Effectiveness of Manual Compression and Stretching for The Myofascial Trigger Points in Upper Trapezius and Levator Scapulae in Office Workers
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Abstract
Background: Chronic cervical pain is a prevalent global health concern, frequently associated with myofascial trigger points in the levator scapulae and upper trapezius muscles. Comparing the efficacy of manual compression and stretching as treatments for these trigger points is essential for optimizing pain management strategies.
Objective: The objective of this study was to evaluate the comparative effectiveness of manual compression versus manual stretching on myofascial trigger points in the levator scapulae and upper trapezius among office workers suffering from cervical pain.
Methods: This randomized controlled trial included 100 patients with cervical pain, divided into two groups: Group A (n=50) received manual compression, and Group B (n=50) underwent manual stretching on myofascial trigger points in the levator scapulae and upper trapezius. Outcomes assessed were pain levels, range of motion (ROM), and quality of life, measured before and after the interventions. Statistical analysis was conducted using the Chi-square test for between-group comparisons.
Results: Post-intervention, both groups showed significant improvements in pain levels, ROM, and occupational functionality. Group A exhibited superior results with significant enhancements in cervical and shoulder ROM (p < .0001), compared to Group B. No significant differences were observed between the groups in terms of shortness of breath (p = .628).
Conclusion: Manual compression proved more effective than manual stretching in improving ROM and reducing pain among patients with cervical myofascial trigger points. Further studies with larger cohorts and longer follow-up are necessary to corroborate these findings.
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