eISSN: 1734-4948
ISSN: 0860-6161
Advances in Rehabilitation
Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
vol. 36
Original article

The effects of the spray stretch and sustained pressure techniques for managing trigger points in the upper part of the trapezius muscle

Uzair Ahmad
Saira Waqqar
Muheebur Rehman
Syed Zain Ul Abidin
Subhan Ur Rehman Burki
Faiz Ur Rehman

College of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan
Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Islamabad, Pakistan
Department of Life science, Abasyn University, Peshawar, Pakistan
IBMS Khyber Medical University, Peshawar, Pakistan
Advances in Rehabilitation, 2022, 36(3), 26–34
Online publish date: 2022/10/04
Article file
- 2022-03-ar-04.pdf  [0.68 MB]
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
PlumX metrics:
1. Hwang UJ, Kwon OY, Yi CH, Jeon HS, Weon JH, Ha SM. Predictors of upper trapezius pain with myofascial trigger points in food service workers: The STROBE study. Medicine. 2017; 96(26): e7252.
2. Fleckenstein J, Zaps D, Ruger LJ, Lehmeyer L, Freiberg F, Lang PM, et al. Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: results of a cross-sectional, nationwide survey. BMC Musculoskelet Disord. 2010; 11: 32.
3. Borg-Stein J, Iaccarino MA. Myofascial pain syndrome treatments. Phys Med Rehabil Clin N Am. 2014; 25(2): 357-74.
4. Cerezo-Téllez E, Torres-Lacomba M, Mayoral-del Moral O, Sánchez-Sánchez B, Dommerholt J, Gutiérrez-Ortega C. Prevalence of Myofascial Pain Syndrome in Chronic Non-Specific Neck Pain: A Population-Based Cross-Sectional Descriptive Study. Pain Med. 2016; 17(12): 2369-77.
5. Alonso-Blanco C, Fernandez-de-las-Penas C, Fernandez-Mayoralas DM, de-la-Llave-Rincon AI, Pareja JA, Svensson P. Prevalence and anatomical localization of muscle referred pain from active trigger points in head and neck musculature in adults and children with chronic tension-type headache. Pain Med. 2011; 12(10): 1453-63.
6. Ribeiro DC, Belgrave A, Naden A, Fang H, Matthews P, Parshottam S. The prevalence of myofascial trigger points in neck and shoulder-related disorders: a systematic review of the literature. BMC Musculoskelet Disord. 2018; 19(1): 252.
7. Amin D. Spray stretch technique versus progressive pressure release on treatment of myofacial pain trigger point: Randomized controlled trial. Int J Physiother. 2017; 5: 2101-217.
8. Saxena A, Chansoria M, Tomar G, Kumar A. Myofascial pain syndrome: an overview. J Pain Palliat Care Pharmacother. 2015; 29(1): 16-21
9. Mense S, Gerwin RD. Muscle pain: diagnosis and treatment: Springer Science & Business Media; 2010.
10. Koca İ, Boyaci A. A new insight into the management of myofascial pain syndrome. Gaziantep Med J. 2014; 20(2): 107-12
11. Sarrafzadeh J, Ahmadi A, Yassin M. The effects of pressure release, phonophoresis of hydrocortisone, and ultrasound on upper trapezius latent myofascial trigger point. Arch Phys Med Rehabil. 2012; 93(1): 72-7
12. Nagrale AV, Glynn P, Joshi A, Ramteke G. The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. J Man Manip Ther. 2010; 18(1): 37-43
13. Cagnie B, Castelein B, Pollie F, Steelant L, Verhoeyen H, Cools A. Evidence for the Use of Ischemic Compression and Dry Needling in the Management of Trigger Points of the Upper Trapezius in Patients with Neck Pain: A Systematic Review. Am J Phys Med Rehabil. 2015; 94(7): 573-83.
14. Peta T, Cardoso R. Ischemic Compression Effects on Upper Trapezius Myofascial Trigger Points: A Systematic Review. Int J Public Health Res. 2020; 7(4): 41
15. Bulbuli AS, Methe AD. Immediate Effect of Spray and Stretch Technique on Trapezits: An Experimental Study. J med sci clin res. 2017; 5(4). 20591-6.
16. Rajarajeswaran P. Effects of spray and stretch technique and post isometric relaxation technique in acute active central trigger point of upper trapezius. Indian J Physiother Occup Ther. 2010; 4(4): 121-4.
17. Tunnell PW. Muscle length assessment of tightness-prone muscles. J Bodyw Mov Ther. 1998; 2(1): 21-7.
18. Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach: Hu-man kinetics Champaign, IL; 2010.
19. Thompson J. Myofascial Pain and Dysfunction: The Trigger Point Manual, Vol 1: Upper Half of Body (2nd Ed.). J Psychosom Res. 2001; 51: 403-4.
20. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual: Lippincott Williams & Wilkins; 1983.
21. Sharifullah M, Sajjad AG, Mobeen A, Tariq I, Khan A, Darain H. Comparison of sustained pressure vs ischemic compression on trigger points in chronic myofacial pain management. Khyber Med Univ J. 2018; 10(2): 66-70.
22. Knapstad MK, Nordahl SHG, Naterstad IF, Ask T, Skouen JS, Goplen FK. Measuring pressure pain threshold in the cervical region of dizzy patients-The reliability of a pressure algometer. Physiother Res Int. 2018;2 3(4): e1736.
23. MacDermid JC, Walton DM, Avery S, Blanchard A, Etruw E, McAlpine C, et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther. 2009; 39(5): 400-17.24. Srikanth M, Srikumari V, Madhavi K. Effectiveness of muscle energy technique on pain & cervical range of motion in patients with myofasical pain in upper trapenzius. Int J Physiother. 2015; 2(1): 333-40
24. Bijur P, Silver W, Gallagher E. Reliability of the Visual Analog Scale for Measurement of Acute Pain. Acad Emerg Med. 2002; 8: 1153-7.
25. Farooq MN, Mohseni Bandpei MA, Ali M, Khan GA. Reliability of the universal goniometer for assessing active cervical range of motion in asymptomatic healthy persons. Pak J Med Sci Q. 2016; 32(2): 457-61.
26. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002; 52(2): 69-77.
27. Hussain A. The use of ethyl chloride spray in the treatment of postoperative pain. Anaesthesia Cases. 2014; 2(1): 95-7.
28. Llamas-Ramos R, Pecos-Martín D, Gallego-Izquierdo T, Llamas-Ramos I, Plaza-Manzano G, Ortega-Santiago R, et al. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014; 44(11): 852-61.
29. Bahadır C, Dayan VY, Ocak F, Yiğit S. Efficacy of Immediate Rewarming with Moist Heat After Conventional Vapocoolant Spray Therapy in Myofascial Pain Syndrome. J Musculoskelet Pain. 2010; 18(2): 147-52.
30. Shin WS, Kim YW, Yoon YS, Cha JH, Choi JC, Park DH. The Use of Vapocoolant Spray for the Treatment of Minor Trauma in the Hospital Emergency Department. J Korean Soc Emerg Med. 2012; 23(1): 33-40.
31. Santos RBdC, Carneiro MIS, Oliveira DMd, Maciel ABdR, Monte-Silva KKd, Araújo MdGR. Impact of dry needling and ischemic pressure in the myofascial syndrome: Controlled clinical trial. Fisioterapia em Movimento. 2014; 27(4): 515-22.
This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.