Effects of positional release technique on myofascial trigger points of the upper trapezius in computer users having forward head posture

Authors

  • Asad Ullah Wazirabad Physiotherapy Center Pakistan
  • Zahid Mehmood University of Sialkot, Sialkot Pakistan
  • Zubair Ahmad University of Sialkot, Sialkot Pakistan
  • Rabia Kanwal Basharat Hospital, Rawalpindi Pakistan
  • Mehboob Ali Imran Idrees Teaching Hospital Sialkot, Sialkot Pakistan
  • Syeda Khadija Kazmi University of Sialkot, Sialkot Pakistan
  • Abdul Wahab University of Sialkot, Sialkot Pakistan
  • Anam Aftab University of Sialkot, Sialkot Pakistan

DOI:

https://doi.org/10.52567/trehabj.v7i03.29

Keywords:

cranio-vertebral angle (, cranio-vertebral angle, forward head posture, neck disability index, pain pressure threshold, positional release therapy, trigger points, visual analog scale

Abstract

Background: Forward head posture is associated with the upper trapezius myofascial trigger points and cause pain, restricted range of motion, and referred pain in the arm. The positional release technique is likely to focus on evaluating the efficacy of this manual therapy approach.

Objective: To determine the effects of positional release technique for myofascial trigger points of the upper trapezius with forward head posture 

Method: A randomized control trial study was conducted in the Physiotherapy Department of THQ Hospital Wazirabad, Pakistan, from February 2021 to June 2021 with a sample size of n=32 male participants. Participants were recruited with pain intensity of at least 3 points on the Visual Analogue Scale at baseline, at least one active TrP in the upper trapezius that was diagnosed using the method described by Travel and Simon, and computer users who spend at least 6 hours per day in a sitting posture and are between the ages of 18 and 45. All subjects were randomly and equally allocated into the Positional Release Therapy (PRT) group and a conventional Physical Therapy group. A total 12 treatment sessions were given with 3 days a week for consecutive 4 weeks. The data was collected at the baseline and after the 12th session. The outcome measures for trigger point sensitivity were pain pressure threshold (PPT), visual analogue scale (VAS), active contra lateral flexion (ACLF), cranio-vertebral angle (CVA), and neck disability index (NDI). Data analysis was done through SPSS version-27.

Results: The mean age of 34.3±6.57 years. The positional release therapy post-intervention results showed more significant improvement (p≤0.05) in all outcomes PPT, VAS, ACLF, CVA, and NDI between the groups with large effect size. 

Conclusion: Positional release therapy (PRT) is superior to conventional therapy in decreasing pain intensity and threshold with disability in patients of upper trapezius trigger points

Author Biographies

Asad Ullah , Wazirabad Physiotherapy Center Pakistan

Consultant PT

Zahid Mehmood , University of Sialkot, Sialkot Pakistan

Lecturer/Research Convener

Zubair Ahmad , University of Sialkot, Sialkot Pakistan

Lecturer

Rabia Kanwal, Basharat Hospital, Rawalpindi Pakistan

Clinical Physiotherapist

Mehboob Ali, Imran Idrees Teaching Hospital Sialkot, Sialkot Pakistan

HOD/ Assistant Professor

Syeda Khadija Kazmi, University of Sialkot, Sialkot Pakistan

Lecturer

Abdul Wahab , University of Sialkot, Sialkot Pakistan

Student

Anam Aftab , University of Sialkot, Sialkot Pakistan

Associate Dean / Associate Professor

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Submitted

29-09-2023

Published

30-09-2023

Issue

Section

Research Article