pain presented in the cervical and occipital region were included. Total 28 patients which had been divided into two groups by randomization (study group & control group). Interventions/data collection tools; conventional physiotherapy in study group-A (n = 14) and strain counter strain only with baseline treatment in control group-B (n = 14). Patients were treated in the span of 8 weeks (2 treatment sessions/0-2 week then 1 treatment session/2-4 week and baseline treatment session/4-8 week). The data was collected using VAS, goniometer and neck disability index questionnaire. The mean age of 25.65 ± 4.05 years in group-A and 20.55 ± 3.25 in group-B. At the end of treatment, the mean pain score was 1.07 ± 0.27 for study group and 1.86 ± 3.63 for control group (p ≤ 0.05). The mean of neck disability index score was 1.79 ± 0.58 for study group and 2.64 ± 0.50 for control group (p ≤ 0.05). The mean of cervical right lateral flexion was 35.93 ± 3.81 for study group and 30.79 ± 3.24 for control group (p ≤ 0.05). The study concluded that combined technique of dry needling and strain counter strain is effective in trigger point’s reduction, pain improvement and also improved ranges of motion.
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| format | Article |
| id | doaj-art-ecef0a1cbed24a2f99c4a39ce253e9ab |
| institution | OA Journals |
| issn | 1679-9291 1807-8648 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Universidade Estadual de Maringá |
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| series | Acta Scientiarum. Health Sciences |
| spelling | doaj-art-ecef0a1cbed24a2f99c4a39ce253e9ab2025-08-20T02:10:20ZengUniversidade Estadual de MaringáActa Scientiarum. Health Sciences1679-92911807-86482025-03-0147110.4025/actascihealthsci.v47i1.66887Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapeziusAqsa Aroob0Maryam Shabbir1Naveed Arshad2Maria Mustafa3Ahsan Ilyas4Sarah Mumtaz5Muhammad Bilal Hanif6Shahida Islam Medical and Dental CollegeUniversity of LahoreIslamabad Medical and Dental CollegeUniversity Management & TechnologyAvicenna Medical College and HospitalAvicenna Medical College and HospitalAvicenna Medical College and Hospital The aim of the study was to evaluate the combined effects of dry needling and strain counter strain in myofascial trigger points of upper trapezius. A randomized control trial was conducted in physiotherapy department of Mayo Hospital, Lahore, Pakistan between July and September 2020. Patients had rigid band, local tenderness, referred pain, localized twitch response and jump sign, both gender male and female, age 20-40 years, the presence of active symptomatic trigger points in upper trapezius, pain presented in the cervical and occipital region were included. Total 28 patients which had been divided into two groups by randomization (study group & control group). Interventions/data collection tools; conventional physiotherapy in study group-A (n = 14) and strain counter strain only with baseline treatment in control group-B (n = 14). Patients were treated in the span of 8 weeks (2 treatment sessions/0-2 week then 1 treatment session/2-4 week and baseline treatment session/4-8 week). The data was collected using VAS, goniometer and neck disability index questionnaire. The mean age of 25.65 ± 4.05 years in group-A and 20.55 ± 3.25 in group-B. At the end of treatment, the mean pain score was 1.07 ± 0.27 for study group and 1.86 ± 3.63 for control group (p ≤ 0.05). The mean of neck disability index score was 1.79 ± 0.58 for study group and 2.64 ± 0.50 for control group (p ≤ 0.05). The mean of cervical right lateral flexion was 35.93 ± 3.81 for study group and 30.79 ± 3.24 for control group (p ≤ 0.05). The study concluded that combined technique of dry needling and strain counter strain is effective in trigger point’s reduction, pain improvement and also improved ranges of motion. https://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/66887Dry needling; strain counter strain; trigger points; trapezius; visual analogue scale. |
| spellingShingle | Aqsa Aroob Maryam Shabbir Naveed Arshad Maria Mustafa Ahsan Ilyas Sarah Mumtaz Muhammad Bilal Hanif Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius Acta Scientiarum. Health Sciences Dry needling; strain counter strain; trigger points; trapezius; visual analogue scale. |
| title | Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius |
| title_full | Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius |
| title_fullStr | Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius |
| title_full_unstemmed | Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius |
| title_short | Combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius |
| title_sort | combined effects of dry needling and strain counter strain technique in myofascial trigger points of upper trapezius |
| topic | Dry needling; strain counter strain; trigger points; trapezius; visual analogue scale. |
| url | https://periodicos.uem.br/ojs/index.php/ActaSciHealthSci/article/view/66887 |
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