Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study

ObjectiveAlthough manual pressure, such as that used during a massage, is often associated with pain, it can simultaneously be perceived as pleasant when applied to certain body areas. We hypothesized that stimulation of myofascial trigger points (TPs) leads to simultaneous pain and pleasure. TPs ar...

Full description

Bibliographic Details
Main Authors: Seoyoung Lee, Heeyoung Moon, Yeonhee Ryu, In-Seon Lee, Younbyoung Chae
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1197302/full
_version_ 1797785321680666624
author Seoyoung Lee
Heeyoung Moon
Yeonhee Ryu
In-Seon Lee
Younbyoung Chae
author_facet Seoyoung Lee
Heeyoung Moon
Yeonhee Ryu
In-Seon Lee
Younbyoung Chae
author_sort Seoyoung Lee
collection DOAJ
description ObjectiveAlthough manual pressure, such as that used during a massage, is often associated with pain, it can simultaneously be perceived as pleasant when applied to certain body areas. We hypothesized that stimulation of myofascial trigger points (TPs) leads to simultaneous pain and pleasure. TPs are hyperirritable points located in the taut band of the skeletal muscle.MethodIn this study, we measured the muscle tone, muscle stiffness, and pressure pain threshold of TPs and control points in the left brachioradialis muscle of 48 healthy participants. We also applied deep compression to the two points and collected subjective data on pain, pleasantness, unpleasantness, and relief.ResultGreater muscle stiffness was observed in the TPs versus control points (t = 6.55, p < 0.001), and the pain threshold was significantly lower in the TPs (t = −6.21, p < 0.001). Unpleasantness ratings after deep compression were significantly lower in the TPs compared with control points (t = −2.68, p < 0.05). Participants experienced greater relief at the TPs compared with control points (t = 2.01, p < 0.05), although the perceived pain did not differ between the two types of points.ConclusionWe compared the properties of TPs and control points, and found that deep compression at TPs was associated with higher muscle tone and stiffness, lower unpleasantness ratings, and higher relief ratings compared with the control points. These findings suggest that, at least for some TPs, pain and pleasantness are simultaneously elicited by deep pressure stimulation.
first_indexed 2024-03-13T00:52:25Z
format Article
id doaj.art-9e5180aa783a47069fff7b462d1b5099
institution Directory Open Access Journal
issn 1662-453X
language English
last_indexed 2024-03-13T00:52:25Z
publishDate 2023-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neuroscience
spelling doaj.art-9e5180aa783a47069fff7b462d1b50992023-07-07T11:34:46ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-07-011710.3389/fnins.2023.11973021197302Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot studySeoyoung Lee0Heeyoung Moon1Yeonhee Ryu2In-Seon Lee3Younbyoung Chae4Acupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, Republic of KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, Republic of KoreaKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, Republic of KoreaAcupuncture and Meridian Science Research Center, Kyung Hee University, Seoul, Republic of KoreaObjectiveAlthough manual pressure, such as that used during a massage, is often associated with pain, it can simultaneously be perceived as pleasant when applied to certain body areas. We hypothesized that stimulation of myofascial trigger points (TPs) leads to simultaneous pain and pleasure. TPs are hyperirritable points located in the taut band of the skeletal muscle.MethodIn this study, we measured the muscle tone, muscle stiffness, and pressure pain threshold of TPs and control points in the left brachioradialis muscle of 48 healthy participants. We also applied deep compression to the two points and collected subjective data on pain, pleasantness, unpleasantness, and relief.ResultGreater muscle stiffness was observed in the TPs versus control points (t = 6.55, p < 0.001), and the pain threshold was significantly lower in the TPs (t = −6.21, p < 0.001). Unpleasantness ratings after deep compression were significantly lower in the TPs compared with control points (t = −2.68, p < 0.05). Participants experienced greater relief at the TPs compared with control points (t = 2.01, p < 0.05), although the perceived pain did not differ between the two types of points.ConclusionWe compared the properties of TPs and control points, and found that deep compression at TPs was associated with higher muscle tone and stiffness, lower unpleasantness ratings, and higher relief ratings compared with the control points. These findings suggest that, at least for some TPs, pain and pleasantness are simultaneously elicited by deep pressure stimulation.https://www.frontiersin.org/articles/10.3389/fnins.2023.1197302/fulldeep pressurepainpleasantnesstrigger pointmuscle properties
spellingShingle Seoyoung Lee
Heeyoung Moon
Yeonhee Ryu
In-Seon Lee
Younbyoung Chae
Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study
Frontiers in Neuroscience
deep pressure
pain
pleasantness
trigger point
muscle properties
title Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study
title_full Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study
title_fullStr Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study
title_full_unstemmed Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study
title_short Sensory and emotional responses to deep pressure stimulation at myofascial trigger points: a pilot study
title_sort sensory and emotional responses to deep pressure stimulation at myofascial trigger points a pilot study
topic deep pressure
pain
pleasantness
trigger point
muscle properties
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1197302/full
work_keys_str_mv AT seoyounglee sensoryandemotionalresponsestodeeppressurestimulationatmyofascialtriggerpointsapilotstudy
AT heeyoungmoon sensoryandemotionalresponsestodeeppressurestimulationatmyofascialtriggerpointsapilotstudy
AT yeonheeryu sensoryandemotionalresponsestodeeppressurestimulationatmyofascialtriggerpointsapilotstudy
AT inseonlee sensoryandemotionalresponsestodeeppressurestimulationatmyofascialtriggerpointsapilotstudy
AT younbyoungchae sensoryandemotionalresponsestodeeppressurestimulationatmyofascialtriggerpointsapilotstudy