A Comparative Study of Immediate Effects of Pressure Point Massage and Acupuncture for Patients with Upper Trapezius Myofascial Trigger Points
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Abstract
Introduction and objective: Myofascial pain syndrome is a musculoskeletal condition that most commonly occurs in the neck and shoulder girdle area, negatively affecting the patient’s quality of life. The objective of this study was to compare the immediate effects of pressure point massage and acupuncture for patients with upper trapezius myofascial trigger points.
Methods: Thirty-four patients were randomized to receive a session of either pressure point massage (ischemic compression combined with deep transverse friction massage) or acupuncture. Pain intensity, muscle tension, cervical flexion range of motion and anxiety were assessed before and immediately after the treatments.
Results: Both pressure point massage and acupuncture were found to result in a significant improvement in pain intensity and muscle tension compared to baseline values (p < 0.05). However, only pressure point massage can decrease anxiety. When comparing between the two groups, no significant difference was found between pressure point massage and acupuncture in all parameters.
Discussion: Pressure point massage and the acupuncture technique were equally effective in improving pain intensity and muscle tension; and pressure point massage provided better reductions in anxiety than acupuncture in patients with upper trapezius myofascial trigger points. However, this trial only investigated the acute effectiveness of pressure point massage and acupuncture, which might not be associated with a longer-term effectiveness. In the future study, investigation of a longer-term effect would be an interesting direction.
Conclusion and recommendation: Pressure point massage reduced pain intensity, muscle tension and anxiety; and acupuncture was associated with significant decreases in pain intensity and muscle tension in patients with upper trapezius myofascial trigger points. Therefore, pressure point massage and acupuncture may be considered effective interventions for this patient population.
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