Myofascial pain syndrome (MPS) is a complex pain disorder which is identified by a specific pattern of somatic referred pain of myofascial trigger point (MTrP) [1]. MTrPs are clinically classified as multiplane force application technique,
Conditions
Interventions
Multiplane force application technique (MFA): Group I
The origin or insertion of the affected muscle is fixed by the one therapist’s hand and compression,
tension,
and shearing forces is applied by the other hand,
respectively. Moreover,
therapist will also apply non painful the cyclic loading on that between latent MTrPs. The therapist apply cyclic loading for 90 seconds/set,
9 sets/ area for a total time of 30 minutes
,The therapist uses a pincer grasp for moving the fibers of the masticatory muscles. Therapist marks the latent trigger point on the affected muscles. IC i
9 sets/,
or the participant has no pain at the selected point. All trigger points are treated as possible as an effleurage strokes (Whitney,
2009
Manfredini,
2010 Nagrale et al.,
2010)
Experimental Other,Active Comparator Other
Multiplane force application technique (MFA): Group I,Ischemic compression technique (IC): Group II
Sponsors
Neuroscience Research and Development Group, Khon Kaen University, Khon Kaen, Thailand.
Graduate School,
Khon Kaen University,
Khon Kaen,
Thailand.
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: - Healthy participants without pain (male and female), aged between 18 to 60 years old. - Healthy participants with previous history pain at the masticatory and neck muscles. - Interested in this study and sign consent form. - Participants who present of latent myofascial trigger point (LTrPs) or a tender spot in a taut band in muscles such as masseter, temporalis, sternocleidomastoid, upper trapezius muscles. Participants who had assessed by the physiotherapist. The presence of LTrP was determined using the diagnostic criteria described by Simons et al. (1999): 1) presence of a palpable taut band in a skeletal muscle, 2) presence of a hypersensitive tender spot in the taut band, 3) local twitch response provoked by the snapping palpation of the taut band, and 4) reproduction of the typical referred pain pattern of the myofascial trigger point (MTrP) in response to compression For criteria 4, MTrP pressure pain threshold is assessed using a mechanical pressure algometer. The assessor applied continuous pressure with the algometer at approximately a rate of 1 kg/cm 2/s, until it recorded a pressure of 2.5 kg/cm2. Pressure thresholds lower than 3 kg are considered to be abnormally low (Fischer, 1996). If the referred pain evoked by the MTrP was obtained before 2.5 kg/cm2, criteria 4 are seen to be fulfilled. - No signs and symptoms of serious musculoskeletal, neurological or cardiopulmonary conditions. - No physical deformities or psychiatric disorders. - Good consciousness and co-operation.
Exclusion criteria
Exclusion criteria: - Healthy participants with previous history of following conditions were excluded. a) ostheoarthrosis, or arthritis of the TMJ b) traumatic injuries or accident on cervical spine or TMJ (e.g., contusion, fracture, and whiplash injury) within 6 months before participating in this study c) previous surgical on cervical spine or TMJ d) neurological disorders (e.g.,trigeminal neuralgia) e) underlying diseases such as fibromyalgia or cancer - Healthy participants who not be able to follow instructions or have an adequate communication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain pressure threshold (PPT) 5 minute expressed in kg/cm2. Pressure range from 0 to 11 kg/cm2, with the increment of 0.1 kg | — |
Secondary
| Measure | Time frame |
|---|---|
| surface electromyography (sEMG) 20 seconds we obtain a reference value of the state of the muscles at rest ,Participant satisfaction 5 minutes They assessed byu 4-point scale, with choices ranging from 4 (very satisfied) to 1 (completely dissa | — |
Countries
Thailand
Contacts
Public ContactYodchai Boonprakob
Faculty of Associated Medical Sciences, Khon Kaen University
Outcome results
None listed