Ischemic compression (neuromuscular inhibition technique (NMT)) and lumbar spine pressure-pain threshold
Item
- Title
- Ischemic compression (neuromuscular inhibition technique (NMT)) and lumbar spine pressure-pain threshold
- Author(s)
- Mehta, Suraj
- Abstract
- IntroductionCurrent evidence establishing any links between ischemic compression as an independent intervention technique for the treatment of myofascial trigger points (MTrPs) is limited by the paucity of availability and clinical significance. The link between ischemic compression and other techniques as combined interventions has been shown to reduce MTrP sensitivity. The aim of this study was to highlight the effects, if any, of ischemic compression on pressure-pain threshold (PPT) at active or latent MTrPs. MethodEight male volunteers (mean age 25 ±3.12, range 22-31) were recruited from the British College of Osteopathic Medicine student population. The study was a single-blinded, repeated measures, controlled cross-over design. Three groups were used, including a control, sham ultrasound and ischemic compression intervention. Subjects were all healthy with active or latent MTrPs in the low back region. Identification of MTrPs was made at the rightside lumbar erector spinae muscle belly between L3-L4. Pressure-pain threshold was measured before, immediately after and 24 hours after the intervention, sham and control.ResultsA range of fair to excellent reliability was shown in the intraclass correlation coefficient, (ICC) data for all of the groups. The post group for Intervention and sham and the pre group for control showed lower reliability than the other groups, yet still a fair reliability. The two-way repeated measures ANOVA with the Holm-Sidak method showed a significant difference (P=0.044) between the pre (6.62 ±0.81) and post sham (5.96 ±0.95), significance (P<0.001) between pre (6.58 ±0.76) and post intervention (8.47 ±0.34) and significance (P=0.008) between post (8.47 ±0.34) and post 24-hour intervention (7.36 ±0.84). Further, significance (P<0.001) was found between the post control (6.27 ±1.03) and intervention (8.47 ±0.34) groups and between the 24-hour post control (6.35 ±1.35) and intervention groups (7.36 ±0.84) (P=0.024). No significance was found between any of the pre categories for any of the groups. Also, no significance between control and sham for any of the times. ConclusionThis experimental study provides some more evidence to add to the current pool regarding the effects of ischemic compression technique on PPT and MTrP sensitivity. There was a statistically significant increase in PPT immediately after and 24 hours after intervention, with the change in PPT for the immediate post intervention, (29%) being clinically significant, showing that ischemic compression may produce fast pain relief for those with MTrPs in the low back.
- presented at
- British College of Osteopathic Medicine
- Date Accepted
- 2013
- Date Submitted
- 14.11.2018 14:47:18
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 30
- Submitted by:
- 4457
- Pub-Identifier
- 16336
- Inst-Identifier
- 1076
- Recommended
- 0
- Item sets
- Thesis
Mehta, Suraj, “Ischemic compression (neuromuscular inhibition technique (NMT)) and lumbar spine pressure-pain threshold”, Osteopathic Research Web, accessed April 23, 2025, https://library.wso.at/s/orw/item/2013