International Journal of Multidisciplinary Research and Development

International Journal of Multidisciplinary Research and Development


International Journal of Multidisciplinary Research and Development
International Journal of Multidisciplinary Research and Development
Vol. 9, Issue 4 (2022)

Acupressure of acupoints versus ischemic compression release of trigger points in cervical myofascial pain


Abanoub Joseph Younan Yakoub, Soheir Shehata Rezkallah, Rania Reda Mohamed, Ayman El Sayed El Shafi

Background: Myofascial pain syndrome is a common nonarticular musculoskeletal chronic pain. It is one of the main causes of medical consultation, frequently leading to work disability. It is characterized by an intense and deep pain from skeletal muscles and their fascia and by the presence of one or more myofascial trigger points (MTrPs). An MTrP is described as a hyperirritable spot of skeletal muscle associated with a hypersensitive palpable nodule of a taut band able to originate specific patterns of pain referral associated with each MTrP, motor dysfunction, restricted range of movement and producing autonomous phenomena (eg, skin blood flow response). Purpose: This study was conducted to investigate and compare the effects of acupressure of the classical acupoints versus ischemic compression release (ICR) of MTrPs in treating cervical myofascial pain (CMP). Materials and methods: Forty-five patients participated in this study, They were selected from outpatient clinic of orthopaedic department of Ain Shams General Hospital in Cairo between October 2020 and October 2021, They were randomly assigned into three equal groups as follow: Group (A) (Acupressure of classical acupoints), Group (B) (Ischemic compression release of MTrPs), Group (C) (Control). Patients in all groups received a traditional physical therapy program which included hot packs and muscle energy technique. Treatment was applied by the rate of 3 sessions in 3 consecutive days for 4 consecutive weeks. VAS was used for assessment of neck pain and algometer was used for assessment of pressure pain threshold (PPT) of MTrPs, Myrin OB goniometer was used to assess ROM while Arabic version of neck disability index was used to assess neck disability. Results: VAS scores, right PPT and right SB ROM yielded significant improvement post treatment in the 3 groups, and a significant improvement in left PPT and NDI in group B only and in left SB ROM in group A & B (P>0.05. Between group comparison revealed significant difference regarding VAS scores (P=0.01) and right and left SB ROM (P=0.002, 0.03) respectively. Conclusion: Ischemic compression release better yielded improvement in increasing cervical range of motion, increasing pressure pain threshold and increasing neck function than acupressure in treating cervical myofascial pain.
Download  |  Pages : 61-67
How to cite this article:
Abanoub Joseph Younan Yakoub, Soheir Shehata Rezkallah, Rania Reda Mohamed, Ayman El Sayed El Shafi. Acupressure of acupoints versus ischemic compression release of trigger points in cervical myofascial pain. International Journal of Multidisciplinary Research and Development, Volume 9, Issue 4, 2022, Pages 61-67
International Journal of Multidisciplinary Research and Development International Journal of Multidisciplinary Research and Development