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Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points
Haytham M El-Hafez1, Hend A Hamdy1, Mary K Takla1
1Basic Science Department, Faculty of physical therapy, Cairo University, Egypt.
Objective:
This study investigated the effects of instrument-assisted soft tissue mobilisation (IASTM) versus stripping massage (SM) on myofascial trigger points in the right upper trapezius.
Method:
Forty patients (34 women and 6 men), aged 18-23 years, with active trigger points in the right upper trapezius were divided into two equal groups (A and B). Group A (n = 20) received IASTM using an M2T blade twice a week for four weeks in addition to stretching exercise. Group B (n = 20) received SM twice a week for four weeks in addition to stretching exercise. The visual analogue scale, a pressure algometer, and the Arabic version of the Neck Disability Index were used to evaluate patients' pre- and post-treatment statuses.
Results:
Within-group analysis showed significant differences between pre- and post-treatment values of all outcome measures in both groups. In contrast, between-group analysis did not show any significant differences between the two groups in pre- or post-treatment values of any outcome measures.
Conclusion:
IASTM and SM are effective methods for improving pain and function in patients with upper trapezius trigger points.

