The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire score (primary outcome), Visual Analogue Scale for Pain (VAS-P), Global Perceived Effect (GPE) scale and the number of muscles with MTrPs were assessed at 6 and 12 weeks in the intervention group and compared with those of a control group. The control group remained on the waiting list for 3 months. Patients were instructed to perform muscle-stretching and relaxation exercises at home and received ergonomic recommendations and advice to assume and maintain good posture. The intervention group received comprehensive treatment once weekly consisting of manual compression of the MTrPs, manual stretching of the muscles and intermittent cold application with stretching. MethodsĪ single-assessor, blinded, randomized, controlled trial was conducted. The aim of this study was to assess the effectiveness of multimodal treatment of MTrPs in patients with chronic shoulder pain. However, few studies have focused on MTrP therapy. Myofascial trigger points (MTrPs) cause shoulder pain and are prevalent in patients with shoulder pain. Shoulder pain is a common musculoskeletal problem that is often chronic or recurrent.
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