Journal of Novel Physiotherapies
Open Access

Abstract

The aim of this literature review is to compare results of different studies with clinical data on the effects of acupuncture in reducing spasm of upper trapezius muscle, whatever the cause of this symptom is. Assuming biochemical principle, that muscle spasm is due to accumulation of lactic acid through exaggerated anaerobic work due to nervous or mechanical pain, an improvement of blood supply would eliminate an excessive deposit of lactates, a significant flow of oxygen would prevent such accumulation. This decreases pain, muscle spasm & increases painless range of motion. Various studies have shown that acupuncture has a positive effect on one of the links in the chain, & consequently could be used as first attempt treatment to reduce muscle spasm. Pathologies (Cervical dystonia, non irradiating cervical neck pain, neck & shoulder stiffness, fibromyalgia, and work related trapezius myalgia) & techniques (Needling depth, needle stimulation and selected points) were varied, but produced similar results concerning muscle spasm. This confirms that local & lasting effect could be sought through several acupuncture techniques, & the techniques that couldn�t prove their utility aren�t respecting TCM principles. Testing a protocol uses Photoplethysmographic, EMG, Cervical Range of Motion, laser Doppler before / after medication intake (muscle relaxant) & compare outcomes with those before / after deep needling with manipulation. Improvement of local blood flow, oxygenation, and stiffness confirms usefulness of acupuncture, which could serve as a "guideline" for the treatment of upper trapezius muscle spasm & impact on patient�s quality of life.

Biography

Email: saedhalimi@yahoo.com