الفهرس 
Title : Acupressure of Acupoints versus Ischemic Compression Release of Trigger Points in Cervical Myofascial Pain
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Abstract
Myofascial pain syndrome (MPS) is a common nonarticular musculoskeletal chronic pain that leading to work disability, motor dysfunction and restricted range of movement. It is characterized by an intense and deep pain from skeletal muscles and their fascia and by the presence of one or more myofascial trigger points (MTrPs).Purpose: This study was conducted to compare the effects of acupressure on acupoints versus ischemic compression release (ICR) of myofascial trigger points(MTrPs) in treating cervical myofascial pain syndrome (CMPS). Materials and methods: Forty-five patients, their age ranged from 18 to 50 years old, they were selected from outpatient clinic of orthopaedic department of Ain Shams General Hospital in Cairo between October 2020 and October 2021, they were randomly assigned into three equal groups as follow: Group(A):15 patients with CMP who received acupressure of classical acupoints plus a selected physical therapy program which included hot packs and muscle energy technique (MET), group (B):15 patients with CMP who received ICR of MTrPs plus the same selected physical therapy program and group (C) (control):15 patients with CMP who received only the same selected physical therapy program. Treatment was applied by the rate of 3 sessions in 3 consecutive days for 4 consecutive weeks. Assessment was applied at base line and 4 weeks post treatment. Visual analogue scale (VAS)was used for assessment ofneck pain intensity level, PressureAlgometer was used for assessment of pressure pain threshold (PPT) of myofascial trigger points (MTrPs)and Myrin OB Goniometer was used to assess cervical side bendingROM while Arabic version of neck disability index (NDI) was used to assess neck function.Results:VAS scores, PPT , side bending ROM and NDI yielded significant improvement post- treatment in the 3 groupsand improvement was greatest in ischemic compression release group than in the other 2 groups (P>0.05). Conclusion: The mechanical compression of MTrPs yielded better improvement in myofascial pain; PPT; cervical side bending ROM and neck function with regular home advicesthan acupressure in ptients with cervical myofascial pain.