Materials and methods
Seventy-three patients (50 female, 23 male) with cervical MPS involving the upper neck and levator scapula muscle referred to our outpatient clinic were included in the study. The diagnosis of MPS was based on the criteria described by Travell and Simons (5 major and minimum 1 minor criteria are required for clinical diagnosis).9 The patients’ inclusion criteria were presence of at least one active trigger point located in levator scapula muscle, ages greater than 18 years, and symptom duration of at least 3 months. The exclusion criteria were diagnosis of fibromyalgia syndrome, cervical disc lesion, radiculopathy, myelopathy, recent trigger point injection or participating in a physical treatment program within the last 6 months, neurologic and inflammatory diseases, pregnancy or history of neck and shoulder surgery.
Materials and methodsSeventy-three patients (50 female, 23 male) with cervical MPS involving the upper neck and levator scapula muscle referred to our outpatient clinic were included in the study. The diagnosis of MPS was based on the criteria described by Travell and Simons (5 major and minimum 1 minor criteria are required for clinical diagnosis).9 The patients’ inclusion criteria were presence of at least one active trigger point located in levator scapula muscle, ages greater than 18 years, and symptom duration of at least 3 months. The exclusion criteria were diagnosis of fibromyalgia syndrome, cervical disc lesion, radiculopathy, myelopathy, recent trigger point injection or participating in a physical treatment program within the last 6 months, neurologic and inflammatory diseases, pregnancy or history of neck and shoulder surgery.
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