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http://dx.doi.org/10.5392/JKCA.2019.19.10.198

The Effects of Mechanical Stimulation using Graston on Changing Trigger Point Pressure Pain Threshold and Muscle Tone of the Same Spinal Segment in Neck Disk Patient  

Kim, Do-Hyung (여주대학교 의료재활과학과)
Lee, Byoung-Hee (삼육대학교 물리치료학과)
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Abstract
The purpose of this study was to identify whether cutaneous sensory (CS) changes induced by mechanical intervention(MI) increases the trigger point threshold and muscle tone of the same spinal segment to neck disc patients. Thirty persons with Neck disc patients were recruited in this experiment. The subjects consisted of 10 men and 20 women. The mechanical stimulus group induced CS changes for 5 minutes using the Graston instrument and the control group received no action. The CS changes were estimated by using the Von Frey Filament, PPT changes were measured by using the pressure threshold meter and msucle tone changes were measured by using Myotone pro. CS threshold increased significantly when MI was applied (p<0.05). On the same spinal segment, increases in the right infraspinatus PPT and muscle tone was observed (p<0.05) and decreases in the right trapezius PPT was observed(p<0.05). However, the PPT and muscle tone changes in other muscles were not significantly different. Furthermore, the control group CS, PPT and muscle tone were not significantly different. As a result, CS changes induced by MI make to change PPT and muscle tone on the same spinal segment. Therefore, application of MI to the same spinal segment may be of clinical significance as a new rehabilitation method for increasing pain threshold, muscle tone and pain control in neck disc patients.
Keywords
Cutaneous Sensory; Neck Pain; Mechanical Intervention; Pain Pressure Threshold; Muscle Tone;
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