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David Rodríguez Sanz, César Calvo Lobo, Daniel López López, Carlos Romero Morales, Carlos Sosa Marín, Irene Sanz Corbalán
OBJECTIVE: The purpose of this study was to evaluate interrater reliability in the diagnosis of myofascial trigger points (MTrPs) in the tibialis anterior, peroneus brevis, and extensor digitorum longus muscles. METHODS: A reliability research study was performed. Three physical therapists with clinical experience in myofascial pain functioned as raters and randomly and bilaterally evaluated the ankles of 40 subjects in the Madrid public health care system. The absence or presence of MTrPs, nodules in taut bands, patterns of referred pain, local twitch response (LTR), and jump-sign were evaluated...
November 2, 2016: Journal of Manipulative and Physiological Therapeutics
M Mohammadi Kojidi, F Okhovatian, A Rahimi, A A Baghban, H Azimi
OBJECTIVE: The purpose of the present study was to investigate the effect of Positional Release Therapy (PRT) in computer users via latent trigger points (LTrPs) of the upper trapezius muscle. MATERIALS AND METHODS: Twenty-eight women with the upper trapezius MTrPs participated in this study. Subjects were randomly classified into two groups (14 in each group): the subjects in the Group 1 received PRT in shortened position while those in the group 2 received sham control in the neutral position of the upper trapezius muscle...
October 2016: Journal of Bodywork and Movement Therapies
Paloma María Blasco-Bonora, Aitor Martín-Pintado-Zugasti
OBJECTIVES: To investigate the effects of deep dry needling (DN) of myofascial trigger points (MTrPs) of the masseter and temporalis on pain, pressure pain threshold (PPT), pain-free maximal jaw opening and temporomandibular disorder (TMD)-related disability in patients with sleep bruxism (SB) and myofascial TMD. METHODS: Seventeen subjects (11 women, 6 men) aged 39±13 years (range 23-66) diagnosed with SB and myofascial TMD were invited to participate in this prospective case series study...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Maryam Abbaszadeh-Amirdehi, Noureddin Nakhostin Ansari, Soofia Naghdi, Gholamreza Olyaei, Mohammad Reza Nourbakhsh
BACKGROUND: Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain syndrome. Dry needling (DN) is an effective method for the treatment of MTrPs. OBJECTIVE: To assess the immediate neurophysiological and clinical effects of DN in patients with upper trapezius MTrPs. METHODS: This was a prospective, clinical trial study of 20 patients with upper trapezius MTrPs and 20 healthy volunteers (matched for height, weight, body mass index and age), all of whom received one session of DN...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Vitsarut Buttagat, Thitipong Narktro, Kamonporn Onsrira, Chaithawat Pobsamai
OBJECTIVE: To investigate effects of traditional Thai massage (TTM) on electromyographic (EMG) activity, muscle tension and pain intensity in patients with upper back pain associated with myofascial trigger points (MTrPs). DESIGN: A single-blind, randomized clinical trial. SETTING: The Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Thailand. INTERVENTION: Fifty patients were randomly assigned to receive a 30-min session of either TTM or control (sham microwave diathermy)...
October 2016: Complementary Therapies in Medicine
Navid Taheri, Asghar Rezasoltani, Farshad Okhovatian, Mehdi Karami, Sayed Mohsen Hosseini, Hosein Kouhzad Mohammadi
INTRODUCTION: Myofascial pain syndrome (MPS) is a neuromuscular dysfunction consisting of both motor and sensory abnormalities. Considering the high prevalence of MPS and its related disabilities and costs, this study was designed to determine the reliability of new ultrasonographic indexes of the upper trapezius muscle as well as the sensitivity and specificity of 2D ultrasound imaging for diagnostic purposes. Furthermore, we sought to evaluate the effectiveness of dry needling (DN) on studied ultrasonographic indexes...
July 2016: Journal of Bodywork and Movement Therapies
Ester Cerezo-Téllez, María Torres Lacomba, Isabel Fuentes-Gallardo, Orlando Mayoral Del Moral, Beatriz Rodrigo-Medina, Carlos Gutiérrez Ortega
BACKGROUND: Neck pain is a frequent complaint in office workers. This pain can be caused by myofascial trigger points (MTrPs) in the trapezius muscle. This study aimed to determine the effectiveness of deep dry needling (DDN) of active MTrPs in the trapezius muscle. METHODS: A randomized, single blinded clinical trial was carried out at the Physical Therapy Department at Physiotherapy in Women's Health Research Group at Physical Therapy Department of University of Alcalá, in Alcalá de Henares, Madrid, Spain...
September 2016: Journal of Manual & Manipulative Therapy
Jose V León-Hernández, Aitor Martín-Pintado-Zugasti, Laura G Frutos, Isabel M Alguacil-Diego, Ana I de la Llave-Rincón, Josue Fernandez-Carnero
Background: Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. Objective: To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. Method: This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited...
July 11, 2016: Brazilian Journal of Physical Therapy
Maria Encarnación Aguilar Ferrándiz, Jo Nijs, Yori Gidron, Nathalie Roussel, Rob Vanderstraeten, Dries Van Dyck, Eva Huysmans, Margot De Kooning
BACKGROUND: Myofascial trigger points (MTrPs) are common in people with musculoskeletal pain and may play a role in chronic nonspecific low back pain (CLBP). One of the potential treatments of MTrPs is the Nervomatrix Soleve® auto-targeted neurostimulation device, providing targeted transcutaneous electrical nerve stimulation (TENS) to MTrPs in the lower back muscles. To date, no controlled studies have evaluated the effectiveness of this device for the pain management of this population...
July 2016: Pain Physician
Bert Ameloot, Jeff Bagust
BACKGROUND: Myofascial pain is a common syndrome, which has not been studied extensively in the low back. Despite a variety of manual and instrument assisted interventions available, little work has targeted the possible effects of fast mechanical impulses on myofascial trigger points (MTrPs) on its sensitivity and electrical activity. The purpose of this experimental study was to quantify the immediate effect of one session of mechanical impulses to lumbar latent MTrPs and to normal muscle tissue with pressure pain threshold (PPT) and surface electromyography (sEMG) as outcome measures...
2016: Chiropractic & Manual Therapies
D M Niddam, S-H Lee, Y-T Su, R-C Chan
BACKGROUND: Myofascial trigger points (MTrPs) are a highly prevalent source of musculoskeletal pain. Prolonged ongoing nociceptive input from MTrPs may lead to maladaptive changes in the central nervous system. It remains, however, unknown whether pain from MTrPs is associated with brain atrophy. In addition, stress, which may contribute to the formation of MTrPs, is also known to affect brain structures. Here, we address whether structural brain changes occur in patients with chronic pain originating from MTrPs and whether such changes are related to pain or stress...
June 28, 2016: European Journal of Pain: EJP
Ester Cerezo-Téllez, María Torres-Lacomba, Orlando Mayoral-Del Moral, Beatriz Sánchez-Sánchez, Jan Dommerholt, Carlos Gutiérrez-Ortega
BACKGROUND: Chronic non-specific neck pain is a frequent complaint. It is a recognized medical and socioeconomic problem and a frequent cause of job absenteeism. In recent years, case reports about myofascial pain syndrome (MPS) are emerging among patients suffering from pain. MPS is a regional pain syndrome characterized by myofascial trigger points (MTrP) in palpable taut bands of skeletal muscle that refer pain to a distance, and that can cause distant motor and autonomic effects. OBJECTIVE: To assess the prevalence of active and latent MTrPs in subjects suffering from chronic non-specific neck pain...
June 20, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Lynn H Gerber, Siddhartha Sikdar, Jacqueline V Aredo, Katee Armstrong, William F Rosenberger, Hui Shao, Jay P Shah
BACKGROUND: Dry needling is an effective treatment for reducing pain associated with active myofascial trigger points (a-MTrPs) in the short term. The duration of the benefits of this treatment have not been fully assessed. OBJECTIVE: To determine whether the benefits of dry needling (DN) of a-MTrPs are sustained 6 weeks posttreatment. DESIGN: Follow-up of a prospective study. SETTING: University. PARTICIPANTS: A total of 45 patients (13 male and 32 female) with cervical pain >3 months and a-MTrPs in the upper trapezius who completed 3 DN treatments and who were evaluated 6 weeks posttreatment...
June 11, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Yueh-Ling Hsieh, Chang-Zern Hong, Szu-Yu Liu, Li-Wei Chou, Chen-Chia Yang
BACKGROUND AND AIM: Acupuncture applied at myofascial trigger points (MTrPs) of distant anatomical regions, to reduce pain in a patient's area of primary complaint, is one strategy that is available to manage myofascial pain. However, the endogenous opioid-mediated analgesic mechanism of distant acupuncture associated with pain control is still unclear. This aims of this study were to evaluate the changes in enkephalin and β-endorphin in serum, spinal cord, dorsal root ganglion (DRG) and muscle induced by acupuncture at distant myofascial trigger spots (MTrSs, similar to human MTrPs) in rabbits, to explore its underlying remote analgesic mechanism...
August 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Andréia Mitidieri, Maria Beatriz Gurian, Ana Paula Silva, Kalil Tawasha, Omero Poli-Neto, Antônio Nogueira, Francisco Reis, Júlio Rosa-E-Silva
OBJECTIVES: This study used semiology based on traditional Chinese medicine (TCM) to investigate vital energy (Qi) behavior in women with abdominal myofascial pain syndrome (AMPS). METHODS: Fifty women diagnosed with chronic pelvic pain (CPP) secondary to AMPS were evaluated by using a questionnaire based on the theories of "yin-yang," "zang-fu", and "five elements". We assessed the following aspects of the illness: symptomatology; specific location of myofascial trigger points (MTrPs); onset, cause, duration and frequency of symptoms; and patient and family history...
December 2015: Journal of Pharmacopuncture
Lakshmi Vas, Sushama Phanse, Renuka Pai
UNLABELLED: We present a new perspective of neuromyopathy in pancreatic cancer pain (PCP) referral to bodywall; proposal of new rationale to include ultrasound guided dry needling (USGDN) of body wall muscles as an effective adjunct to neurolytic coeliac plexus block (NCPB) or splanchnic nerve radiofrequency ablation (SRF) for comprehensive interventional management. METHODS: PCP response to SRF in 2 patients and NCPB in 3 patients was documented on numerical rating scale (NRS) on post procedure days 3 and 15...
January 2016: Indian Journal of Palliative Care
Robert Boyles, Rebecca Fowler, Derek Ramsey, Erin Burrows
BACKGROUND: Trigger point dry needling (TDN) is commonly used to treat musculoskeletal pain related to myofascial trigger points (MTrPs). To date, no systematic review of high-quality randomised controlled trials (RCTs) investigating TDN to multiple body regions exists. PURPOSE: The aim of this review is to determine the effectiveness of TDN based on high-quality RCTs for all body regions. METHODS: To ensure thorough reporting, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed as the methodological basis for this systematic review...
December 2015: Journal of Manual & Manipulative Therapy
Raquel Mora-Relucio, Susana Núñez-Nagy, Tomás Gallego-Izquierdo, Alma Rus, Gustavo Plaza-Manzano, Natalia Romero-Franco, Alejandro Ferragut-Garcías, Daniel Pecos-Martín
The purpose was to evaluate the interexaminer reliability of experienced and inexperienced examiners on location and classification of myofascial trigger points (MTrPs) in two epicondylar muscles and the association between the MTrP found and the diagnosis of lateral epicondylalgia (LE). Fifty-two pianists (some suffered LE) voluntarily participated in the study. Three physiotherapists (one inexperienced in myofascial pain) examined, located, and marked MTrPs in the extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) muscles...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
César Calvo-Lobo, Soraya Pacheco-da-Costa, Jorge Martínez-Martínez, David Rodríguez-Sanz, Pedro Cuesta-Álvaro, Daniel López-López
BACKGROUND AND PURPOSE: Shoulder pain is a prevalent condition in older adults. Some authors associate nonspecific shoulder pain with myofascial trigger points (MTrPs) in the infraspinatus muscle. Dry needling is recommended to relieve the MTrP pain of shoulders in the short term (<9 days). Active MTrPs dry needling improves shoulder pain and the irritability of the satellite MTrPs in the referred pain area. Nociceptive activity at a latent MTrP may influence motor activity and the sensitivity of MTrPs in distant muscles at a similar segmental level...
January 15, 2016: Journal of Geriatric Physical Therapy
Yu Wen Chao, Jiu Jenq Lin, Jing Lan Yang, Wendy Tzyy-Jiuan Wang
STUDY DESIGN: Randomized controlled trial. INTRODUCTION: Myofascial pain syndrome is characterized by myofascial trigger points (MTrPs) and fascia tenderness. PURPOSE OF THE STUDY: We investigated the effects of manual pressure release (MPR) alone or in combination with taping (MPR/MKT) in subjects with MTrPs. METHODS: Fifteen and 16 subjects received MPR and MPR/MKT respectively. Outcomes including Pressure pain threshold, muscle stiffness, mechanomyography were assessed at baseline, post-intervention and 7-days later...
January 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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