Comparison of Ischemic Compression Combined With Muscle Energy Technique Versus Ischemic Compression Alone on Myofascial Trigger Points of Upper Trapezius in Breast Cancer Survivors
Main Article Content
Abstract
Background: A hyperirritable region, typically located within a taut band of skeletal muscle, is known as a myofascial trigger point. It can cause discomfort upon compression, as well as the typical referred pain, motor dysfunction, and autonomic abnormalities. TrPs may be associated with breast cancer. Symptoms of upper body dysfunction and pain are typical among breast cancer survivors. Noninvasive techniques including massage, spray and stretch, physical therapy, and transcutaneous electrical stimulation can all help reduce trigger points. Ischemic compression and Muscle energy technique (MET) is an intriguing non-invasive treatment that has showed more effect on myofascial trigger points
Objectives: Aims and objective of this study was to compare the effect of ischemic compression combined with muscle energy technique and ischemic compression alone on myofascial trigger points in breast cancer survivors. To see improvement in range of cervical flexion, cervical extension and cervical lateral flexion.
Method: This was Quasi-experimental study in which convenient sampling was done from breast cancer patient from breast cancer ward of PINUM and Allied hospital Faisalabad for 6 months after meeting inclusion and exclusion criteria. 20 individuals with Myofascial Trigger points were assigned into two groups: Group 1 and Group 2. Group 1 received ischemic compression combined with Muscle Energy Technique for 3 weeks and Group 2 received ischemic compression alone for 3 weeks. Evaluation of pain, range of cervical flexion, cervical extension and cervical lateral flexion was done by Numeric Pain Rating Scale, Goniometer and Neck Pain Disability Index respectively.
Results: wilcoxon and Mann whitney tests were applied and results showed p value <0.01.
Conclusion: According to data analysis and after applying Mann-whitney test we found that ischemic compression combined with muscle energy technique has more effect on myofascial trigger points in improving pain and range of motion than ischemic compression alone.
Keywords: Breast cancer, Goniometer, Ischemic compression, Myofascial Trigger Points, ,Muscle Energy Technique, ROM
Article Details
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Zhuang, X., Tan, S., & Huang, Q. (2014). Understanding of myofascial trigger points. Chinese medical journal, 127(24), 4271-4277.
Hasuo, H., Ishihara, T., Kanbara, K., & Fukunaga, M. (2016). Myofacial trigger points in advanced cancer patients. Indian Journal of Palliative Care, 22(1), 80.
Ribeiro, D. C., Belgrave, A., Naden, A., Fang, H., Matthews, P., & Parshottam, S. (2018). The prevalence of myofascial trigger points in neck and shoulder-related
De Groef, A., Van Kampen, M., Dieltjens, E., De Geyter, S., Vos, L., De Vrieze, T., ... & Devoogdt, N. (2018). Identification of myofascial trigger points in breast cancer
Sata, J. (2012). A comparative study between muscle energy technique and myofascial release therapy on myofascial trigger points in upper fibres of trapezius. Indian Journal of Physiotherapy and Occupational Therapy, 6(3), 150.
Mayoral del Moral, O., Torres Lacomba, M., Russell, I. J., Sánchez Méndez, Ó., & Sánchez Sánchez, B. (2018). Validity and reliability of clinical examination in the diagnosis of myofascial pain syndrome and myofascial trigger points in upper quarter muscles. Pain medicine, 19(10), 2039-2050
Clarke, J., Allen, L., Luslann, A., Kylebroughlan, M., Galway, C., & is a Certified, M. L. A. (2021). The effect of muscle energy techniques on latent trigger points of the gastrocnemius muscle. Sport J, 24, 1-12.
Khan, U., Akhter, S., Khan, M., & Baig, A. A. (2021). Effectiveness of ischemic compression pressure versus spray and stretch technique in managing active myofascial trigger points of the trapezius muscle. International Journal of Endorsing Health Science Research, 9(3), 315-21.
Janczarzyk, D., Jamka, K., Mikołajczyk, E., & Zając, B. (2022). Comparing the Effects of a Series of Ischaemic Compression Therapy and Muscle Energy Techniques on Pain Threshold and Muscle Tension in People with Upper Crossed Syndrome. Medical Rehabilitation, 27(1), 4-10.
Kumar, G. Y., Sneha, P., & Sivajyothi, N. (2015). Effectiveness of Muscle energy technique, Ischaemic compression and Strain counterstrain on Upper Trapezius Trigger Points: A comparative study. International journal of physical education, sports and Health, 1(3), 22-26.
Fernández-Lao, C., Cantarero-Villanueva, I., Fernández-de-Las-Peñas, C., Del-Moral-Ávila, R., Menjón-Beltrán, S., & Arroyo-Morales, M. (2012). Development of active myofascial trigger points in neck and shoulder musculature is similar after lumpectomy or mastectomy surgery for breast cancer. Journal of bodywork and movement therapies, 16(2), 183-190.
Gilani, M. H. Z., Obaid, S., & Tariq, M. (2018). Comparison between effectiveness of ischemic compression and muscle energy technique in upper trapezius myofascial trigger points. Isra Med J, 10(4), 230-234.
Alghadir, A. H., Iqbal, A., Anwer, S., Iqbal, Z. A., & Ahmed, H. (2020). Efficacy of combination therapies on neck pain and muscle tenderness in male patients with upper trapezius active myofascial trigger points. BioMed research international, 2020.
Shadmehr, A., Hadian, M. R., Jalaie, S., Tahseen, J., & Fereydounnia, S. (2022). Combined effects of shock wave therapy and muscle energy technique on active trigger points of the upper trapezius muscle. Archives of Rehabilitation, 23(2), 290-309
Shacksnovis, R. (2005). The relative effectiveness of myofascial manipulation versus ischaemic compression in the treatment of myofascial trigger points of the upper trapezius muscle