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The effects of the spray stretch and sustained pressure techniques for managing trigger points in the upper part of the trapezius muscle Cover

The effects of the spray stretch and sustained pressure techniques for managing trigger points in the upper part of the trapezius muscle

Open Access
|Oct 2022

Figures & Tables

Fig. 1.

1 Trigger points 1 and 2 locations [19]

Fig. 2.

Flowchart of the participants

Median (IQR) value of interventions, median (IQR) difference within interventions, and difference between interventions

OutcomeMedian (IQR) within groupsMedian (IQR) between groups

Group A (n = 27)Group B (n = 27)Pre-testPost-test

Pre-testPost-testp-valueaPre-testPost-testp-valueaGroup AGroup Bp-valuebGroup AGroup Bp-valueb
VAS (0–10)5.0 (2)1.0 (2)0.0005.0 (2)0 (0)0.0005.0 (2)5.0 (2)0.741.0 (2)0 (0)0.000

HADS Anxiety (0–21)9.0 (5)3.0 (2)0.0009.0 (4)6.0 (4)0.0009.0 (5)9.0 (4)0.933.0 (2)6.0 (4)0.000
Depression (0–21)5.0 (2)2.0 (2)0.0006.0 (3)4.0 (1)0.0005.0 (2)6.0 (3)0.402.0 (2)4.0 (1)0.001

Baseline characteristics of participants

CharacteristicGroup A (n = 27) Mean (SD)Group B (n = 27) Mean (SD)p
Age (years)27 (3)26 (3)0.48
Sex
Male n (%)17 (62)15 (55)
Female n (%)10 (37)12 (44)
Height (cm)165 (3)166 (3)0.78
Weight (kg)64 (7)63 (7)0.79
BMI (kg/m2)23 (2)23 (2)0.73
Neck pain duration (weeks)2 (1)2 (0)0.08

Comparison of variables between Group A and Group B

OutcomeMean (SD) between group

Pre-testPost-test

Group A (n = 27)Group B (n = 27)p-valueaGroup A (n = 27)Group B (n = 27)p-valuea
Pain Pressure Threshold (kg/cm2)0.98 (0)1.00 (0.0)0.161.64 (0.1)2.29 (0.14)0.000
Neck Disability Index (0–50)13.0 (5.4)15.3 (5.6)0.123.29 (2.3)8.03 (4.3)0.000

Cervical ROM (degrees)

Flexion48.5 (5.0)49.2 (5.1)0.5960.0 (4.8)55.5 (5.6)0.003
Extension44.1 (4.9)46.5 (8.7)0.2258.2 (5.2)53.8 (7.2)0.01
Rt Rotation49.5 (5.6)50.3 (4.2)0.5860.7 (4.9)56.4 (4.5)0.002
Lt Rotation48.9 (5.1)49.1 (4.7)0.9160.3 (5.5)55.6 (4.8)0.002
Rt Side Bending45.1 (4.7)44.2 (6.3)0.6554.3 (5.8)50.9 (4.3)0.01
Lt Side Bending40.9 (7.0)41.4 (6.3)0.8053.3 (5.4)50.0 (5.2)0.02

Comparison of variables within groups

OutcomeMean (SD) within groups

Group A (n = 27)Group B (n = 27)

Pre-testPost-testp-valueaPre-testPost-testp-valuea
Pain Pressure Threshold (kg/cm2)0.98 (0)1.64 (0.1)0.0001.00 (0.0)2.29 (0.14)0.000
Neck Disability Index (0–50)13.0 (5.4)3.29 (2.3)0.00015.3 (5.6)8.03 (4.3)0.000

Cervical ROM (deg)

Flexion48.5 (5.0)60.0 (4.8)0.00049.2 (5.1)55.5 (5.6)0.000
Extension44.1 (4.9)58.2 (5.2)0.00046.5 (8.7)53.8 (7.2)0.000
Rt Rotation49.5 (5.6)60.7 (4.9)0.00050.3 (4.2)56.4 (4.5)0.000
Lt Rotation48.9 (5.1)60.3 (5.5)0.00049.1 (4.7)55.6 (4.8)0.000
Rt Side Bending45.1 (4.7)54.3 (5.8)0.00044.2 (6.3)50.9 (4.3)0.000
Lt Side Bending40.9 (7.0)53.3 (5.4)0.00041.4 (6.3)50.0 (5.2)0.000
Language: English
Page range: 26 - 34
Submitted on: Aug 15, 2022
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Accepted on: Oct 3, 2022
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Published on: Oct 4, 2022
In partnership with: Paradigm Publishing Services

© 2022 Uzair Ahmad, Saira Waqqar, Muheebur Rehman, Syed Zain Ul Abidin, Subhan Ur Rehman Burki, Faiz Ur Rehman, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.