Efficacy of Myofascial Trigger Release Technique versus Muscle Energy Technique on Muscle Activity and Pain among Individuals with Text Neck Syndrome: an Electromyography Analysis

Document Type : Original Research

Authors
L. K. R 1
K. M 2
H. J 3
H. Husna 1
P. R 1
P. Seemathan 4
D. S 5
D. N 4
1 Post graduate student, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
2 Professor, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
3 Tutor, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
4 MPT, Tutor, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
5 Under graduate student, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, India.
10.22034/IJMPP.10.1.1141
Abstract
Aim: The aim of the study is to determine the effectiveness of Myofascial Trigger Release Technique versus Muscle Energy Technique on muscle activity and pain among individuals with Text Neck Syndrome
Methodand Materials: A total of 112 subjects with Text neck syndrome were selected using simple random sampling technique from Saveetha medical college and hospital based on inclusion and exclusion criteria after which detailed study procedure were explained to patients and written informed consent were obtained. The participants age from 18 to 30 years and both male and female gender had been diagnosed with Text neck syndrome. The 56 individuals in each group into two groups. The experimental group (Myofascial trigger release technique) Control group (Muscle energy technique) for both groups pretest results from, EMG and pressure algometer were documented. Treatment intervention consisted of 4 weeks with 3 sessions per week.

Findings: On comparing pre-test and post-test within experimental group & control group on EMG and Pressure algometer score shows highly significant difference in mean values at P ≤ 0.0001.

Conclusion: The study concluded that the myofascial trigger release technique was more effective than muscle energy technique.

Keywords

Subjects

1. Kumari S, Kumar R, Sharma D. Text neck syndrome: the pain of modern era. Int J Health Sci Res. 2021;11(11):161–165.
2. David D, Giannini C, Chianelli F. Text neck syndrome in children and adolescents. Int J Environ Res Public Health. 2021;18:1565.
3. Kumar R, Kumari S, Bharti P, Sharma D. Nomophobia: A rising concern among Indian students. Indian Psychiatry J. 2021.
4. Effectiveness of Pilates along with conventional exercise program and conventional exercise program alone in subjects with text neck syndrome. Int J Sci Res. 2021; DOI: 10.21275/SR21322101821.
5. Pawaria S, Kalra S. Comparing effectiveness of myofascial release and muscle stretching on pain, disability, and cervical range of motion in patients with trapezius myofascial trigger points. Indian J Health Sci Care. 2015;2(1):8–13. DOI: 10.5958/2394-2800.2015.00002.4.
6. Shinde S, Bhende R. Evidence based treatment strategies for “text neck syndrome”: a review. International Journal of Occupational Safety and Health. 2023 Mar 15;13(2):245-57.
7. Anitha A, Manikumar M, Muthukumaran J. Importance of hand impairment measures on return to work among industrial workers with Zone II flexor tendon repair. Int J Health Sci. 2022;6(S6):1944–1953.
8. Costa MV, Raulino LT, Silva RR, Fernandes TA. ASSOCIATION OF TEXT NECK WITH THE APPEARANCE OF NECK PAIN: SYSTEMATIC REVIEW. Coluna/Columna. 2024 Nov 22;23(3):e285741.
9. Kotteeswaran K, Manikumar M, Muthukumaran J, Swetha K. Effectiveness of Maitland mobilization technique (talocrural glides) and kinesio taping on posterior ankle impingement syndrome in dancers.
10. Yüzbaşıoğlu Ü, Ekici E, Aytar A. Pain of Modern Age Text Neck Syndrome: A Traditional Review. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2024 Dec 12(24):1321-31.
11. Anitha A, Manikumar M, Muthukumaran J. Evaluation of quality of life in subjects with Zone II flexor tendon repair: A cross-sectional study. Int J Health Sci. 2022;(II):5775–5786.
12. Chu EC. Preventing the progression of text neck in a young man: A case report. Radiology case reports. 2022 Mar 1;17(3):978-82.
13. Overmann L, Schleip R, Anheyer D, Michalak J. Effectiveness of myofascial release for adults with chronic neck pain: A meta-analysis. Physiother. 2023; DOI: 10.1016/j.physio.2023.12.002.
14. Sbardella S, La Russa F, et al. Muscle energy technique in the rehabilitative treatment for acute and chronic non-specific neck pain: A systematic review. Healthcare. 2021;9:746. DOI: 10.3390/healthcare9060746.
15. Sommerich CM, Joines SMB, et al. Use of surface electromyography to estimate neck muscle activity. J Electromyogr Kinesiol. 2000; DOI: 10.1016/S1050-6411(00)00033-X.
16. Park G, et al. Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. J Korean Med Sci. 2011;35(3):412–417.
17. Jain D, Jawade S, Chitale N. Effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in subjects with text neck syndrome.
18. Seemal P, Noor R, Riaz S, Afzal H, Anwaar S, Niaz M, Seemal P. Effects of Muscle Energy Technique with and without Bowen Therapy in Text Neck Syndrome. Pakistan Journal of Medical & Health Sciences. 2022 Jun 30;16(06):164-.
19. Straatman LN, et al. A systematic review of the psychometric properties of pressure pain detection threshold in evaluating mechanical pain threshold in people with hand or wrist injuries. J Hand Ther. 2023;36(4):845–859. DOI: 10.1016/j.jht.2023.06.001.
20. Pawaria S, Kalra S. Comparing effectiveness of myofascial release and muscle stretching on pain, disability, and cervical range of motion in patients with trapezius myofascial trigger points. Indian J Health Sci Care. 2015;2(1):8–13.
21. Chaudhary ES, Shah N, Vyas N. Comparative study of myofascial release and cold pack in upper trapezius spasm. Int J Health Sci Res. 2013;3(12):20–27.
22. Fiebert I, Kistner F, Gissendanner C, DaSilva C. Text neck: An adverse postural phenomenon. Work. 2021 Jan 1;69(4):1261-70.
23. Patel N, Desai S, Patel P. Effectiveness of muscle energy technique versus positional release technique on upper trapezius trigger points in subjects with neck pain: A comparative study. Int J Curr Res Rev. 2021;13(11):10–15.
24. Vispute S, Kumar N. A comparative study of immediate effects of myofascial release technique and positional release technique on trapezitis among college students. Int J Physiother Res. 2021; ISSN: 2321-8975.
25. Ravish VN, Shridhar, Sneha Helen. Comparative effectiveness of myofascial release technique versus positional release technique with laser in patients with unilateral trapezitis. J Evol Med Dent Sci. 2014;3(9):1–6.
26. Yadav H, Goyal M. Efficacy of muscle energy technique and deep neck flexors training in mechanical neck pain: A randomized clinical trial. Int J Ther Rehabil Res. 2014;E-ISSN: 2278-0343.
27. Murugapillai S, Subramanian T. Effects of myofascial release technique on pain and neck disability over conventional neck exercises in patients with cervicogenic headache. Indian J Nat Sci. 2021;12(65):1–7.
International Journal of Musculoskeletal Pain Prevention
Volume 10, Issue 1
February 2025
Pages 1141-1148