COMPARISON BETWEEN TREATMENT MYOFASCIAL TRIGGER POINTS IN L MASSETER MUSCLE WITH ISCHEMIC COMPRESSION AND WITH TRANSVERSE FRICTION MASSAGE. SERIES OF 10 CASES
Keywords:
serie de casos, puntos gatillo miofasciales, musculo masetero, umbral de dolor a la presibn.Abstract
AIM: Nowadays, Myofascial Pain Syndrome (MPS) is one of the main causes of musculoskeletal dysfunction. MPS is characterized by Myofascial Trigger Points (MTrP). The presence of MTrPs in the masseter muscle is one of the main causes of orofacial pain. In the literature, there are a lot of research analyzing the immediate effectiveness of different physical medicines modalities in the management of MPS. The aim of this cases series is to analyze the evolution of a masseter MTrP for 2 weeks, receiving a weekly treatment.
MATERIAL AND METHODS: 10 patients diagnosed of Myofascial Trigger Point (MTrP) in the masseter muscle participated in this cases series. All the patients were diagnosed as having myofascial pain syndrome according to Travell and Simons diagnosis criteria. First 5 patients were treated with the ischemic compression technique, whereas last 5 patients were treated with transverse friction massage.
The outcome measures were the Pressure Pain Threshold (PPT) and the patient's improvement of the daily life activities which there are affected by the presence of this MTrP. The PPT was measured with a Pressure Threshold Meter (PTM). It has been applied 3 treatment sessions, for two weeks. Data were analyzed with SPSS program, stablishing significantly values which P < 0,05.
RESULTS: The results obtained show an improvement in the pressure pain threshold in all sessions, being this improvement statistically significant (P < 0,05) in all sessions of group treated with the ischemic compression technique, but not in all sessions of transverse friction massage group. 100 % of the patients had a qualitative improvement in mouth opening / closing, and better sleeping.
CONCLUSIONS: Ischemic compression and transverse friction massage are two effective techniques to reduce the painful sensibility in myofascial trigger point. Patients maintain the improvement during a period of time, stablished in this study in one week, without any physical therapy treatment. This improvement has been accumulative for successive session.
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