Positional Release Therapy and Therapeutic Massage Reduce Muscle Trigger and Tender Points

NCT04765891 | Completed

• 1 other identifier: ExSc PRT vs TM
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine if positional release therapy (PRT) or therapeutic massage (TM) are more effective at decreasing muscle pain and tightness in the upper trapezius muscle.

Conditions

Trigger Point Pain, Myofascial

Outcome Measures

Primary Outcomes (4)

• Pain perception

  Rating of perceived pain as measured by the visual analog scale (VAS) on a scale of 0 to 100. With 100 being the highest pain score.

  72 hours

• Pain Pressure Threshold (PPT)

  Pressure was measured by an algometer on a continuous scale. A higher score would indicate an individual tolerating more pressure.

  72 hours

• Tissue Stiffness

  Tissue stiffness was measured using Shear Wave Elastography on a scale of 0 150, with larger numbers indicating a higher tissue stiffness.

  72 Hours

• Muscle Thickness

  B-Mode Ultrasound was used to measure the resting thickness of the trapezius. muscle

  72 hours

Study Arms (2)

Positional Release Therapy

EXPERIMENTAL

Participants were randomly assigned the positional release therapy treatment group. The participants underwent the treatment.

Other: Positional release therapy

Therapeutic Massage

EXPERIMENTAL

Participants were randomly assigned the therapeutic massage treatment group. The participants underwent the treatment.

Other: Therapeutic Massage

Interventions

Positional release therapy OTHER

Positional release therapy was administered in the upper trapezius muscle. The muscle was placed in a shortened position with light pressure and held for 90 seconds per treatment location.

Also known as: Strain Counter Strain

Positional Release Therapy

Therapeutic Massage OTHER

Participants underwent a petrissage type massage for 5 minutes at the site of the trigger point in the upper trapezius.

Therapeutic Massage

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• dancers at the university
• Subjects experiencing upper trapezius pain and muscle tightness, with associated tender or trigger points
• Need to be able to lie on stomach for at least 30 minutes
• Not be currently receiving treatment from the Dance Athletic Training Room on their trapezius.

You may not qualify if:

• Pregnant
• Unable to lie on stomach for 30 minutes
• Currently be receiving treatment on their upper trapezius muscle.

Sponsors & Collaborators

• Brigham Young University: lead

Study Sites (1)

Brigham Young University

Provo, Utah, 84606, United States

Location

Related Publications (20)

• Aboodarda SJ, Spence AJ, Button DC. Pain pressure threshold of a muscle tender spot increases following local and non-local rolling massage. BMC Musculoskelet Disord. 2015 Sep 28;16:265. doi: 10.1186/s12891-015-0729-5.

  PMID: 26416265 BACKGROUND

• Borg-Stein J, Simons DG. Focused review: myofascial pain. Arch Phys Med Rehabil. 2002 Mar;83(3 Suppl 1):S40-7, S48-9. doi: 10.1053/apmr.2002.32155.

  PMID: 11973695 BACKGROUND

• Buttagat V, Eungpinichpong W, Chatchawan U, Arayawichanon P. Therapeutic effects of traditional Thai massage on pain, muscle tension and anxiety in patients with scapulocostal syndrome: a randomized single-blinded pilot study. J Bodyw Mov Ther. 2012 Jan;16(1):57-63. doi: 10.1016/j.jbmt.2011.04.005. Epub 2011 Jun 22.

  PMID: 22196428 BACKGROUND

• Cojocaru MC, Cojocaru IM, Voiculescu VM, Cojan-Carlea NA, Dumitru VL, Berteanu M. Trigger points--ultrasound and thermal findings. J Med Life. 2015 Jul-Sep;8(3):315-8.

  PMID: 26351532 BACKGROUND

• D'Ambrogio KJ, Roth GB 1997 Positional Release Therapy. Mosby.

  BACKGROUND

• Dommerholt J, Bron C, Franssen J 2006 Myofascial trigger points: an evidence-informed review. Journal of Manual & Manipulative Therapy 14, 203-221.

  BACKGROUND

• Draper D 2015 The Deep Muscle Stimulator's Effects on Tissue Stiffness in Trigger-Point Therapy. Athletic Therapy Today 10, 52-53.

  BACKGROUND

• Ghanbari A, Rahimijaberi A, Mohamadi M, Abbasi L, Sarvestani FK. The effect of trigger point management by positional release therapy on tension type headache. NeuroRehabilitation. 2012;30(4):333-9. doi: 10.3233/NRE-2012-0764.

  PMID: 22672949 BACKGROUND

• Jafri MS. Mechanisms of Myofascial Pain. Int Sch Res Notices. 2014;2014:523924. doi: 10.1155/2014/523924.

  PMID: 25574501 BACKGROUND

• JG T, SH R 1983 Myofascial pain and dysfunction: the trigger point manual. Williams & Wilkins, Baltimore MD.

  BACKGROUND

• Kelencz CA, Tarini VA, Amorim CF. Trapezius upper portion trigger points treatment purpose in positional release therapy with electromyographic analysis. N Am J Med Sci. 2011 Oct;3(10):451-5. doi: 10.4297/najms.2011.3451.

  PMID: 22363082 BACKGROUND

• Knight KL, Draper DO 2013 Therapeutic Modalities: The Art and Science. Lippincott Williams & Wilkins, Baltimore, MD.

  BACKGROUND

• Kumbhare DA, Elzibak AH, Noseworthy MD. Assessment of Myofascial Trigger Points Using Ultrasound. Am J Phys Med Rehabil. 2016 Jan;95(1):72-80. doi: 10.1097/PHM.0000000000000376.

  PMID: 26334421 BACKGROUND

• Mohammadi Kojidi M, Okhovatian F, Rahimi A, Baghban AA, Azimi H. The influence of Positional Release Therapy on the myofascial trigger points of the upper trapezius muscle in computer users. J Bodyw Mov Ther. 2016 Oct;20(4):767-773. doi: 10.1016/j.jbmt.2016.04.006. Epub 2016 Apr 7.

  PMID: 27814857 BACKGROUND

• Muller CE, Aranha MF, Gaviao MB. Two-dimensional ultrasound and ultrasound elastography imaging of trigger points in women with myofascial pain syndrome treated by acupuncture and electroacupuncture: a double-blinded randomized controlled pilot study. Ultrason Imaging. 2015 Apr;37(2):152-67. doi: 10.1177/0161734614546571. Epub 2014 Aug 12.

  PMID: 25116293 BACKGROUND

• Nagrale AV, Glynn P, Joshi A, Ramteke G. The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. J Man Manip Ther. 2010 Mar;18(1):37-43. doi: 10.1179/106698110X12595770849605.

  PMID: 21655422 BACKGROUND

• Myofascial trigger points, a possible explanation. Pain. 1981 Feb;10(1):106-109. doi: 10.1016/0304-3959(81)90053-1. No abstract available.

  PMID: 7232007 BACKGROUND

• Sweety CC, Vinod KB, Kumar NS, Ayyappan V 2014 Effect of Positional Release Technique in Subjects with Subacute Trapezitis. Int J Physiother 1, 91-99.

  BACKGROUND

• Tessier DG 2005 Sports massage: An overview. International Journal of Athletic Therapy and Training 10, 67-69.

  BACKGROUND

• Wong CK. Strain counterstrain: current concepts and clinical evidence. Man Ther. 2012 Feb;17(1):2-8. doi: 10.1016/j.math.2011.10.001. Epub 2011 Oct 24.

  PMID: 22030379 BACKGROUND

MeSH Terms

Conditions

Myofascial Pain Syndromes

Interventions

Massage

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Aaron W Johnson, PhD

  Associate Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 12, 2021
• First Posted: February 23, 2021
• Study Start: December 5, 2017
• Primary Completion: February 9, 2018
• Study Completion: February 9, 2018
• Last Updated: February 23, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: The data will become available upon e-mail request. This will be for at least 3 years.
• Access Criteria: E-mail to principal investigator from validated researchers.

Locations

US (1)