Effects of Neuromuscular Reeducation with Ischemic Compression on Myofascial Trigger Points in Patients with Neck Pain- a Randomized Controlled Trial
Kinza Anwar, Hafsah Arshad, Saeeda Taj, Maria Khalid, Abdul Ghafoor Sajjad, Robina Malik
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ABSTRACT
Aim: To determine the effects
of neuromuscular
Reeducation technique along with ischemic compression on upper trapezius
myofascial trigger points regarding pain and lateral cervical ROM.
Methodology: A randomized
controlled trial was conducted.50 patients (25 in each group; aged 32.00 ±7.12
years), diagnosed with neck pain having upper trapezius myofascial trigger
points and reduced lateral cervical range of motion were included. Patients
were randomized into ischemic compression group (A) and Neuromuscular Reeducation
group (B). Both groups were associated with conventional physiotherapy, which
continued for two weeks. Outcomes were measured by using a Goniometer for
lateral cervical ROM and pain intensity by using NPRS, assessed at baseline and
on 8th post-intervention.
Results: 49 participants were
analyzed due to a lost in follow-up of one subject from Control Group-A.
Intragroup comparison of pre to post value for cervical ROM and NPRS showed a
significant (p value=.000) for both groups. Intergroup
comparison of baseline to end value for cervical ROM was significantly improved
on post-intervention along with significantly
improved NPRS
Conclusion: This study concluded
that
Neuromuscular Reeducation along ischemic
compression approach for MTRPs has proven to be more effective to improve
cervical range of motion and reducing pain.
Keywords: Myofascial trigger points, Ischemic
Compression,
Neuromuscular reeducation, Upper Trapezius, Neck pain.