# Acute Effect of a Single Functional Neurology Intervention on Muscular Trigger Point
## 4 Discussion  
The aim of this paper was to assess the efficacy of functional neurology interventions on myofascali trigger points in the upper trapezius muscle. The initial hypothesis posited that these interventions would significantly increase the pressure pain threshold and reduce thermal anomalies at the trigger points. Our findings suggest a potential effect of functional neurology interventions on increasing the PPT and reducing thermal anomalies; however, further research is necessary to confirm causality. These results suggest that such interventions can effectively alleviate pain and improve muscle function in individuals with MTrPs, offering a promising alternative to traditional treatments. The functional neurology intervention produced a large effect size ([PERSON]'s d = 1.25) on PPT improvements, supporting its potential clinical significance beyond statistical significance. The 95% confidence interval [1.89, 3.52] confirms that the effect was both substantial and consistent, reinforcing the reliability of these findings. Importantly, the  
\begin{table}
\begin{tabular}{c c c c c c c c} \hline \hline
**Group** & **Variable** & \multicolumn{3}{c}{**Pre-Evaluation**} & \multicolumn{3}{c}{**Post-Evaluation**} & \multicolumn{3}{c}{**\% Change**} & \multicolumn{1}{c}{**t**} & \multicolumn{1}{c}{\(p\)**} \\ \hline Experimental & Lateral EI1 & Maximum & 37.4 \(\pm\) 1.2 & 37.9 \(\pm\) 0.3 & 1.2 & \(-\)2.59 & 0.017 \\  & & Minimum & 36.6 \(\pm\) 1.4 & 37.3 \(\pm\) 0.5 & 2.0 & \(-\)2.26 & 0.034 \\  & & Average & 37.0 \(\pm\) 1.2 & 37.4 \(\pm\) 0.6 & 0.9 & \(-\)2.30 & 0.031 \\  & Lateral EI2 & Maximum & 37.7 \(\pm\) 1.1 & 38.1 \(\pm\) 0.2 & 1.2 & \(-\)2.18 & 0.040 \\  & & Minimum & 37.2 \(\pm\) 1.1 & 37.7 \(\pm\) 0.2 & 1.3 & \(-\)2.72 & 0.012 \\  & & Average & 37.5 \(\pm\) 1.1 & 37.9 \(\pm\) 0.2 & 1.1 & \(-\)2.17 & 0.040 \\  & Lateral EI3 & Maximum & 37.3 \(\pm\) 1.2 & 38.0 \(\pm\) 0.3 & 1.9 & \(-\)3.62 & 0.001 \\  & & Minimum & 35.2 \(\pm\) 1.4 & 35.4 \(\pm\) 0.7 & 0.6 & \(-\)0.47 & 0.641 \\  & & Average & 36.8 \(\pm\) 1.2 & 37.5 \(\pm\) 0.2 & 2.0 & \(-\)3.35 & 0.003 \\ Posterior EI1 & Maximum & 37.1 \(\pm\) 0.6 & 37.6 \(\pm\) 0.6 & 1.3 & \(-\)7.34 & 0.000 \\  & & Minimum & 36.3 \(\pm\) 0.5 & 37.1 \(\pm\) 0.5 & 2.3 & \(-\)15.23 & 0.000 \\  & & Average & 36.8 \(\pm\) 0.6 & 37.4 \(\pm\) 0.5 & 1.5 & \(-\)9.48 & 0.000 \\ Posterior EI2 & Maximum & 37.4 \(\pm\) 0.8 & 37.9 \(\pm\) 0.9 & 1.3 & \(-\)29.37 & 0.000 \\  & & Minimum & 36.4 \(\pm\) 0.4 & 37.3 \(\pm\) 0.6 & 2.4 & \(-\)6.91 & 0.000 \\  & & Average & 36.9 \(\pm\) 0.5 & 37.6 \(\pm\) 0.8 & 1.9 & \(-\)9.43 & 0.000 \\ Posterior EI3 & Maximum & 37.4 \(\pm\) 0.7 & 37.7 \(\pm\) 0.6 & 0.9 & \(-\)5.58 & 0.000 \\  & & Minimum & 36.1 \(\pm\) 0.9 & 36.6 \(\pm\) 0.7 & 1.3 & \(-\)10.89 & 0.000 \\  & & Average & 37.1 \(\pm\) 0.7 & 37.4 \(\pm\) 0.5 & 0.9 & \(-\)5.58 & 0.000 \\ \hline Control & Lateral EI1 & Maximum & 37.3 \(\pm\) 1.3 & 37.5 \(\pm\) 1.5 & 0.5 & \(-\)0.502 & 0.092 \\  & & Minimum & 36.5 \(\pm\) 1.2 & 36.7 \(\pm\) 1.5 & 0.5 & 1.803 & 0.065 \\  & & Average & 37.5 \(\pm\) 1.6 & 37.3 \(\pm\) 1.1 & \(-\)0.5 & 0.928 & 0.126 \\  & Lateral EI2 & Maximum & 37.9 \(\pm\) 1.3 & 37.8 \(\pm\) 1.2 & \(-\)0.3 & 1.695 & 0.237 \\  & & Minimum & 37.5 \(\pm\) 1.4 & 37.7 \(\pm\) 0.2 & 0.5 & \(-\)1.376 & 0.066 \\  & & Average & 37.1 \(\pm\) 1.3 & 37.4 \(\pm\) 0.9 & 0.8 & \(-\)1.376 & 0.080 \\  & & Maximumcontrol group did not exhibit meaningful changes (d = 0.05, 95% CI [\(-\)0.43, 0.52]), ruling out spontaneous recovery or placebo effects as confounding factors. Functional neurology interventions may have increased the PPT due to their focus on optimizing brain function and rehabilitation [32]. This approach targets the brain's ability to modulate pain perception and enhance neuromuscular control, which is critical in the management of MTrPs [33]. By improving brain function, these interventions can decrease peripheral and central sensitization, which are key contributors to chronic pain conditions.