• Natália M Oliveira-Campelo, Cristina A de Melo, Francisco Alburquerque-Sendín, and Jorge P Machado.
• Department of Physical Therapy, Escola Superior de Tecnologia de Saúde, VN Gaia, Portugal. Ncampelo.estsp.ipp@gmail.com
• J Manipulative Physiol Ther. 2013 Jun 1;36(5):300-9.

ObjectiveThe purpose of this study was to investigate effects of different manual techniques on cervical ranges of motion and pressure pain sensitivity in subjects with latent trigger point of the upper trapezius muscle.MethodsOne hundred seventeen volunteers, with a unilateral latent trigger point on upper trapezius due to computer work, were randomly divided into 5 groups: ischemic compression (IC) group (n=24); passive stretching group (n=23); muscle energy technique group (n=23); and 2 control groups, wait-and-see group (n=25) and placebo group (n=22). Cervical spine range of movement was measured using a cervical range of motion instrument as well as pressure pain sensitivity by means of an algometer and a visual analog scale. Outcomes were assessed pretreatment, immediately, and 24 hours after the intervention and 1 week later by a blind researcher. A 4×5 mixed repeated-measures analysis of variance was used to examine the effects of the intervention and Cohen d coefficient was used.ResultsA group-by-time interaction was detected in all variables (P<.01), except contralateral rotation. The immediate effect sizes of the contralateral flexion, ipsilateral rotation, and pressure pain threshold were large for 3 experimental groups. Nevertheless, after 24 hours and 1 week, only IC group maintained the effect size.ConclusionsManual techniques on upper trapezius with latent trigger point seemed to improve the cervical range of motion and the pressure pain sensitivity. These effects persist after 1 week in the IC group.Copyright © 2013 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.

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