title: Effect of cervical mobilization and ischemic compression therapy on contralateral cervical side flexion and pressure pain threshold in latent upper trapezius trigger points.
abstract: Studies have shown a clinical relationship between trigger points and joint impairments. However the cause-and effect relationship between muscle and joint dysfunctions in trigger points could not be established. The purpose of this study was to investigate effects of mobilization and ischemic compression therapy on cervical range of motion and pressure pain sensitivity in participants with latent trigger point in the upper trapezius muscle. Ninety asymptomatic participants with upper trapezius latent trigger point were randomized in to 3 groups: mobilization, ischemic compression and a control. The outcomes were measured over a 2 week period. Repeated measures ANOVA showed statistically and clinically significant pre to post improvement in both the interventional groups compared to control (p < 0.05). However the effect sizes between the intervention groups were small (<0.3) revealing minimal clinical detectable difference.
authors.affiliation: Department of Physiotherapy, SVNIRTAR, Odisha, India. Electronic address: shankarpt@rediffmail.com.
authors.forename: G Shankar
authors.initials: GS
authors.lastname: Ganesh
authors.affiliation: KRV Healthcare and Physiotherapy, Faridabad, Haryana, India. Electronic address: harsh.healing.hands@gmail.com.
authors.forename: Harshita
authors.initials: H
authors.lastname: Singh
authors.affiliation: Department of Physiotherapy, SVNIRTAR, Odisha, India. Electronic address: shagufamushtaq07@gmail.com.
authors.forename: Shagoofa
authors.initials: S
authors.lastname: Mushtaq
authors.affiliation: Department of Physiotherapy, SVNIRTAR, Odisha, India. Electronic address: ppmphysio@rediffmail.com.
authors.forename: Patitapaban
authors.initials: P
authors.lastname: Mohanty
authors.affiliation: Department of Physiotherapy, SVNIRTAR, Odisha, India. Electronic address: mailto.monalisapattnaik@rediffmail.com.
authors.forename: Monalisa
authors.initials: M
authors.lastname: Pattnaik
mesh_terms: D002574:Cervical Vertebrae / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D026201:Musculoskeletal Manipulations / Q000379:methods*; D009209:Myofascial Pain Syndromes / Q000503:physiopathology; D009333:Neck / Q000503:physiopathology*; D017288:Pain Threshold; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology*; D064171:Superficial Back Muscles / Q000503:physiopathology*; D055815:Young Adult
keywords: Myofascial pain syndromes; Pain threshold; Range of motion; Spinal manipulation; Trigger points