Ischemic Compression Effects on Upper Trapezius Myofascial Trigger Points: A Systematic Review
[1]
Tarcisio Peta, Faculty of Health Sciences, Fernando Pessoa University, Porto, Portugal.
[2]
Ricardo Cardoso, Faculty of Health Sciences, Fernando Pessoa University, Porto, Portugal; Transdisciplinary Center of Consciousness Studies of Fernando Pessoa University, Porto, Portugal.
The term trigger point means the presence of a mass or a lump, perceptible to the touch, present within a tense muscle band. These points are traceable to various classifications according to the symptomatology presented. To determine the ischemic compression (IC) in patients with the presence of upper trapezius myofascial trigger points (TP). Methods: Research on computerized databases PubMed/Medline, ScienceDirect, PEDro, Lilacs e SciELO was performed using the keywords combination: (myofascial pain syndrome OR trigger point) AND (ischemic compression OR ischaemic compression) AND upper trapezius muscle, according to PRISMA guidelines. Only randomized controlled trials (RCTs) were included in the review. Studies were analyzed using the physiotherapy evidence database (PEDro) scale. Results: In this review 8 randomized articles with a total of 590 elements were found with a score of 7,12 on the PEDro rating scale, and selected studies included different ways of using the technique and assessment methods. Statistically significant results were found mainly in the increase of pressure pain threshold and cervical range of motion in the groups that used IC. Conclusions: The studies included in this review suggest that IC plays a fundamental role in the treatment of the TP presented in upper Trapezius.
Physiotherapy, Myofascial Trigger Point, Ischemic Compression, Randomized Controlled Trials
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