Effects of Pressure Release of Myofascial Trigger Points on Mechanical Neck Pain.
Myofascial Pain Syndrome of Neck, Trigger Point Pain, Myofascial, Myofacial Pain
About this trial
This is an interventional treatment trial for Myofascial Pain Syndrome of Neck focused on measuring upper trapezius, sternocleidomastoid, manual therapy, trigger points, Myofascial pain syndrome, therapeutic exercise
Eligibility Criteria
Inclusion Criteria: Subjects between 18 and 55 years of age in order to avoid degenerative phenomena. Have suffered from neck pain at least once in the last month. Active or latent myofascial trigger points in the Upper Trapezius and Sternocleidomastoid muscles. Exclusion Criteria: Patients with recent trauma (last 6 months) to the upper quadrant or spine. Patients with pathologies involving malignant neoplasms. Surgery on the trunk or upper limb in the last six months. Patients undergoing pharmacological or physiotherapy treatment at the time of the test. Pregnancy. No myofascial trigger points in the upper trapezius or sternocleidomastoid muscles. Refusal to sign the consent form for the study or not being able to do so.
Sites / Locations
- Fisioterapia Los MolinosRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
TREATMENT GROUP
CONTROL
The Pressure Release Technique will be applied. One session per week will be carried out for four weeks. It will be performed on as many trigger points as we find in each muscle associated with the study, leaving a record of them. Also adding postural hygiene and home exercise guidelines. A progression of exercises involving contraction of the deep neck flexor muscles Subjects will be taught to perform slow and controlled craniocervical flexion. It should be performed a minimum of once daily during the treatment regimen. A follow-up of the patients will be carried out with respect to home therapeutic exercise and postural hygiene guidelines.
Postural hygiene guidelines will be given, as well as home therapeutic exercise (identical to the treatment group). About therapeutic exercise, a progression of exercises involving contraction of the deep neck flexor muscles shall be included in the first session. Subjects will be taught to perform slow and controlled craniocervical flexion. Subjects will then be trained to be able to progressively maintain craniocervical flexion through feedback from an air device (Stabilizer™, Chattanooga Group Inc., Chattanooga, TN) placed behind the neck. This sensor monitors the slight flattening of the cervical curve that occurs with contraction of the craniocervical deep flexor musculature. It should be performed a minimum of once daily during the treatment regimen. To this end, patients will be monitored and their understanding and correct follow-up of the treatment will be assessed in each face-to-face session per week, for four weeks, the same as in experimental group.