Clinical Study Of Precise Stretching In The Treatment Of Trapezius Myofascial Pain Syndrome

Objective:The purpose of this study is to observe the clinical efficacy of precise stretching combined with massage and massage alone in the treatment of upper trapezius myofascial pain syndrome,compare the efficacy differences of the two methods,and verify the exact clinical efficacy and advantages of precise stretching combined with massage in the treatment of upper trapezius myofascial pain syndrome.To make certain preparation for precision stretching therapy to be widely used in clinic.Methods:In this study,patients with the pain syndrome(arthralgia and myofascitis)of the upper trietalis muscle in the Acupuncture and Massage Center of the Third Affiliated Hospital of Changchun University of Chinese Medicine were selected as the research objects.They were randomly divided into the precise stretching group(treatment group)and the massage group(control group),36 cases in each group,of which 2 cases fell off during treatment,35 cases in each group.The treatment group was given precise stretching therapy:1.Sit on a chair or stool with feet a certain distance apart and slightly tighten the back and abdomen.Reach your right hand behind you and grab the edge of the chair.Lean your upper body to the left,keeping your head straight.Slight pulling sensation in the right shoulder or right upper arm.2.Then try lifting your right shoulder toward the ceiling and holding for 5 seconds.Do not turn to the side.Rest for a few seconds and then lean your upper body to the left a little more.Now,the body position is the correct starting position for the stretch.3.Carefully turn your head to the left and slightly to the right.Hold your head with your left hand and carefully pull your head to the side,stretching your muscles for 5 to 10 seconds.Stop when you feel slight tingling in your neck and shoulders.Rest your muscles for 5 to 10 seconds.4.Stretch again until you feel a slight tingle.Remain in the current position and carefully lean your head back against your palms to create resistance.5.Then move your head to the left to stretch further until you reach the new end point,then slowly release.6.Repeat 2 to 3 times.The traditional massage method:the patient took the sitting position,the surgeon was located behind the patient,the operation referred to the "massage therapy" in the treatment of the neck myofasciitis:the surgeon first with a finger zen push method to push the cervical artery,from top to bottom 3～5 times,take kneading the muscle tendon 2～3min;Knead Fengfu,Fengchi,shoulder well with thumb;After moving the patient’s cervical vertebra,the cervicothoracic vertebra was fine-tuned by pulling the arm.Knead the back of the item,mainly with the trapezius muscle,repeat 3～5 times,and finally tap the back of the item to end the treatment.The group by skilled traditional massage personnel unified according to the standard operation,each treatment 20min.The control group only used traditional massage manipulation,and the detailed content was referred to the traditional massage manipulation part of the treatment group.The first 3 days were treated once a day,then once every other day,5 times as a course of treatment,a total of 2 courses of treatment,2 courses of treatment interval of 2 days.During treatment,patients should have a reasonable rest and rest,healthy diet and good living habits:do not blow wind or feel cold;Do not self-administer sedatives and hormones or receive such treatment.Results:SPSS26.0 test showed that there were no significant differences in gender,age,course of disease,VAS score and PPT score between the two groups before treatment.After treatment,visual analog scale(VAS)and pressure pain threshold score(PPT)were significantly improved in both groups(P<0.05).Compared with the control group,the visual analogue scale(VAS)and tenderness threshold score(PPT)of the treatment group were significantly improved,the visual analogue scale(VAS)of the treatment group was lower than that of the control group(P<0.05),and the tenderness threshold score(PPT)of the treatment group was higher than that of the control group(P<0.05),which was statistically significant.The total effective rate of the treatment group was 94.28%,which was better than 82.85%of the control group(P<0.05),and the difference was statistically significant.Conclusion:1.The overall efficacy of precise stretching therapy combined with massage in the treatment of upper trapezius muscle myofascial pain syndrome was better than that of the control group.2.Precise stretching therapy combined with massage therapy can effectively relieve patients’ pain and improve symptoms.3.Precision stretching therapy combined with massage therapy can significantly reduce visual analogue score(VAS)of patients with upper trapezius myofascial pain syndrome.4.Precision stretching therapy combined with massage therapy can significantly increase the risk of patients with superior trapezius muscle myofascial pain stress pain threshold score(PPT).