COMPARISON OF BOWEN’S TECHNIQUE AND MYOFASCIAL RELEASE TECHNIQUE ON PAIN AND NECK DISABILITY IN PATIENTS WITH TRAPEZITIS

Main Article Content

Zainab Waqar
Iram Shahzadi
Amnah Anum
Riffat Yasmin
Alisha Khan
Ahmad Wassi
Amber Shabbir
Sabahat Ali Sheikh
Aisha Razzaq

Keywords

Bowen Technique, Isometric Scapular Pinch Test, Lateral Scapular Slide test, Myofascial Release Technique, Neck Disability Index, Trapezitis

Abstract

Background: Trapezitis, characterized by inflammation of the trapezius muscle, presents with pain, stiffness, spasm, and altered cervical ranges and scapular motion. Various treatments exist, including Hot pack, Cryotherapy,


Objective: This study aimed to assess the short-term effects of the Bowen technique and Myofascial release technique on neck pain, neck disability, cervical range of motions, and scapular motion in trapezitis patients.


Methods and Methodology: A randomized clinical trial with 42 participants aged 20-40 at Islamabad Physiotherapy and Rehabilitation Centre and Benazir Bhutto Hospital. Group A received Bowen technique, and Group B received Myofascial Release Technique for 20 minutes, along with active neck movements and hot pack for three consecutive days. Assessment included Cervical ROMs, NPRS, NDI, Pain in ISPT, Retraction Hold Time, and Variation in LSST at baseline and after 3 days.


Results: Significant differences were observed in Cervical extension, Rotation, Side-bending, Numeric Pain Rating Scale, Neck Disability Index, Retraction Hold Time, and Variation in Lateral Scapular Slide Test between the two groups (p-value < 0.05). No significant difference was found in Cervical flexion and Pain with Isometric Scapular Pinch Test (p-value > 0.05).


Conclusion: Both MFR and Bowen demonstrated short-term effectiveness in alleviating pain, reducing neck disability, improving cervical ROMs, and enhancing scapular position. However, MFR showed greater efficacy than Bowen in certain aspects, suggesting its superiority in treating trapezitis symptoms.

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References

1. Bhatnagar A, Dass B, Hotwani R. Effectiveness of Self-Administered Proprioceptive Neuromuscular Facilitation with Self-Neural Mobilization Technique in TrapeziusMyalgia: Single Subject Research. Journal of Pharmaceutical Research International. 2021:36-40.
2. Jhaveri A, Gahlot P. Comparision Of Effectiveness Of Myo Facial Release Technique Versus Muscle Energy Technique On Chronic Trapezitis-An Experimental Study.
3. Bulbuli AS, Methe AD. Immediate Effect of Spray and Stretch Technique on Trapezits: An Experimental Study. Journal of Medical Science and Clinical Research. 2017;5(4):20591-6.
4. Shabbir A, Imran M, Kamran M, Wassi A, Amin H, Balqees A, et al. Linguistic Reliability & Validity of Urdu Version of Roland-Morris Disability Questionnaire in Patients with Chronic Non-Specific Low Back Pain: Roland-Morris Disability Questionnaire in Patients with Chronic Non-Specific Low Back Pain. Pakistan BioMedical Journal. 2022:79-84.
5. Baker S, McBeth J, Chew-Graham CA, Wilkie R. Musculoskeletal pain and co-morbid insomnia in adults; a population study of the prevalence and impact on restricted social participation. BMC family practice. 2017;18(1):1-9.
6. Ehsani F, Mosallanezhad Z, Vahedi G. The prevalence, risk factors and consequences of neck pain in office employees. Middle East Journal of Rehabilitation and Health. 2017;4(2):e42031.
7. Fares J, Fares MY, Fares Y. Musculoskeletal neck pain in children and adolescents: risk factors and complications. Surgical neurology international. 2017;8.
8. Joshi R, Rathi M, editors. Effect of Muscle Energy Technique versus Positional Release Technique on Pain and Functions in Patients with Trapeziti“ A Comparative Study2017.
9. Contractor ES, Shah S, Shah SJ. To study correlation between neck pain and cranio-vertebral angle in young adults. Int Arch Integr Med. 2018;5(4):81-6.
10. Damayanti S, Zorem M, Pankaj B. Occurrence of work related musculoskeletal disorders among school teachers in Eastern and Northeastern part of India. International Journal of Musculoskeletal Pain Prevention. 2017;2(1):187-92.
11. Sachdev S, Talreja S, Nasir S, Ali AA. Prevalence of neck pain among the undergraduate physical therapy students of university of Balochistan, Quetta, Pakistan. Journal of Novel Physiotherapy and Physical Rehabilitation. 2021;8(1):020-3.
12. Khan U, Fasih M. Prevalence of work related neck pain among physiotherapists and its association with age and gender. Pak J Physiol. 2017;13(3):39-42.
13. Basharat A, Anum A, Rashid I, Naz K, Waqar Z, Waqar Z. Effect of exer gaming on rehabilitation of patient with Parkinson’s disease. International journal of health sciences. 2023;7(S1):1280-94.
14. Raina BS, Manhas A, Jothilingam M. Comparison of Ultrasound Therapy & Transcutaneous Electrical Nerve Stimulation in the Treatment of Upper Trapezitis. Annals of the Romanian Society for Cell Biology. 2021;25(6):1121-31.
15. Razaq HB, Basharat A, Sheikh SA, Zehra RE, Mufti HA, Faraz K, et al. Effects of combining both mobilization with movement and spencer’s technique in diabetic adhesive capsulitis patients. International journal of health sciences. 2023;7(S1):2328-43.
16. Moore KL, Dalley AF. Clinically oriented anatomy: Wolters kluwer india Pvt Ltd; 2018.
17. Clouette J, Leroux T, Shanmugaraj A, Khan M, Gohal C, Veillette C, et al. The lower trapezius transfer: A systematic review of biomechanical data, techniques, and clinical outcomes. Journal of shoulder and elbow surgery. 2020;29(7):1505-12.
18. Patel JP, Purohit A. Prevalence of Scapular Dyskinesia in Young Adults with Trapezitis-A Cross-Sectional Study.
19. Shabbir A, Kamran M, Imran M, Shah NA, Mehtab S, Wassi A. Association Between Mobile Phone Usage and Neck Pain in Medical Students of Islamabad Pakistan: A Cross Sectional Study. Journal of Bashir Institute of Health Sciences. 2023;4(1):43-50.
20. Mowatt L, Gordon C, Santosh ABR, Jones T. Computer vision syndrome and ergonomic practices among undergraduate university students. International journal of clinical practice. 2018;72(1):e13035.
21. Rana Z, Sheikh SA, Anwar F, Gul K, Shahid H, Shaukat Z, et al. Effectiveness of continuous passive motion protocol as an adjunct to standard physiotherapy protocol for post-operative rehabilitation in Total Knee Arthroplasty (TKA) cases.
22. Wakde P, Anap D. EFFECTIVENESS OF INTEGRATED NEUROMUSCULAR INHIBITORY TECHNIQUE IN SUB-ACUTE TRAPEZITIS: A SINGLE CASE STUDY. 2016;1:11-5.
23. Bitra M, Sudhan S. Instrument Assisted Soft Tissue Mobilisation in the Management of Musculoskeletal Pain: A Literature Review with Implications for Clinical Practice Guidelines. Journal of Clinical & Diagnostic Research. 2019;13(12).
24. Mishra D, Prakash RH, Mehta J, Dhaduk A. Comparative Study of Active Release Technique and Myofascial Release Technique in Treatment of Patients with Upper Trapezius Spasm. Journal of Clinical & Diagnostic Research. 2018;12(11).
25. Akhil F. Effectiveness of Positional Release Technique versus Ischemic Compression on Sedentary Way of life with Upper Trapezius Trigger Points: College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences …; 2019.
26. Senthilkumar S, Kumar A, Sangeetha S. A Study on Effectiveness of Post Isometric relaxation Technique in Trapezitis among workers. Research Journal of Pharmacy and Technology. 2019;12(10):4836-40.
27. Jildeh TR, Ference DA, Abbas MJ, Jiang EX, Okoroha KR. Scapulothoracic Dyskinesis: A Concept Review. Current Reviews in Musculoskeletal Medicine. 2021:1-9.
28. Jothilingam M, Sarniya S, Alagesan J. Comparison of Ultra Sound Therapy & Transcutaneous Electrical Nerve Stimulation in the Treatment of Upper Trapezitis. Annals of the Romanian Society for Cell Biology. 2021;25(6):1964-71.
29. Pathan NM, Thakur S, Kadam K, Lohade S, Chandak N. Immediate effects of positional release therapy and manual trigger point release on neck pain and range of motion in computer users with upper trapezitis. Journal of Family Medicine and Primary Care. 2021;10(8):2839.
30. Laimi K, Mäkilä A, Bärlund E, Katajapuu N, Oksanen A, Seikkula V, et al. Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review. Clinical rehabilitation. 2018;32(4):440-50.
31. Zein-Hammoud M, Standley PR. Optimized Modeled Myofascial Release Enhances Wound Healing in 3-Dimensional Bioengineered Tendons: Key Roles for Fibroblast Proliferation and Collagen Remodeling. Journal of manipulative and physiological therapeutics. 2019;42(8):551-64.
32. Werenski J. The effectiveness of Myofascial release technique in the treatment of Myofascial pain. A Literature Review. 2011;32(4):440-50.
33. Morgan-Jones M, Knott F, Wilcox H, Ashwin C. A pilot study of fascia Bowen therapy for 8-11 year-old boys with developmental coordination disorder. Journal of bodywork and movement therapies. 2019;23(3):568-74.
34. Nitsure P, Kothari N. THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS-A PILOT STUDY. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2015;21(36).
35. Kage V, Bootwala F, Kudchadkar G. Effect of bowen technique versus muscle energy technique on asymptomatic subjects with hamstring tightness: a randomized clinical trial. International Journal of Medical Research & Health Sciences. 2017;6(4):102-8.
36. Carter B, Minnery MR, Clarke MB. Evaluation of Bowen Technique in the Treatment of Frozen Shoulder.
37. Cheatham SW, Kolber MJ, Mokha M, Hanney WJ. Concurrent validity of pain scales in individuals with myofascial pain and fibromyalgia. Journal of bodywork and movement therapies. 2018;22(2):355-60.
38. Kolber MJ, Hanney WJ. The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. International journal of sports physical therapy. 2012;7(3):306.
39. Félix GJ, Black L, Rodrigues M, Silva AG. The acute effect of Bowen therapy on pressure pain thresholds and postural sway in healthy subjects. Journal of bodywork and movement therapies. 2017;21(4):804-9.
40. Kage V, Joshi P. IMMEDIATE EFFECTS OF TRIPLANAR MYOFASCIAL RELEASE VS SUBOCCIPITAL RELEASE IN SUBJECTS WITH NON-SPECIFIC NECK PAIN: A CLINICAL TRIAL. Int J Physiother Res. 2017;5(3):2056-60.

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