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      Friction massage versus kinesiotaping for short-term management of latent trigger points in the upper trapezius: a randomized controlled trial

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          Abstract

          Background

          Latent trigger points in the upper trapezius muscle may disrupt muscle movement patterns and cause problems such as cramping and decreased muscle strength. Because latent trigger points may spontaneously become active trigger points, they should be addressed and treated to prevent further problems. In this study we compared the short-term effect of kinesiotaping versus friction massage on latent trigger points in the upper trapezius muscle.

          Methods

          Fifty-eight male students enrolled with a stratified sampling method participated in this single-blind randomized clinical trial (Registration ID: IRCT2016080126674N3) in 2016. Pressure pain threshold was recorded with a pressure algometer and grip strength was recorded with a Collin dynamometer. The participants were randomly assigned to two different treatment groups: kinesiotape or friction massage. Friction massage was performed daily for 3 sessions and kinesiotape was used for 72 h. One hour after the last session of friction massage or removal of the kinesiotape, pressure pain threshold and grip strength were evaluated again.

          Results

          Pressure pain threshold decreased significantly after both friction massage (2.66 ± 0.89 to 2.25 ± 0.76; P = 0.02) and kinesiotaping (2.00 ± 0.74 to 1.71 ± 0.65; P = 0.01). Grip strength increased significantly after friction massage (40.78 ± 9.55 to 42.17 ± 10.68; P = 0.03); however there was no significant change in the kinesiotape group (39.72 ± 6.42 to 40.65 ± 7.3; P = 0.197). There were no significant differences in pressure pain threshold (2.10 ± 0.11 & 1.87 ± 0.11; P = 0.66) or grip strength (42.17 ± 10.68 & 40.65 ± 7.3; P = 0.53) between the two study groups.

          Conclusions

          Friction massage and kinesiotaping had identical short-term effects on latent trigger points in the upper trapezius. Three sessions of either of these two interventions did not improve latent trigger points.

          Trial registration

          Registration ID in IRCT: IRCT2016080126674N3.

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          Most cited references20

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          Why patients use alternative medicine: results of a national study.

          J A Astin (1998)
          Research both in the United States and abroad suggests that significant numbers of people are involved with various forms of alternative medicine. However, the reasons for such use are, at present, poorly understood. To investigate possible predictors of alternative health care use. Three primary hypotheses were tested. People seek out these alternatives because (1) they are dissatisfied in some way with conventional treatment; (2) they see alternative treatments as offering more personal autonomy and control over health care decisions; and (3) the alternatives are seen as more compatible with the patients' values, worldview, or beliefs regarding the nature and meaning of health and illness. Additional predictor variables explored included demographics and health status. A written survey examining use of alternative health care, health status, values, and attitudes toward conventional medicine. Multiple logistic regression analyses were used in an effort to identify predictors of alternative health care use. A total of 1035 individuals randomly selected from a panel who had agreed to participate in mail surveys and who live throughout the United States. Use of alternative medicine within the previous year. The response rate was 69%. The following variables emerged as predictors of alternative health care use: more education (odds ratio [OR], 1.2; 95% confidence interval [CI], 1.1-1.3); poorer health status (OR, 1.3; 95% CI, 1.1-1.5); a holistic orientation to health (OR, 1.4; 95% CI, 1.1-1.9); having had a transformational experience that changed the person's worldview (OR, 1 .8; 95% CI, 1 .3-2.5); any of the following health problems: anxiety (OR, 3.1; 95% CI, 1.6-6.0); back problems (OR, 2.3; 95% CI, 1 .7-3.2); chronic pain (OR, 2.0; 95% CI, 1.1 -3.5); urinarytract problems (OR, 2.2; 95% CI, 1.3-3.5); and classification in a cultural group identifiable by their commitment to environmentalism, commitment to feminism, and interest in spirituality and personal growth psychology (OR, 2.0; 95% CI, 1.4-2.7). Dissatisfaction with conventional medicine did not predict use of alternative medicine. Only 4.4% of those surveyed reported relying primarily on alternative therapies. Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life.
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            Reliability and Usefulness of the Pressure Pain Threshold Measurement in Patients with Myofascial Pain

            Objective To assess the usefulness of a pressure algometer to measure pressure pain threshold (PPT) for diagnosis of myofascial pain syndrome (MPS) in the upper extremity and trunk muscles. Method A group of 221 desk workers complaining of upper body pain participated in this study. Five physiatrists made the diagnosis of MPS using physical examination and PPT measurements. PPT measurements were determined for several muscles in the back and upper extremities. Mean PPT data for gender, side, and dominant hand groups were analyzed. Sensitivity and specificity of Fischer's standard method were evaluated. PPT cut-off values for each muscle group were determined using an ROC curve. Results Cronbach's alpha for each muscle was very high. The PPT in men was higher than in females, and the PPT in the left side was higher than in the right side for all muscles tested (p<0.05). There was no significant difference in PPT for all muscles between dominant and non-dominant hand groups. Diagnosis of MPS based on Fischer's standard showed relatively high specificity and poor sensitivity. Conclusion The digital pressure algometer showed high reliability. PPT might be a useful parameter for assessing a treatment's effect, but not for use in diagnosis or even as a screening method.
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              Reliability and validity of a pressure algometer.

              Algometers are devices that can be used to identify the pressure and/or force eliciting a pressure-pain threshold. It has been noted in pressure-pain threshold studies that the rate at which manual force is applied should be consistent to provide the greatest reliability. This study tested the reliability and construct validity of an algometer (1000-Hz sampling rate) by manually applying pressure on a force plate (500-Hz sampling rate): 10 sets of 5 applications to 80 N and 1 set of 5 applications to each force level: 20, 30, 40, 50, 60, 70, 80, 90, 100, and 110 N. The investigator had previously become familiar with and practiced with the algometer. The handheld algometer had a 1-cm2 round rubber application surface, and the maximum force reading was compared with maximum force readings by the force plate using SEM and t-tests. Force-time curves were analyzed for average slope representing rate of force application. Average Pearson (r) correlations between the maximum force reading of the algometer and force plate were excellent in both trials to 80 N (r = 0.990) and the incremental trials (r = 0.999). The application of force was reasonably constant, with slopes averaging 6.8 +/- 0.932 N x s-1. The SEE was 0.323 N. In conclusion, with previous familiarization and practice, an investigator may have high reliability in the rate of force application. The device itself was also highly correlated with readings from a force plate and, therefore, may be considered valid.
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                Author and article information

                Contributors
                mohamadipt@yahoo.com
                +987136271551 , piroozis@sums.ac.ir
                imanrashidi7192@gmail.com
                saeed.hoseinifard@gmail.com
                Journal
                Chiropr Man Therap
                Chiropr Man Therap
                Chiropractic & Manual Therapies
                BioMed Central (London )
                2045-709X
                12 September 2017
                12 September 2017
                2017
                : 25
                : 25
                Affiliations
                ISNI 0000 0000 8819 4698, GRID grid.412571.4, School of Rehabilitation Sciences, , Shiraz University of Medical Sciences, ; Abiverdi 1 Street, Chamran Boulevard, Shiraz, Iran
                Article
                156
                10.1186/s12998-017-0156-9
                5594497
                203e413f-3fed-4ac6-9cff-2d2c266f89e1
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 22 October 2016
                : 26 July 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004320, Shiraz University of Medical Sciences;
                Categories
                Research
                Custom metadata
                © The Author(s) 2017

                Complementary & Alternative medicine
                latent,trigger point,trapezius,pain threshold,grip strength
                Complementary & Alternative medicine
                latent, trigger point, trapezius, pain threshold, grip strength

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