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bibliography * The PainScience Bibliography contains plain language summaries of thousands of scientific papers and others sources, like a specialized blog. This page is about a single scientific paper in the bibliography, Grieve 2006.

Trigger point release for ruptured hamstrings

updated
Grieve R. Proximal hamstring rupture, restoration of function without surgical intervention: A case study on myofascial trigger point pressure release. J Bodyw Mov Ther. 2006;10:99–104.
Tags: treatment, rehab, massage, muscle pain, strain, injury, pain problems, manual therapy, muscle

PainSci summary of Grieve 2006?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided at the bottom of the page, as often as possible. ★☆☆☆☆?1-star ratings are for negative examples, fatally flawed papers, junk science, suspected fraud. Ratings are a highly subjective opinion, and subject to revision at any time. If you think this paper has been incorrectly rated, please let me know.

This article provides an anecdote in support of the clinical importance of trigger points in rehabilitation from a muscle strain, but the positive effects reported could have been due to any of number of other factors. In particular, we know that she was advised to make a gradual return to sports, which is just good exercise counselling and it’s common for people to take time and frustration before they are finally ready to start taking the “baby steps” necessary for recovery. While it’s possible that trigger point therapy contributed to the process, this report actually doesn’t give us any particular reason to believe that.

Case studies like this are of extremely limited value, if not actually useless — just opinion pieces, legitimized by being in a journal. The opinion isn’t necessarily wrong, but the risk of self-serving misinterpretation and spin approach 100%.

~ Paul Ingraham

original abstractAbstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

Proximal hamstring rupture is a rare occurrence, although documented in the literature during water skiing. This case study highlights the treatment of a proximal hamstring rupture whilst water skiing. In this case, physiotherapy was the main therapeutic intervention with no subsequent surgical referral. An initial first course of extensive physiotherapy rehabilitation had increased hamstring strength and everyday function. However, the patient a 26-year-old tennis player and runner, had been unable to return to running or tennis. A second (substantially shorter) course of physiotherapy was initiated, the therapist utilizing myofascial trigger points (MTrPs) in the treatment and diagnosis. This case study highlights how the identification and treatment of MTrPs using trigger point pressure release within a physiotherapy and home self management programme, was effective in restoring her sporting function. It also highlights the need for medical and healthcare professionals to include MTrPs as an assessment and therapeutic tool in musculoskeletal dysfunction. Further research is needed to fully ascertain the clinical efficacy of this intervention.


This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights: