Abstract
OBJECTIVE: To determine the effect of different trigger points approaches in
improving chronic myofascial pain.
METHODS: This randomized controlled trial was conducted in Railway
General Hospital, Rawalpindi, Pakistan from July-December 2016. Patients
were randomly divided into two treatment groups through lottery method, in
which 37 male participants who full filled the inclusion criteria (persistent pain
>6 months, gradual onset of pain and impaired level of activity) were randomly
allocated to sustained pressure (Group A) and ischemic compression (Group B)
treated groups. Both groups received eight treatments sessions. They were
th evaluated at baseline and after 8 visit through Numeric Pain Rating Scale
(NPRS) and Chronic Pain Acceptance Questionnaire (CPAQ).
RESULTS: Within the group-A the pre and post-treatment mean for NPRS
were 5.05±1.17 and 2.63±0.955 (p <0.001). Pre and post-treatment CPAQ
activity engagement values were 32.00±2.42 and 41.74±2.53 (p <0.001). Pre
and post-treatment CPAQ pain willingness values were 29.42±3.04 and
32.63±2.91 (p <0.001). Pre and post-treatment CPAQ sum was 61.42±3.67
and 73.84±3.64 (p <0.001). In the group-B pre and post-treatment value for
NPRS was 5.28±1.07 and 2.39±0.77 (p <0.001). For CPAQ activity
engagement, the pre and post-treatment values were 32.33±1.64 and
43.50±1.20 (p <0.001). Pre and post-treatment values for CPAQ pain
willingness were 32.28±1.74 and 32.22±1.43 (p>0.05). Pre and post
treatment values for CPAQ sum were 64.61±2.42 and 75.72±1.12 (p
<0.001).
CONCLUSION: Improvement in pain relief was observed in both groups but
there was no significant improvement in pain relief between ischemic
compression and sustained pressure groups.
Mohammad Sharifullah, Abdul Ghafoor Sajjad, Aqsa Mubeen, Iqbal Tariq, Asghar Khan, Haider Darain. (2018) COMPARISON OF SUSTAINED PRESSURE VS ISCHEMIC COMPRESSION ON TRIGGER POINTS IN CHRONIC MYOFACIAL PAIN MANAGEMENT, KHYBER MEDICAL UNIVERSITY JOURNAL, Volume 10, Issue 2.
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