Three articles on PainSci cite Gulick 2011: 1. The Complete Guide to Trigger Points & Myofascial Pain 2. Trigger Point Doubts 3. Trigger Points on Trial
PainSci commentary on Gulick 2011: ?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 wherever possible.
This experiment has the simple elegance of a good science-fair project. Dr. Dawn Gulick of the Widener University Physical Therapy Department simply compared the sensitivity of trigger points both with and without a simple treatment of pressure — squishing them, that is.
Dr. Gulick et al. tested a specific method of squishing: pressing a trigger point firmly and long enough to starve it of some oxygen (ischemic pressure), repeatedly, for several days. They measured trigger point sensitivity before and after treatment in 28 people with two trigger points in the upper back. Their conclusion: “There was a significant difference between the pre- and post-test sensitivities of the treated and non-treated trigger points … ischemic compression … was effective in reducing trigger point irritability.”
Excellent! This is small-scale science, but the results are encouraging and certainly consistent with my professional experience.
~ Paul Ingraham
original abstract †Abstracts 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.
OBJECTIVE: The purpose of this study was to assess the effectiveness of ischemic pressure on myofascial trigger point (MTrP) sensitivity.
DESIGN: Randomized, controlled study with the researcher assessing MTrP sensitivity blinded to the intervention.
PARTICIPANTS: Twenty-eight people with two MTrPs in the upper back musculature.
INTERVENTION: The sensitivity of two MTrPs in the upper back was assessed with a JTECH algometer. One of the two MTrPs was randomly selected for treatment with a Backnobber II, while the other served as a control.Outcome measures: Pre- and post-test pressure–pain thresholds of the MTrPs.
RESULTS: There was a significant difference between the pre- and post-test sensitivities of the treated and non-treated MTrPs (p = 0.04).
CONCLUSIONS: The results of this study confirm that the protocol of six repetitions of 30-s ischemic compression with the Backnobber II rendered every other day for a week was effective in reducing MTrP irritability.
- “The immediate effect of triceps surae myofascial trigger point therapy on restricted active ankle joint dorsiflexion in recreational runners: a crossover randomised controlled trial,” Grieve et al, Journal of Bodywork & Movement Therapies, 2013.
- “Myofascial techniques: What are their effects on joint range of motion and pain? A systematic review and meta-analysis of randomised controlled trials,” Webb et al, Journal of Bodywork & Movement Therapies, 2016.
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:
- Inciting events associated with lumbar disc herniation. Suri 2010 Spine J.
- Prediction of an extruded fragment in lumbar disc patients from clinical presentations. Pople 1994 Spine (Phila Pa 1976).
- Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. Konstantinou 2015 BMC Musculoskelet Disord.
- Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial. Kuyken 2022 Evid Based Ment Health.
- Is there a relationship between throbbing pain and arterial pulsations? Mirza 2012 J Neurosci.