Journal of Bodywork and Movement Therapies
Volume 13, Issue 1 , Pages 2-10 , January 2009

Changes in masseter muscle trigger points following strain-counterstrain or neuro-muscular technique

  • Jordi Ibáñez-García, PT, DO

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
  • ,
  • Francisco Alburquerque-Sendín, PT, DO

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
    • Department of Physical Therapy, Universidad de Salamanca, Salamanca, Spain
  • ,
  • Cleofás Rodríguez-Blanco, PT, DO

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
    • Department of Physical Therapy, Universidad de Sevilla, Sevilla, Spain
  • ,
  • Didac Girao, PT, DO

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
  • ,
  • Albert Atienza-Meseguer, PT, DO

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
  • ,
  • Sergi Planella-Abella, PT, CO

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
  • ,
  • César Fernández-de-las Peñas, PT, DO, PhD

      Affiliations

    • Escuela de Osteopatía de Madrid, Spain
    • Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
    • Esthesiology Laboratory of Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
    • Corresponding Author InformationCorresponding author at: Universidad Rey Juan Carlos, Facultad de Ciencias de la Salud, Avenida de Atenas s/n, 28922 Alcorcon, Madrid, Spain. Tel.: +34914888884; fax: +34914888957.

Received 19 December 2007 ,Revised 11 February 2008 ,Accepted 11 March 2008.

References 

  1. Atienza-Meseguer A, Fernández-de-las-Peñas C, Navarro-Poza JL, Rodríguez-Blanco C, Boscá-Gandía JJ. Immediate effects of the strain/counter-strain technique in local pain evoked by tender points in the upper trapezius muscle. Clinical Chiropractic. 2006;9:112–118
  2. Chaiamnuay P, Darmawan J, Muirden KD, Assawatanabodee P. Epidemiology of rheumatic disease in rural Thailand: a WHOILAR COPCORD study. Community Oriented Programme for the Control of the Rheumatic Disease. Journal of Rheumatology. 1998;25:1382–1387
  3. Chaitow L. Integrated neuromuscular inhibition technique. British Journal of Osteopathy. 1994;13:17–20
  4. Chaitow L. Modern Neuromuscular Techniques. New York: Churchill Livingstone; 1996;
  5. Chaitow L. Muscle Energy. Edinburgh: Churchill Livingstone; 2001;
  6. Cohen J. Statistical Power Analysis for the Behavioural Sciences. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988;
  7. Cummings TM, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review. Archives of Physical Medicine and Rehabilitation. 2001;82:986–992
  8. D’Ambrogio KJ, Roth GB. Positional Release Therapy. St. Louis: Mosby; 1997;
  9. Dardzinski JA, Ostrov BE, Hamann LS. Myofascial pain unresponsive to standard treatment: successful use of a strain and counter-strain technique with physical therapy. Journal of Clinical Rheumatology. 2000;6:169–174
  10. Dworkin SF, LeResche L, DeRouen T. Reliability of clinical measurement in temporomandibular disorders. Clinical Journal of Pain. 1988;4:89–99
  11. Fernández de las Peñas C, Fernández Carnero J, Galán del Río F, Miangolarra Page JC. Are myofascial trigger points responsible of restricted range of motion? A clinical study (abstract). Journal of Musculoskeletal Pain. 2004;12(Suppl. 9):19
  12. Fernández-de-las-Peñas C, Sohrbeck-Campo M, Fernández-Carnero J, Miangolarra- Page JC. Manual therapies in the myofascial trigger point treatment: a systematic review. Journal of Bodywork and Movement Therapies. 2005;9:27–34
  13. Fernández-de-las-Peñas C, Alonso-Blanco C, Fernández-Carnero J, Miangolarra-Page JC. The immediate effect of ischemic compression technique and transverse friction massage on tenderness of active and latent myofascial triggers points: a pilot study. Journal of Bodywork and Movement Therapies. 2006;10:3–9
  14. Fernández-de-las-Peñas C, Pérez-de-Heredia M, Brea-Rivero M, Miangolarra-Page JC. Immediate effects on pressure pain threshold following a single cervical spine manipulation in healthy subjects. Journal of Orthopaedic & Sports Physical Therapy. 2007;37:325–329
  15. Fischer AA. Application of pressure algometry in manual medicine. Journal of Manual Medicine. 1990;5:145–150
  16. Fischer AA. Algometry in diagnosis of musculoskeletal pain and evaluation of treatment outcome: an update. Journal of Musculoskeletal Pain. 1996;6:5–33
  17. Fryer G, Hodgson L. The effect of manual pressure release on myofascial trigger points in the upper trapezius muscle. Journal of Bodywork and Movement Therapies. 2005;9:248–255
  18. Gam AN, Warming S, Larsen LH, et al. Treatment of myofascial trigger points with ultrasound combined with massage and exercise: a randomised controlled trial. Pain. 1998;77:73–79
  19. Gerwin RD, Shannon S, Hong CZ, et al. Interrater reliability in myofascial trigger point examination. Pain. 1997;69:65–73
  20. Goulet JP, Clark GT, Flack VF, Liu C. The reproducibility of muscle and joint tenderness detection methods and maximum mandibular movement measurement for the temporomandibular system. Journal of Orofacial Pain. 1998;12:17–26
  21. Gunn C. Radiculopathic pain: diagnosis and treatment of segmental irritation or sensitization. Journal of Musculoskeletal Pain. 1997;5:119–134
  22. Hanten WP, Olson SL, Butts NL, Nowicki AL. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Physical Therapy. 2000;80:997–1003
  23. Hong CZ, Simons DG. Patho-physiologic and electro-physiologic mechanisms of myofascial trigger points. Archives of Physical Medicine and Rehabilitation. 1998;79:863–872
  24. Hong CZ, Chen YC, Pon CH, Yu J. Immediate effects of various physical medicine modalities on pain threshold of an active myofascial trigger point. Journal of Musculoskeletal Pain. 1993;1:37–53
  25. Jensen MP, Turbner JA, Romano JM, Fisher LD. Comparative reliability and validity of chronic pain intensity measures. Pain. 1999;83:157–162
  26. Jones LN. Strain and Counter-Strain. Newark, OH: American Academy of Osteopathy; 1981;
  27. Lee JC, Lin DT, Hong CZ. The effectiveness of simultaneous thermotherapy with ultrasound and electrotherapy with combined AC and DC current on the immediate pain relief of myofascial trigger points. Journal of Musculoskeletal Pain. 1997;5:81–90
  28. Levoska S. Manual palpation and pain threshold in female office employees with and without neck-shoulder symptoms. Clinical Journal of Pain. 1993;9:236–241
  29. Lewit K. Manipulative Therapy in Rehabilitation of the Locomotor System. third ed.. Oxford: Butterworth Heinemann; 1999;
  30. Lucas KR, Polus BI, Rich PA. Latent myofascial trigger points: their effects on muscle activation and movement efficiency. Journal of Bodywork and Movement Therapies. 2004;8:160–166
  31. McPartland JM, Simons DG. Myofascial trigger points: translating molecular theory into manual therapy. Journal of Manual and Manipulative Therapy. 2006;14:232–239
  32. Mense S, Simons DG, Russell IJ. Muscle Pain: Understanding its Nature, Diagnosis and Treatment. Philadelphia: Lippincott Williams & Wilkins; 2000;
  33. Pöntinen PJ, Airaksinen O. Evaluation of myofascial pain and dysfunction syndromes and their response to low level laser therapy. Journal of Musculoskeletal Pain. 1995;3:149–154
  34. Rodríguez-Blanco C, Fernández-de-las-Peñas C, Hernández-Xumet JE, Peña-Algaba G, Fernández-Rabadán M, Lillo MC. Changes in active mouth opening following a single treatment of latent myofascial trigger points in the masseter muscle involving post-isometric relaxation or strain/counterstrain. Journal of Bodywork and Movement Therapies. 2006;10:197–205
  35. Sciotti VM, Mittak VL, DiMarco L, et al. Clinical precision of myofascial trigger point location in the trapezius muscle. Pain. 2001;93:259–266
  36. Shah JP, Phillips TM, Danoff JV, Gerber LH. An in vitro microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. Journal of Applied Physiology. 2005;99:1977–1984
  37. Simons DG. Understanding effective treatments of myofascial trigger points. Journal of Bodywork and Movement Therapies. 2002;6:81–88
  38. 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
  39. Simons DG, Travell J, Simons L. 2nd ed.. Myofascial Pain and Dysfunction: The Trigger Point Manual. vol. 1. Baltimore: Williams & Wilkins; 1999;
  40. Simons DG, Hong CZ, Simons L. Endplate potentials are common to midfiber myofascial trigger points. American Journal of Physical Medicine and Rehabilitation. 2002;81:212–222
  41. Skyba DA, Radhakrishnan R, Rohlwing JJ, Wright A, Sluka KA. Joint manipulation reduces hyperalgesia by activation of monoamine receptors but not opioid or GABA receptors in the spinal cord. Pain. 2003;106:159–168
  42. Takala EP. Pressure pain threshold on upper trapezius and levator scapulae muscles: repeatability and relation to subjective symptoms in a working population. Scandinavian Journal of Rehabilitation Medicine. 1990;22:63–68
  43. Wolfe F, Smythe HA, Yunnus MB, et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia: Report of the Multi-center Criteria Committee. Arthritis and Rheumatism. 1990;33:160–172
  44. Wolfe F, Simons DG, Fricton JR, et al. The fibromyalgia and myofascial pain syndromes: a preliminary study of tender points and trigger points in persons with fibromyalgia, myofascial pain syndrome and no disease. Journal of Rheumatology. 1992;19:944–951

PII: S1360-8592(08)00031-4

doi: 10.1016/j.jbmt.2008.03.001

Journal of Bodywork and Movement Therapies
Volume 13, Issue 1 , Pages 2-10 , January 2009