Back to Search
Start Over
Immediate Effects of Dry Needing or Manual Pressure Release of Upper Trapezius Trigger Points on Muscle Activity During the Craniocervical Flexion Test in People with Chronic Neck Pain: A Randomized Clinical Trial.
- Source :
- Pain Medicine; Oct2022, Vol. 23 Issue 10, p1717-1725, 9p
- Publication Year :
- 2022
-
Abstract
- Objective To compare the effects of dry needling or manual pressure release on an active trigger point in the upper trapezius on craniocervical flexion test performance, pressure pain thresholds, and cervical range of motion in chronic neck pain. Design A parallel randomized clinical trial. Setting Physical therapy service. Subjects Individuals with chronic neck pain. Methods Subjects were randomized to receive dry needling (n = 25) or manual trigger point pressure release (n = 25) on upper trapezius active trigger points. Surface electromyography from the upper trapezius, splenius capitis, sternocleidomastoid, and scalene muscles during performance of the craniocervical flexion test was assessed before and immediately after the intervention as the primary outcome. Neck pain intensity, range of motion, and pressure pain thresholds were the secondary outcomes. Results A decrease in sternocleidomastoid activity at all stages of the craniocervical flexion test (time effect, P < 0.001) was found in both groups after the interventions, with no significant between-group difference. Pressure pain thresholds measured over the cervical spine and second metacarpal increased after dry needling when compared with manual trigger point pressure release (P < 0.05). Pain intensity decreased immediately after both treatments with moderate to large effect sizes, whereas cervical range of motion increased for both groups but with small effect sizes. Conclusion A single session of dry needling or manual pressure release over upper trapezius active trigger points promotes limited effects on muscle performance during the craniocervical flexion test, pressure pain thresholds, and cervical range of motion in patients with chronic neck pain. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC pain treatment
NECK pain treatment
RANGE of motion of joints
PAIN measurement
EFFECT sizes (Statistics)
TRAPEZIUS muscle
METACARPUS
PAIN threshold
TREATMENT effectiveness
RANDOMIZED controlled trials
COMPARATIVE studies
MANIPULATION therapy
DESCRIPTIVE statistics
CRANIOVERTEBRAL junction
STATISTICAL sampling
ELECTROMYOGRAPHY
MYOFASCIAL pain syndrome treatment
PAIN management
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 15262375
- Volume :
- 23
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Pain Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 159573275
- Full Text :
- https://doi.org/10.1093/pm/pnac034