“Immediate Effect of Dry Needling Vs Percussor in the Treatment of Trigger Point in Trapezius Muscle”
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Objectives: 1) 1) To investigate the immediate impact of dry needling on pain at the location of the trapezius muscle trigger point. 2) To examine the immediate impact of the Percussor on pain at the location of the trapezius muscle's trigger point. 3) To contrast the immediate effects of Percussor and Dry Needling on pain at the location of the trapezius muscle's trigger point.
Methods: Using a chit approach and simple random sample, patients with myofascial trigger points in the trapezius muscle were divided into two groups, A and B. Twenty patients in GROUP A received dry needling treatments, and twenty patients in GROUP B received percussor treatments. The individuals were evaluated before and after treatment in ultrasonography, where measurements of the active trigger point's size and muscle width were taken. Both groups got therapy for 10 minutes. Prior to treatment, patients received a vitamin C tablet (Celin 500mg). Both the Pressure Algometer and the NPRS were used to evaluate pain.
Result: In both groups, the local effects of the needling caused the size of the trigger point, which showed up as a hypoechoic area on Ultra Sonography, and muscle width to grow right away after treatment. Clinically, individuals in the Percussor Group reported feeling heavy right after treatment, but those in the Dry Needling Group reported feeling better overall. Pain immediately diminishes, as indicated by the pressure algometer.
Conclusion: Both dry needling and percussor are effective at reducing pain, according to statistics, but percussor performs worse clinically in terms of pain depletion and increasing functional independence.
Dimitrios K. and Konstantine R, The Manual of trigger point and Myofascial Therapy slack incorporate, 1st edition, 2001.
Joanne Borg- Stein, MD, David G.Siomns, MD, Myofascial pain, Arch Phys Med Rehabil 2002; 83 (1) 40-45.
Elizabeth Demers Lavelle, MD, William Lavelle, MD, Howard S Smith , MD,FACP Myofascial trigger points 2007; 841-851.
Chu J. Dry needling (intramuscular stimulation) in Myofascial pain relief; Effect of acupuncture and other dry needling methods. Electromyogclin Neurophysiology 2002; 42: 307-311.
Dommerholt J. Dry needling in orthopedic physical therapy practice. OrthoPhysTherPract 2004; 16(3): 15-20.
Fischer AA. Treatment of Myofascial pain. Musculoskeletal pain 1997; 7(1-2): 13-1-142
Simons Cerciello, Silvio Rossi, EnricoVisona clinical application of vibration therapy in orthopedic practice 2016; 6(1):147-156.
HervePournet, Jerry Tindel, RodolpheTesta the acute effect of local vibration as a recovery modality 2016 15, 142-147.
GK-3 Percussor Manual 2013: 1-11.Multi-Modal, Device-assisted-soft-tissue-Mobilization in Physical Rehabilitation, White Paper on the Therapeutic Application of G5-Devices andVibrotactile, Soft-tissue Therapies, 1-8.
Howard Vernon, DC, PhD Reliability and Validity of Neck Disability Index in patients with cervical Pain 2008; 31: 491-502.
Deana McDonough, Lesley Wilson, Cheryl Haslam and David Weightman, Good vibrations; Do electrical therapeutic massagers work?, Ergonomics, May 2005;48 (6), 680-691.
T.Lunderberg R. Nordemar, D.Ottoson pain alleviation by vibratory stimulation, Pain, February 1984; 20:25-44.
T.Lundeberg, Vibratory Stimulation for the Alleivation of Pain, American Journal of Chinese Medicine, 1984; 12:60-70.
ParisaTaheri, BabakVahdatpour, SomayehAndalib, Comparative study of shock wave therapy and Laser therapy effect in elimination of symptoms among patients with myofascial pain syndrome in upper trapezius, Advanced Biomedical Research : 2016:1-4.
Ravish V.N,Shridhr, Sneha Helen, To compare the Effectiveness of myofascial Release Technique versus Positional Release Technique with Laser In patients with unilateral Trapezitis, J of Evaluation of Med and Dent Sci 2014; 3 (09): 2161-2166.
Kei Kanie,Teppei Sakai Effect of mechanical Vibration stress in cell culture on human induced pluripotent stem cells, 12 (2010) 27-35.
S Broadbent, J J Rousseau, R M Thorp, et al, Vibration therapy reduces plasma IL6 and muscle soreness after downhill running Br J Sports Med. 2010; 44; 888-894
HervePournot, Jeremy tindel, RodolpheTesta, Laure mathevon and Thomas Lapole. The acute effect of local vibration as a recovery modality from exercise-induced increased muscle stiffness journal of sports science and medicine, 2016, 15; 142-147.
Shiva Prasad, Vijay, GururajiBangari, Ultrasound guided trigger point injection in myofascial pain syndrome, 2016; 21-35.