AbstractBackground and Objectives:
Trapezitis is an inflammatory pain arising from the trapezius muscle and it is the most common musculoskeletal disorder. Trapezitis is usually caused by the placing too much stress over the trapezius muscle. The upper trapezius muscle is the postural muscle and is highly susceptible to over use. Bad posture is the noted cause of trapezitis. Trapezitis involves myofascial pain syndrome which is characterized by trigger points. The syndrome is associated with tenderness in the muscle, spasm and restriction of range of motion. Physiotherapy techniques like Active Release Technique (ART) and Deep Ischaemic Pressure have been proposed as an adjunct to conventional therapy to treat trapezitis. Active Release Technique acts as restoring free and unimpeded movement of soft tissue, the release of entrapped nerves, vasculature and lymphatics, re-establishing optimal texture, resilience and function of soft tissue. Deep Ischaemic Pressure involves applying direct sustained digital pressure to the trigger point with sufficient force over dedicated time duration, to slow down the blood supply and relieve tension within the involved muscle. This study is determined to study and compare the effect of ART and Deep Ischaemic Pressure in chronic trapezitis.
Study Design: Comparative Study
Setting: Out patient physiotherapy departments in around Pune
Outcome Measures: Visual Analogue Scale (VAS), Cervical ROM (Goniometer), Neck Disability Index (NDI)
Method: 40 subjects with chronic bilateral upper trapezitis were selected on the basis of inclusion and exclusion criteria and randomly assigned in two groups, Group A and Group B after taking informed consent. Group A received active release technique along with conventional physiotherapy. Group B received deep ischaemic pressure along with conventional physiotherapy. Both the groups received 7 treatment sessions for 2 weeks.
Results: The study showed significant reduction in pain and improvement in cervical lateral flexion and neck disability in oth the groups. Inter group comparison showed Active Release Technique to e superior in reducing pain and improving in cervical lateral flexion and neck disability in young adults with chronic bilateral upper trapezitis.