Quick Links
Archives
How    to    cite    this    Article:     Peeyoosha    Gurudut,    Esha    Bhadauria.    COMPARATIVE    EFFECTIVENESS    OF    LOW    LEVEL    LASER    THERAPY, ULTRASOUND    THERAPY    AND    COMBINED    EFFECT    OF    BOTH    ON    TRIGGER    POINTS.     Int    J    Physiother    Res    2016;4(5):1701-1706.    DOI: 10.16965/ijpr.2016.169.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijpr.2016.169 Page No.:  1701-1706
COMPARATIVE   EFFECTIVENESS   OF   LOW   LEVEL   LASER   THERAPY,   ULTRASOUND   THERAPY   AND   COMBINED   EFFECT   OF   BOTH   ON   TRIGGER POINTS Peeyoosha Gurudut * 1 , Esha Bhadauria 2 . *1 Assistant   Professor,   Department   of   Orthopedic   Physiotherapy,   KLEU   Institute   of   Physiotherapy,   JNMC   Campus,   Nehrunagar,   Belagavi, Karnataka, India. 2  Department of Orthopedic Physiotherapy, KLEU Institute of Physiotherapy, JNMC Campus, Nehrunagar, Belagavi, Karnataka, India. Address:    Dr.    Peeyoosha    Gurudut,    PT.,    Department    of    Orthopedic    Physiotherapy,    KLEU    Institute    of    Physiotherapy,    JNMC    Campus, Nehrunagar, Belagavi, Karnataka, India 590010 E-Mail:   peeoo123@yahoo.com ABSTRACT Background:   Positive   effect   of   Low   Level   LASER   Therapy   (LLLT)   and   Ultrasound   therapy   (UST)   have   been   studied   before   for   Trigger   Point. however combination of both LLLT and UST therapy have not been studied. Objective:   To   compare   the   effect   of   LLLT,   UST   Alone   each   and   combined   therapy   of   both   along   with   trigger   point   release   on   Trigger   points through pressure pain threshold (PPT), Grades of tenderness. Methods:      45   participants   with   at   least   one   Myofascial   Trigger   Point   were   recruited   and   systematically   assigned   to   one   of   three   groups: UST   (6   sessions),   LLLT   (3   sessions),   both   UST   (6sessions)   and   LLLT   (3sessions)   along   with   trigger   point   release   for   all   the   groups.   Outcome measures were assessed after one week treatment: pressure pain threshold (PPT) and Grades of Tenderness of trigger point. Results :   Pre   and   Post   treatment   values   showed   statistically   significant   results   for   all   the   groups.   When   comparisons   were   made   within   the groups, combined UST and LLLT showed significant results over US and LLLT alone. Conclusion :   The   study   demonstrated   that   combination   of   UST   and   LLLT   is   found   to   be   effective.   Thus   administration   of   both   modality   as combined therapy for trigger point can be used for clinical purpose. KEY WORDS: UST, LLLT, Trigger point, Pressure Algometer, Grades of Tenderness. References 1 . Cole   TM,   Edgerton   VR.   Musculoskeletal   disorders.   In:   Cole   TM,   Edgerton   VR,   eds.   Report   of   the   Task   Force   on   Medical   Rehabilitation   Research:   June 2829, 1990, Hunt Valley Inn, Hunt Valley, Md. Bethesda: National Institutes of Health, 1990:61-70. 2 . Gary Fryer  , Laura Hodgson   effect   of manual pressure release   on myofascial trigger points  in   the upper trapezius   muscle 2001;9: 7 -16. 3 . Alvarez, D. J., & Rockwell, P. G. Trigger points: diagnosis and management. American family physician, 2002;65(4):653-662. 4 . Rich, K. Trigger-Point Grading. Dynamic chiropractic, 2003;21(05). 5 . Diana, C. Information about Trigger Points and their treatment. In Australia, INTERNATIONAL MEDICAL ACUPUNCTURE SYMPOSIUM (ICMART 99). 6 . Myofascial Trigger Point Therapy - What Is It? Mosby's Medical Dictionary, 8th edition. 2009, Elsevier. 7 . Simons   DG.   Review   of   enigmatic   MTrPs   as   a   common   cause   of   enigmatic   musculoskeletal   pain   and   dysfunction.journal   of   Electromyography   and kinesiology, 2004;14:95-107. 8 . Imamura   ST,   Fischer   AA,   Imamura   M,   Teixeira   MJ,   TchiaYeng   Lin,   Kaziyama   HS,   et   al.   Pain   management   using   myofascial   approach   when   other   treat- ment failed. Phys Med RehabilClin North Am 1997;8:179-96 9 . Fricton   JR,   Kroening   R,   Haley   D,   Siegert   R.   Myofascial   pain   syndrome   of   the   head   and   neck:   a   review   of   clinical   characteristics   of   164   patients.   Oral Surg Oral Med Oral Pathol 1985;60:615-23 1 0 . Manca   A,   Limonta   E,   Pilurzi   G,   Ginatempo   F,   De   Natale   ER,   Mercante   B,   Tolu   E,   Deriu   F.   Ultrasound   and   Laser   as   Stand‐Alone   Therapies   for   Myofascial Trigger Points: A Randomized, Double‐Blind, Placebo‐Controlled Study. Physiotherapy Research International. 2014 Sep 1;19(3):166-75. 1 1 . Srbely   JZ,   Dickey   JP,   Lowerison   M,   Edwards   AM,   Nolet   PS,   Wong   LL.   Stimulation   of   myofascial   trigger   points   with   ultrasound   induces   segmental antinociceptive effects: a randomized controlled study. Pain. 2008 Oct 15;139(2):260-6. 1 2 . Hakgüder   A,   Birtane   M,   Gürcan   S,   Kokino   S,   Nesrin   Turan   F.   Efficacy   of   low   level   laser   therapy   in   myofascial   pain   syndrome:   an   algometric   and thermographic evaluation. Lasers in surgery and medicine. 2003 Dec 1;33(5):339-43. 1 3 . Kaur   D,   Arora   R,   Arora   L,   Paul   R.   A   Randomized   Controlled   Trial   to   Study   the   Efficacy   of   Low   Level   Laser   Therapy   Combined   with   Ischemic   Compression in the Treatment of Latent Myofascial Trigger Points. International Journal of Innovative Research and Development. 2014 Aug 6;3(7). 1 4 . Matsutani   LA,   Marques   AP,   Ferreira   EA,   Assumpção   A,   Lage   LV,   Casarotto   RA,   Pereira   CA.   Effectiveness   of   muscle   stretching   exercises   with   and   without laser therapy at tender points for patients with fibromyalgia. Clin Exp Rheumatol. 2007 May 1;25(3):410-5.





International Journal of Physiotherapy and Research ISSN (O): 2321-1822  ISSN (P): 2321-8975 Volume 4 |Issue 5 |  2016 Date of Publication:  11 October 2016 http://ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com HOME ABOUT US EDITORIAL BOARD AUTHOR GUIDELINES SPECIAL SERVICES CONTACT US
DOWNLOAD PDF
TABLE OF CONTENTS