46881
document
Clinical massage and modified Proprioceptive Neuromuscular Facilitation stretching in males with latent myofascial trigger points . 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 , ( 3 x 4 ) 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 < or = 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 = 0.9-1.0 , p < or = 0.05 ) . Other differences were found between both stretching groups as compared to the control group ( p < or = 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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Intervention_Physical
Clinical massage
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Intervention_Physical
modified Proprioceptive Neuromuscular Facilitation stretching
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Intervention_Physical
modified Proprioceptive Neuromuscular Facilitation ( PNF ) stretching
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Intervention_Physical
Myofascial Trigger Point ( MTrP ) therapy plus modified PNF stretching
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Intervention_Other
no treatment
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Intervention_Physical
MTrP therapy
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Intervention_Physical
modified PNF stretching
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Outcome_Physical
Knee range of motion ( ROM )
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Outcome_Physical
stretch perception
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Outcome_Pain
pressure pain threshold ( PPT ) and subjective pain intensity
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Outcome_Pain
lower pain intensity scores
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Outcome_Other
clinical effect
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Outcome_Physical
ROM
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Participant_Sex
males
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Participant_Condition
latent myofascial trigger points
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Participant_Sample-size
Thirty
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Participant_Condition
physically active
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Participant_Condition
tight hamstrings and at least one latent MTrP on muscles innervated by the lumbosacral , sciatic , tibial and common peroneal nerves
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Participant_Age
young
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Participant_Condition
physically active
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Participant_Sex
males