title: Myofascial triggerpoint release (MTR) for treating chronic shoulder pain: A novel approach.
abstract: BACKGROUND
  This study comprehensively evaluated a myofascial triggerpoint release (MTR) technique for shoulder pain.
  
  
  METHODS
  Twenty-three (from an initial sample of 25) patients experiencing shoulder pain received MTR, in four 10-min sessions over a period of 2 weeks, applied exclusively on the more painful shoulder, with assessments being recorded both before and after treatment (and for pain at 1 and 13 months). Measures of stiffness and elasticity were collected to monitor the process of therapy, while subjective measures of pain and objective measures of pressure pain thresholds tracked primary outcomes. Secondary outcomes focused on suffering, stress, and quality of life.
  
  
  RESULTS
  A statistically significant decrease in stiffness and increase in elasticity was observed post intervention for the treated side only, while pressure pain thresholds improved on the untreated side as well. Reports of pain significantly decreased after treatment, with gains being maintained at 1 and 13 months following treatment. Levels of suffering, stress, and quality of life revealed statistically significant improvement as well.
  
  
  CONCLUSIONS
  MTR resulted in clinically significant improvements in the primary measures of pain, objective mechanical tissue properties, and secondary measures in patients with chronic shoulder pain.
authors.affiliation: Center für Integrative Therapie, Ahorn Str 31, 70597 Stuttgart, Germany; Fascia Research Group, Division of Neurophysiology, University of Ulm, Albert-Einstein-Allee 11, Ulm, Germany. Electronic address: christopher.gordon@fasciaresearch.de.
authors.forename: Christopher-Marc
authors.initials: CM
authors.lastname: Gordon
authors.affiliation: Department of Psychology, University of Memphis, Memphis, TN, USA.
authors.forename: Frank
authors.initials: F
authors.lastname: Andrasik
authors.affiliation: Fascia Research Group, Division of Neurophysiology, University of Ulm, Albert-Einstein-Allee 11, Ulm, Germany.
authors.forename: Robert
authors.initials: R
authors.lastname: Schleip
authors.affiliation: Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Germany; Ospedale San Camillo, Istituto di Ricovero e Cura a Carattere Scientifico, Venezia-Lido, Italy.
authors.forename: Niels
authors.initials: N
authors.lastname: Birbaumer
authors.affiliation: Department of General Psychiatry, University of Tübingen, Tübingen, Germany.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Rea
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D009209:Myofascial Pain Syndromes / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D010147:Pain Measurement; D017288:Pain Threshold; D026741:Physical Therapy Modalities; D011788:Quality of Life; D020069:Shoulder Pain / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D013315:Stress, Psychological / Q000523:psychology
keywords: Algometer; Chronic shoulder pain; Myofascial triggerpoint release; Myometer; Quality of life; Stress