Effectiveness Of Positional Release Therapy In Treatment Of Trapezitis

INTERNATIONAL JOURNAL OF PHARMACUTICAL SCIENCE AND HEALTH CARE
ISSUE 2, VOLUME 1 (FEBRUARY 2012) ISSN: 2249-5738
for the evaluation of patient groups, rather than individual patient follow-up. The neck
disability index, however, has been revalidated more times for evaluation of patients . Vernon
H, Mior S evaluated the neck disability index to study its reliability and validity in
comparison to McGill pain questionnaire and achieved a high degree of reliability and
internal consistency with the neck disability index scores 49 . Therefore the neck disability
index was used to assess the functional disability in the present study to confirm the results of
the past studies.
In this study, the age group of the participants was in the range of 20-55 years.
Prevalence is highest in middle age 29 . Lee in his study of the pressure sensitivity to head and
neck muscle categorized the males and females by age from the 2nd through the 6th decades
of life 37 . Fischer stated that neck pain is more common at approximately 50 years of age 36 .
The findings of this study cannot be correlated with the author’s statement. Sample of the
present study consisted of 18 males and 32 females i.e. 36% were males and 64% were
females. Many authors have stated that females are more prone to neck pain than men 45 . The
findings of this study can be correlated with the author’s statement.
The present study had several limitations like small sample size, duration of
symptoms. In the present study the sample size was inadequate. Thus it is suggested that with
a larger sample size it would be more convenient to generalize the effects of the treatment as
results may vary with variation in the sample size and the population studied. The groups in
this study were heterogeneous groups with both male and female population, future studies
could be done taking up a homogenous samples with literature review suggests that the
incidence of neck pain and upper trapezius spasm is more in the female population 48 .The
present study was confined to neck pain and unilateral upper trapezius spasm due to
mechanical and non traumatic conditions as there are numerous authors who have attributed
neck pain due to specific causes 25, 26, 27 . There are no studies available in literatures who
suggest the use of PR in the treatment of somatic dysfunction like unilateral upper trapezius
spasm. Also PR was used as an additional form of treatment along with the conventional
treatment of ultrasound therapy and isometrics. Therefore, future studies should be carried
out to find the effects of only PR as a single intervention in the treatment of unilateral upper
trapezius spasm.
Conclusion
In conclusion, this randomized control trial which was performed on 30 male and
female subjects with a complain of neck pain and associated unilateral upper trapezius spasm
with interventions in the form of conventional physiotherapy and positional release therapy
showed that, positional release therapy can be useful in alleviating the neck pain and improve
the functional ability as shown in terms of visual analog scale and Neck disability index.
Acknowledgement
Authors acknowledge the immense help received from the scholars whose articles are
cited and included in references of this manuscript. The authors are also grateful to
authors/editors/publishers of all those articles, journals and books from where the literature
for this article has been reviewed and discussed.
References
1. Kerry JD, Ambrogio, George BR. Positional release therapy assessment and treatment of
musculoskeletal dysfunction Mosby year book Inc 64.
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