Tag: pressure pain threshold

Impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold in patients with lower back myofascial pain syndrome: A randomized clinical trial

Ghada Mohamed Rashad Koura, Saud Mashi Alrawaili, Amr Moustafa Yehia Mohammed, Sara Awad Gharama Alasmri, Raghad Mudawi Yahya Asiri, Ahmed Mohamed Fathi Elshiwi


Ghada Mohamed Rashad Koura, Saud Mashi Alrawaili, Amr Moustafa Yehia Mohammed, Sara Awad Gharama Alasmri, Raghad Mudawi Yahya Asiri, Ahmed Mohamed Fathi Elshiwi – Impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold in patients with lower back myofascial pain syndrome: A randomized clinical trial. Fizjoterapia Polska 2022; 22(3); 44-50

Abstract
Background. Chronic lower back pain contributes to the global disability burden, and continues to be a factor in the number of years spent disabled; Myofascial pain syndrome (MPS) is an inflammatory condition that may cause chronic localized pain and stiffness. Repetitive movements and incorrect posturing habits contribute to MPS advancement by formation of trigger points (TrPs) on the muscles.
Purpose. To investigate the impact of acupuncture dry needle versus progressive pressure technique on pain severity and pressure pain threshold (PPT) in patients with lower back MPS.
Methods. A randomized clinical trial. Thirty patients suffering from lower back MPS with the presence of TrPs on iliocostalis lumborum, quadratus lumborum, piriformis, and gluteus medius muscles were divided into two equal groups. Group (A) received acupuncture dry needle over TrPs followed by stretching exercise for 2 weeks (n = 15), and group (B) received progressive pressure technique over the same TrPs followed by stretching exercise for 2 weeks (n = 15). Pain severity and PPT at the TrPs were evaluated before and after treatment.
Results. There were statistically significant improvements in pain severity and PPT at the TrPs of the four muscles within both groups (p < 0.05), except the PPT at iliocostalis lumborum that showed a non-significant difference within group (A) (p > 0.05). Comparing both groups pre- and post-treatment showed statistically non-significant differences in all outcome measures (p > 0.05).
Conclusion. Both acupuncture dry needle and progressive pressure technique were effective in reducing pain severity and increasing PPT in patients with lower back MPS.

Keywords
acupuncture dry needle, progressive pressure technique, pain severity, pressure pain threshold, myofascial pain syndrome

Pobierz/Download/下載/Cкачиваете Download for free (English)

Evaluation of the pressure pain threshold using an algometer

Iwona Wilk, Tomasz Matuszewski, Magdalena Tarkowska, Wojciech Kiebzak

I. Wilk, T. Matuszewski, M. Tarkowska, W. Kiebzak – Evaluation of the pressure pain threshold using an algometer. FP 2015; 15(1); 16-23

Abstract

Introduction. Measurement methods are a_very important element in physiotherapy diagnostics to ensure measurement accuracy, repeatability, availability and they should be relatively easy. Properly performed diagnostics allows proper selection of therapy, ensures higher efficacy of the undertaken activities and allows to obtain the desired effects. The measurement of the pressure pain threshold with the use of an algometer is one of the methods applied more and more frequently by therapists. The method provides an objective, accurate and reproducible assessment.
Material and methods. The study included 20 healthy, young subjects, aged 20 to 30 years. They were subjected to classical massage of the back, which involved selected superficial and deep muscles. The procedure took 20 minutes. Before the massage and immediately afterwards, with the use of an algometer there was measured the pressure pain threshold of the selected back muscles at the site of bone attachments.
Results. After classical massage application, there were noted increased values of pressure pain threshold of selected back muscles attachments. Statistically significant differences were obtained in the case of the trapezius muscles – descending and transverse part.
Conclusions. The measurement of pressure pain threshold with the use of an algometer is an objective method which allows imaging of the effects of the applied therapy, in this case the effect of massage on the pressure pain threshold.

Key words:
pressure pain threshold, classical massage, algometer

Pobierz/Download/下載/Cкачиваете Download for free (only English version)