| Neuro Emotional Technique for the treatment of trigger point sensitivity in chronic neck pain sufferers: A controlled clinical trial
Henry P. Pollard, Peter Bablis, and Rod Bonello
Chiropractic & Osteopathy 2008; 16: 4.
Abstract:
Background: Trigger points have been shown to be active in many
myofascial pain syndromes. Treatment of trigger point pain and dysfunction may be explained
through the mechanisms of central and peripheral paradigms. This study aimed to investigate
whether the mind/body treatment of Neuro Emotional Technique (NET) could significantly relieve
pain sensitivity of trigger points presenting in a cohort of chronic neck pain sufferers.
Methods: Sixty participants presenting to a private
chiropractic clinic with chronic cervical pain as their primary complaint were sequentially
allocated into treatment and control groups. Participants in the treatment group received a
short course of Neuro Emotional Technique that consists of muscle testing, general semantics
and Traditional Chinese Medicine. The control group received a sham NET protocol. Outcome
measurements included pain assessment utilizing a visual analog scale and a pressure gauge
algometer. Pain sensitivity was measured at four trigger point locations: suboccipital region
(S); levator scapulae region (LS); sternocleidomastoid region (SCM) and temporomandibular region
(TMJ). For each outcome measurement and each trigger point, we calculated the change in
measurement between preand post- treatment. We then examined the relationships between these
measurement changes and six independent variables (i.e. treatment group and the above five
additional participant variables) using forward stepwise General Linear Model.
Results:The visual analog scale (0 to 10) had an improvement
of 7.6 at S, 7.2 at LS, 7.5 at SCM and 7.1 at the TMJ in the treatment group compared with no
improvement of at S, and an improvement of 0.04 at LS, 0.1 at SCM and 0.1 at the TMJ point in
the control group, (P < 0.001).
Conclusion:After a short course of NET treatment, measurements
of visual analog scale and pressure algometer recordings of four trigger point locations in
a cohort of chronic neck pain sufferers were significantly improved when compared to a control
group which received a sham protocol of NET. Chronic neck pain sufferers may benefit from NET
treatment in the relief of trigger point sensitivity. Further research including long-term
randomised controlled trials for the effect of NET on chronic neck pain, and other chronic pain
syndromes are recommended.
Trial RegistrationThis trial has been registered and allocated
the Australian Clinical Trials Registry (ACTR) number ACTRN012607000358448. The ACTR has met
the requirements of the ICMJE's trials registration policy and is an ICMJE acceptable registry.
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