Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome

Dawid Janczarzyk; Krzysztof Jamka; Edyta Mikołajczyk; Aleksandra Zarzeka; Piotr Krężałek

doi:10.5114/phr.2024.136490

eISSN: 2719-9665
ISSN: 2719-5139

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1/2024
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abstract:

Original paper

Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome

Dawid Mateusz Janczarzyk

¹

,

Krzysztof Jamka

²

,

Edyta Mikołajczyk

³

,

Aleksandra Zarzeka

⁴

,

Piotr Krężałek

⁵

Doctoral School, University of Physical Education in Cracow, Cracow, Poland
Rehabilitation Practice FIZJOterapia Krzysztof Jamka in Cracow, Cracow, Poland
Institute of Applied Sciences, Faculty of Rehabilitation, University of Physical Education in Cracow, Cracow, Poland
Graduate Student of the Faculty of Rehabilitation, University of Physical Education in Cracow, Cracow, Poland
Laboratory of Biophysics and Motion Analysis, University of Physical Education in Cracow, Cracow, Poland

Physiotherapy Review, 2024, 28(1), 69-77

DOI: https://doi.org/10.5114/phr.2024.136490

Online publish date: 2024/03/26

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AMA

Janczarzyk DM, Jamka K, Mikołajczyk E, Zarzeka A, Krężałek P. Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome. Physiotherapy Review. 2024;28(1):69-77. doi:10.5114/phr.2024.136490.

APA

Janczarzyk, D. M., Jamka, K., Mikołajczyk, E., Zarzeka, A.,  & Krężałek, P. (2024). Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome. Physiotherapy Review, 28(1), 69-77. https://doi.org/10.5114/phr.2024.136490

Chicago

Janczarzyk, Dawid M, Krzysztof Jamka, Edyta Mikołajczyk, Aleksandra Zarzeka,  and Piotr Krężałek. 2024. "Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome". Physiotherapy Review 28 (1): 69-77. doi:10.5114/phr.2024.136490.

Harvard

Janczarzyk, D., Jamka, K., Mikołajczyk, E., Zarzeka, A.,  and Krężałek, P. (2024). Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome. Physiotherapy Review, 28(1), pp.69-77. https://doi.org/10.5114/phr.2024.136490

MLA

Janczarzyk, Dawid et al. "Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome." Physiotherapy Review, vol. 28, no. 1, 2024, pp. 69-77. doi:10.5114/phr.2024.136490.

Vancouver

Janczarzyk D, Jamka K, Mikołajczyk E, Zarzeka A, Krężałek P. Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome. Physiotherapy Review. 2024;28(1):69-77. doi:10.5114/phr.2024.136490.

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Background
Upper crossed syndrome (UCS) manifests as a distinctive posture resulting from imbalances in muscles and fascia in the upper body. Among the various therapeutic approaches addressing pain and limited range of motion in individuals with UCS, positional release therapy (PR) and muscle energy techniques (MET) are widely employed.

Aims
This study aims to compare the efficacy of PR and MET in inducing changes in pressure pain threshold and cervical spine range of motion among patients with UCS.

Material and methods
A group of 45 patients exhibiting myofascial trigger points (MTrPs) in the trapezius muscle were divided into three equal groups. Group A received a five-week series of PR treatments, while Group B underwent five series of MET treatments, both administered weekly. Both interventions targeted muscles shortened in UCS. Group C (control) received no treatment. Pressure pain threshold and cervical range of motion, assessed using a three-dimensional motion analysis system, were measured before and after the therapy.

Results
Both Groups A and B demonstrated a significant increase in the trapezius muscle pain threshold, while no changes were observed in Group C. Moreover, a noteworthy improvement in range of motion was observed: Group A exhibited enhancements in the sagittal and transverse planes, and Group B showed improvements in the frontal and transverse planes. No statistically significant changes were noted in other parameters.

Conclusions
MET and PR are equally effective in alleviating pain associated with MTrPs in patients with UCS. Furthermore, both techniques enhance range of motion, albeit in specific planes. The application of MET and PR proves effective in addressing pain and movement limitations attributed to MTrPs.

keywords:

range of motion, pain threshold, muscle energy technique, positional release, upper crossed syndrome

PUBLISHER

Comparison of the effect of a 5-week series of positional release therapy and muscle energy technique on pain threshold and mobility of the cervical spine in people with the upper crossed syndrome

Dawid Mateusz Janczarzyk 1 , Krzysztof Jamka 2 , Edyta Mikołajczyk 3 , Aleksandra Zarzeka 4 , Piotr Krężałek 5

range of motion, pain threshold, muscle energy technique, positional release, upper crossed syndrome

Dawid Mateusz Janczarzyk

¹

,

Krzysztof Jamka

²

,

Edyta Mikołajczyk

³

,

Aleksandra Zarzeka

⁴

,

Piotr Krężałek

⁵