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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 26, 2010 - Issue 3
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Research Report

Thermal ultrasound decreases tissue stiffness of trigger points in upper trapezius muscles

David O Draper Department of Exercise Sciences, Brigham Young University, Provo, Utah, USACorrespondence[email protected]
, EdD, ATC, LAT,
Chad Mahaffey Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
, MS, ATC,
David Kaiser Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
, EdD, ATC, LAT,
Dennis Eggett Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
, PhD &
Jake Jarmin Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
, BS
Pages 167-172 | Accepted 19 Feb 2009, Published online: 23 Mar 2010

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Peng Xia, Xiaoju Wang, Qiang Lin, Kai Cheng & Xueping Li. (2017) Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta-analysis. Journal of Pain Research 10, pages 545-555.
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Yoshiko Ariji, Miwa Nakayama, Wataru Nishiyama, Nobumi Ogi, Shigemitsu Sakuma, Akitoshi Katsumata, Kenichi Kurita & Eiichiro Ariji. (2016) Can sonographic features be efficacy predictors of robotic massage treatment for masseter and temporal muscle in patients with temporomandibular disorder with myofascial pain?. CRANIO® 34:1, pages 13-19.
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Yuichiro Hiraiwa, Yoshiko Ariji, Yoshitaka Kise, Shigemitsu Sakuma, Kenichi Kurita & Eiichiro Ariji. (2013) Efficacy of Massage Treatment Technique in Masseter Muscle Hardness: Robotic Experimental Approach. CRANIO® 31:4, pages 291-299.
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Blair Duncan, Raida Al-Kassas, Guangming Zhang, Dave Hughes & Yongqiang Qiu. (2023) Ultrasound-Mediated Ocular Drug Delivery: From Physics and Instrumentation to Future Directions. Micromachines 14:8, pages 1575.
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Jens Lamsfuss & Swantje Bargmann. (2023) Mechanisms of thermal treatments in trigger points of the skeletal muscle: Computational microstructural modeling. European Journal of Mechanics - A/Solids 99, pages 104906.
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Yujie Li, Wei Li, Xinyue Liu, Xueli Liu, Bin Zhu, Sheng Guo, Chenglong Wang, Dingxuan Wang, Sen Li & Zhongfa Zhang. (2023) Effects of Low‐Intensity Pulsed Ultrasound in Tendon Injuries. Journal of Ultrasound in Medicine.
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Krzysztof Konior, Aleksandra Bitenc-Jasiejko, Danuta Lietz-Kijak, Piotr Skomro, Małgorzata Kowacka, Konrad Kijak & Zbigniew Śliwiński. (2023) Multimodal programmes in the treatment of myofascial pain syndrome (MPS) – a two-step review. Fizjoterapia Polska 23:1, pages 187-202.
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Pieter van KerkhofPieter van Kerkhof. 2022. Evidenzbasierte Elektrotherapie. Evidenzbasierte Elektrotherapie 191 243 .
Wanyi Qing, Xian Shi, Qing Zhang, Lihong Peng, Chengqi He & Quan Wei. (2021) Effect of Therapeutic Ultrasound for Neck Pain: A Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation 102:11, pages 2219-2230.
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Lixia Mei & Zhen Zhang. (2021) Advances in Biological Application of and Research on Low-Frequency Ultrasound. Ultrasound in Medicine & Biology 47:10, pages 2839-2852.
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Sardar Uddin, David Komatsu, Thomas Motyka & Stephanie Petterson. (2021) Low-Intensity Continuous Ultrasound Therapies—A Systematic Review of Current State-of-the-Art and Future Perspectives. Journal of Clinical Medicine 10:12, pages 2698.
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Ahmed Ebrahim Elerian, Eman Abdelftah, Ayman Mohamed Elmakaky & Mahmoud Mohamed Ahmed Ewidea. (2021) Effect of dextrose phonophoresis versus pulsed electromagnetic field on temporomandibular dysfunction: A randomized, controlled study. Journal of Bodywork and Movement Therapies 26, pages 347-352.
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Mohamed Salaheldein Alayat, Kadrya Hosney Battecha, Ahmed Mohamed ELsodany & Mohamed Ibrahim Ali. (2020) Pulsed ND:YAG laser combined with progressive pressure release in the treatment of cervical myofascial pain syndrome: a randomized control trial. Journal of Physical Therapy Science 32:7, pages 422-427.
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Betzaida Acevedo, Darryl L. Millis, David Levine & Jose L. Guevara. (2019) Effect of Therapeutic Ultrasound on Calcaneal Tendon Heating and Extensibility in Dogs. Frontiers in Veterinary Science 6.
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Henry S. Adair & David Levine. (2019) Effects of 1-MHz Ultrasound on Epaxial Muscle Temperature in Horses. Frontiers in Veterinary Science 6.
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Muhammad Waseem, Hossein Karimi, Syed Amir Gilani & Danish Hassan. (2019) Treatment of disability associated with chronic non-specific low back pain using core stabilization exercises in Pakistani population. Journal of Back and Musculoskeletal Rehabilitation 32:1, pages 149-154.
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Aleksandra Kisilewicz, Marcin Janusiak, Rafał Szafraniec, Małgorzata Smoter, Bogdan Ciszek, Pascal Madeleine, César Fernández-de-Las-Peñas & Adam Kawczyński. (2018) Changes in Muscle Stiffness of the Trapezius Muscle after Application of Ischemic Compression into Myofascial Trigger Points in Professional Basketball Players. Journal of Human Kinetics 64:1, pages 35-45.
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Sarah Daniels, Gabriela Santiago, Jennifer Cuchna & Bonnie Van Lunen. (2018) The Effects of Low-Intensity Therapeutic Ultrasound on Measurable Outcomes: A Critically Appraised Topic. Journal of Sport Rehabilitation 27:4, pages 390-395.
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Krista Niebaum, Laurie McCauley & Carolina Medina. 2018. Canine Sports Medicine and Rehabilitation. Canine Sports Medicine and Rehabilitation 136 176 .
Dawn T. Gulick. (2018) Instrument-assisted soft tissue mobilization increases myofascial trigger point pain threshold. Journal of Bodywork and Movement Therapies 22:2, pages 341-345.
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PONMATHI P, MANIVANNAN M, J.NARENDRA KUMAR & V.P.R.SIVA KUMAR. (2018) A Comparative Study on Effects of Laser, Ischemic Compression and Resisted Exercises Over Pain and Range of Motion among Patients with Chronic Trapezius Myalgia in Men. International Journal of Pharma and Bio Sciences 9:1.
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Semra Aktürk, Arzu Kaya, Derya Çetintaş, Gürkan Akgöl, Arif Gülkesen, Gül Ayden Kal & Tülin Güçer. (2018) Comparision of the effectiveness of ESWT and ultrasound treatments in myofascial pain syndrome: randomized, sham-controlled study. Journal of Physical Therapy Science 30:3, pages 448-453.
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Steven L. Kraus, Steven D. Bender & Janey Prodoehl. 2018. Temporomandibular Disorders. Temporomandibular Disorders 141 171 .
Lt Col Sonu Singh, Brig. L C Pandey & Lt Col A S Kalra. (2016) Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach. Indian Journal of Physical Medicine and Rehabilitation 27:4, pages 113-120.
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Heather Melanson, David O. Draper, Ulrike H. Mitchell & Dennis L. Eggett. (2016) Comparison of Hands-free Ultrasound and Traditional Ultrasound for Therapeutic Treatment. Athletic Training & Sports Health Care 8:4, pages 177-184.
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Tamsyn R. Webb & Dévan Rajendran. (2016) Myofascial techniques: What are their effects on joint range of motion and pain? – A systematic review and meta-analysis of randomised controlled trials. Journal of Bodywork and Movement Therapies 20:3, pages 682-699.
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Minhee KimMinyoung LeeYushin KimSejun OhDongshin LeeBumChul Yoon. (2016) Myofascial Pain Syndrome in the Elderly and Self-Exercise: A Single-Blind, Randomized, Controlled Trial. The Journal of Alternative and Complementary Medicine 22:3, pages 244-251.
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Justin H. RigbyRebecca M. TaggartKelly L. StrattonGeorge K. LewisJrJrDavid O. Draper. (2015) Intramuscular Heating Characteristics of Multihour Low-Intensity Therapeutic Ultrasound. Journal of Athletic Training 50:11, pages 1158-1164.
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Dararat Benjaboonyanupap, Aatit Paungmali & Ubon Pirunsan. (2015) Effect of Therapeutic Sequence of Hot Pack and Ultrasound on Physiological Response Over Trigger Point of Upper Trapezius. Asian Journal of Sports Medicine 6:3.
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Dararat Benjaboonyanupap, Aatit Paungmali & Ubon Pirunsan. (2015) Effect of Therapeutic Sequence of Hot Pack and Ultrasound on Physiological Response Over Trigger Point of Upper Trapezius. Asian Journal of Sports Medicine 6:2.
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Albert F. Moraska, Lea Stenerson, Nathan Butryn, Jason P. Krutsch, Sarah J. Schmiege & John D. Mann. (2015) Myofascial Trigger Point-focused Head and Neck Massage for Recurrent Tension-type Headache. The Clinical Journal of Pain 31:2, pages 159-168.
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Kuba Ptaszkowski, Lucyna Slupska, Małgorzata Paprocka-Borowicz, Anna Kołcz-Trzęsicka, Kamil Zwierzchowski, Urszula Halska, Monika Przestrzelska, Dariusz Mucha & Joanna Rosińczuk. (2015) Comparison of the Short-Term Outcomes after Postisometric Muscle Relaxation or Kinesio Taping Application for Normalization of the Upper Trapezius Muscle Tone and the Pain Relief: A Preliminary Study. Evidence-Based Complementary and Alternative Medicine 2015, pages 1-7.
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Tomasz Halski, Kuba Ptaszkowski, Lucyna Słupska, Małgorzata Paprocka-Borowicz, Robert Dymarek, Jakub Taradaj, Gabriela Bidzińska, Daniel Marczyński, Aleksandra Cynarska & Joanna Rosińczuk. (2015) Short-Term Effects of Kinesio Taping and Cross Taping Application in the Treatment of Latent Upper Trapezius Trigger Points: A Prospective, Single-Blind, Randomized, Sham-Controlled Trial. Evidence-Based Complementary and Alternative Medicine 2015, pages 1-9.
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A. Manca, E. Limonta, G. Pilurzi, F. Ginatempo, E. R. De Natale, B. Mercante, E. Tolu & F. Deriu. (2014) Ultrasound and Laser as Stand-Alone Therapies for Myofascial Trigger Points: A Randomized, Double-Blind, Placebo-Controlled Study. Physiotherapy Research International 19:3, pages 166-175.
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M. Saleet Jafri. (2014) Mechanisms of Myofascial Pain. International Scholarly Research Notices 2014, pages 1-16.
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Joanne Borg-Stein & Mary Alexis Iaccarino. (2014) Myofascial Pain Syndrome Treatments. Physical Medicine and Rehabilitation Clinics of North America 25:2, pages 357-374.
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Katsuyuki Morishita, Hiroshi Karasuno, Yuka Yokoi, Kazunori Morozumi, Hisayoshi Ogihara, Toshikazu Ito, Masaaki Hanaoka, Takayuki Fujiwara, Tetsuya Fujimoto & Koji Abe. (2014) Effects of Therapeutic Ultrasound on Range of Motion and Stretch Pain. Journal of Physical Therapy Science 26:5, pages 711-715.
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Rick Wall. 2013. Pain Management in Veterinary Practice. Pain Management in Veterinary Practice 161 169 .
Lucas Martinez & Basile Plessac. (2013) Revue de traitements des trigger points myofasciaux cervico-scapulaires. Kinésithérapie, la Revue 13:142, pages 17-24.
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George K. LewisJr.Jr., Matthew D. Langer, Charles R. HendersonJr.Jr. & Ralph Ortiz. (2013) Design and Evaluation of a Wearable Self-Applied Therapeutic Ultrasound Device for Chronic Myofascial Pain. Ultrasound in Medicine & Biology 39:8, pages 1429-1439.
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Akihiko Gotoh, Yoshiko Ariji, Tatsuya Hasegawa, Miwa Nakayama, Yoshitaka Kise, Masato Matsuoka, Akitoshi Katsumata, Kenichi Kurita & Eiichiro Ariji. (2013) Sonographic elastography for assessing changes in masseter muscle elasticity after low-level static contraction. Oral Radiology 29:2, pages 140-145.
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Joseph E. Muscolino. (2013) Abdominal wall trigger point case study. Journal of Bodywork and Movement Therapies 17:2, pages 151-156.
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David O. Draper, Aaron M. Wells, William J. Vincent & Justin H. Rigby. (2013) Ultrasound Treatment Temperature Goals: Temperature Dependent Versus Time Dependent. Athletic Training & Sports Health Care 5:2, pages 76-80.
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Mehul J DesaiMatthew C Bean, Thomas W Heckman, Dhinu Jayaseelan, Nick Moats & Andrew Nava. (2013) Treatment of myofascial pain. Pain Management 3:1, pages 67-79.
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Yoshiko Ariji, Akihiko Gotoh, Yuichiro Hiraiwa, Yoshitaka Kise, Miwa Nakayama, Wataru Nishiyama, Shigemitsu Sakuma, Kenichi Kurita & Eiichiro Ariji. (2012) Sonographic elastography for evaluation of masseter muscle hardness. Oral Radiology 29:1, pages 64-69.
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Thiru Mandyam Annaswamy, Arthur J. De Luigi, Bryan J. O'Neill, Nandita Keole & David Berbrayer. (2011) Emerging Concepts in the Treatment of Myofascial Pain: A Review of Medications, Modalities, and Needle-based Interventions. PM&R 3:10, pages 940-961.
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Hong-You Ge & Lars Arendt-Nielsen. (2011) Latent Myofascial Trigger Points. Current Pain and Headache Reports 15:5, pages 386-392.
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Sanjog Pangarkar & Paul C. Lee. (2011) Conservative Treatment for Neck Pain: Medications, Physical Therapy, and Exercise. Physical Medicine and Rehabilitation Clinics of North America 22:3, pages 503-520.
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Chenara A. Johnson, Rita J. Miller & William D. O'BrienJrJr. (2011) Ultrasound Contrast Agents Affect the Angiogenic Response. Journal of Ultrasound in Medicine 30:7, pages 933-941.
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David O. Draper, Wayne Johnson, J. Chris Castel, Joseph Shurtz, Kazunori Mosozumi & T. Fujiwara. (2011) Use of the Tissue Compliance Algometer Outcome Assessment System on Quadriceps Muscles of Healthy Rugby Players. Athletic Training & Sports Health Care 3:1, pages 29-32.
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