Eficacia de la técnica de elongación con inhibición recíproca en el tratamiento del dolor miofascial del músculo infraespinoso: servicio de rehabilitación del Hospital Vicente Corral Moscoso, Cuenca 2010

Abstract

Evaluate the effectiveness of the technique of stretching with reciprocal inhibition for the infraspinatus muscle myofascial pain treatment.

With a descriptive, longitudinal design, selected a sample of 40 patients with myofascial pain from muscle infraspinatus treated in Hospital Vicente poultry during June to November 2010 and applied ten sessions with the technique of stretching with reciprocal inhibition. It was measured pain through a Visual Análoga scale (EAV) decrease after each session and to finish the treatment.

In sample was a predominance of women (60%), with 67.5% aged 19 to 59, with 25% of overweight and obesity according to the BMI and 67.5% of occupations that require manual activities: housewives, merchants and public employees. 47.5% of patients pain had at least 2 weeks duration and 52.5% history was longer. Right shoulder was the most affected (62.5%) and the most frequent location of pain in the anterior shoulder (52.5%). There were points trigger associated 42.5 per cent of cases: dorsal width (17.5%) and pectoralis major (15%) but only 20% needed to desgatillamiento. Antepulsión shoulder had 92.5% of cases.

After 10 sessions of the technique of stretching with reciprocal inhibition pain measured by EAV was a highly significant reduction (P = 0,0008).

The results reinforce the validity of the technique described in the medical and recommended literature as an alternative: to stretch with spray of chloride of ethyl, transcutaneous electrical stimulation and point trigger with local anesthetic injection steroids or botulinum toxin.