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Clinical massage and modified proprioceptive neuromuscular facilitation stretching in males with latent myofascial trigger points
Trampas A, Kitsios A, Sykaras E, Symeonidis S, Lazarou L
Physical Therapy in Sport 2010 Aug;11(3):91-98
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: To determine the immediate effects of modified proprioceptive neuromuscular facilitation (PNF) stretching (group I) versus myofascial trigger point (MTrP) therapy plus modified PNF stretching (group II) in comparison to a control group receiving no treatment. DESIGN: Randomized, assessor-blind, 3x4 mixed-model repeated measures. SETTING: University laboratory. PARTICIPANTS: Thirty physically active males with tight hamstrings and at least one latent MTrP on muscles innervated by the lumbosacral, sciatic, tibial and common peroneal nerves. MAIN OUTCOME MEASURES: Knee range of motion (ROM), stretch perception, pressure pain threshold (PPT) and subjective pain intensity. Outcomes were evaluated at baseline, immediately after treatment, at 10 and 30 min. RESULTS: Significant changes over time occurred for group II in all outcomes (p <= 0.001). Group II also showed lower pain intensity scores than group I immediately post-treatment (p = 0.045) and a strong clinical effect over group I in ROM at all follow-ups (effect sizes 0.9 to 1.0, p <= 0.05). Other differences were found between both stretching groups as compared to the control group (p <= 0.05). CONCLUSION: The results indicate immediate pre- to post-treatment benefits from MTrP therapy combined with modified PNF stretching in young and physically active males with latent MTrPs.

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