Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points

Abstract

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.

Keywords: Arabic version of the neck disability index; Instrument-assisted soft tissue mobilisation; Myofascial trigger points; Stretching exercise; Stripping massage.