title: Muscular load to the therapist's shoulder during three alternative techniques for trigger point therapy.
abstract: OBJECTIVE
  To compare the muscular load (level of muscle activity) to the shoulder during alternative approaches to trigger point therapy (TPT).
  
  
  METHODS
  Massage therapy students (n=7) applied a predetermined level of force to an artificial contact surface. Changes in five pairs of superficial shoulder muscles (indicated by surface electromyography) were recorded while the student performed the single-arm technique (SAT), the double-arm technique (DAT) and the treatment-tool technique (TTT) using TriggerMate, a new treatment tool.
  
  
  RESULTS
  For the contact arm, muscle activity was significantly decreased using the TTT compared to the SAT (p<0.05) but was not significantly different between the TTT and DAT. For the non-contact arm, none of the test techniques led to significant differences in muscle activity.
  
  
  CONCLUSIONS
  While there is evidence that the TTT decreases the muscular load to the shoulder of the contact arm, there is no indication of where this load is redistributed.
authors.affiliation: School of Health Sciences, Division of Health Sciences, University of South Australia, North Terrace, Adelaide 5000, South Australia. Emily.Smith6@hotmail.com
authors.forename: Emily Kristen
authors.initials: EK
authors.lastname: Smith
authors.forename: Mary
authors.initials: M
authors.lastname: Magarey
authors.forename: Steve
authors.initials: S
authors.lastname: Argue
authors.forename: Shapour
authors.initials: S
authors.lastname: Jaberzadeh