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Myofascial trigger point

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https://www.readbyqxmd.com/read/28301865/additional-effect-of-static-ultrasound-and-diadynamic-currents-on-myofascial-trigger-points-in-a-manual-therapy-program-for-patients-with-chronic-neck-pain-a-randomized-clinical-trial
#1
Almir Vieira Dibai-Filho, Alessandra Kelly de Oliveira, Carlos Eduardo Girasol, Fabiana Rodrigues Cancio Dias, Rinaldo Roberto de Jesus Guirro
OBJECTIVE: To assess the additional effect of static ultrasound and diadynamic currents on myofascial trigger points in a manual therapy program to treat individuals with chronic neck pain. DESIGN: A single-blind randomized trial was conducted. Both men and women, between ages 18 and 45, with chronic neck pain and active myofascial trigger points in the upper trapezius were included in the study. Subjects were assigned to 3 different groups: group 1 (n = 20) was treated with manual therapy; group 2 (n = 20) was treated with manual therapy and static ultrasound; group 3 (n = 20) was treated with manual therapy and diadynamic currents...
April 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28291046/effectiveness-of-different-deep-dry-needling-dosages-in-the-treatment-of-patients-with-cervical-myofascial-pain-a-pilot-rct
#2
Josué Fernández-Carnero, Laura Gilarranz-de-Frutos, Jose Vicente León-Hernández, Daniel Pecos-Martin, Isabel Alguacil-Diego, Tomás Gallego-Izquierdo, Aitor Martín-Pintado-Zugasti
OBJECTIVE: To assess the effectiveness of different dosages of local twitch responses (LTRs) elicited by deep dry needling (DDN) in relation to pain intensity, pressure pain threshold (PPT), cervical range of movement (CROM), and disability degree in cervical myofascial pain patients. DESIGN: A randomized, double-blind clinical trial. PARTICIPANTS: Eighty-four patients (21 males, 63 females; 27.18 ± 10.91 yrs) with cervical pain. INTERVENTIONS: DDN in active myofascial trigger points (MTrPs) in the upper trapezius...
March 14, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28277418/ultrasound-guided-interventional-procedures-myofascial-trigger-points-with-structured-literature-review
#3
Dinesh Kumbhare, Dhanveer Singh, Alasdair Rathbone H, Madison Gunn, Liza Grosman-Rimon, Brian Vadasz, Hance Clarke, Philip W H Peng
Ultrasound-guided injections in pain medicine are a common intervention. They have been used to manage myofascial trigger points (MTrPs) in different muscles of the body. The main objectives of this article were to review ultrasound-guided injection techniques used for treating MTrPs. We also summarize the anatomy and sonoanatomy of MTrPs using the upper trapezius muscle as an example.
March 8, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28272251/tensiomyography-sonoelastography-and-mechanosensitivity-differences-between-active-latent-and-control-low-back-myofascial-trigger-points-a-cross-sectional-study
#4
César Calvo-Lobo, Ignacio Diez-Vega, Beatriz Martínez-Pascual, Silvia Fernández-Martínez, Mónica de la Cueva-Reguera, Gerson Garrosa-Martín, David Rodríguez-Sanz
The myofascial pain syndrome (MPS) is considered the most common musculoskeletal condition. The lumbopelvic pain (LPP) is established as one of the most prevalent musculoskeletal disorders. Nevertheless, previous research has not yet studied the contractibility changes by tensiomyography between myofascial trigger point (MTrP) types and normal tissue. Therefore, the aim of this study was to determine the tensiomyography, sonoelastography, and pressure pain threshold (PPT) differences between the palpation area of active and latent MTrPs with regards to control points in the lumbar erector spinae muscles of subjects with LPP...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28266871/referred-pain-patterns-of-the-infraspinatus-muscle-elicited-by-deep-dry-needling-and-manual-palpation
#5
Emilio J Poveda-Pagán, Carlos Lozano-Quijada, Jose V Segura-Heras, María Peral-Berna, Blanca Lumbreras
OBJECTIVES: To identify the most common referred pain (ReP) pattern of the infraspinatus myofascial trigger point (MTrP) and compare its coincidence with the original ReP pattern, to verify whether there are any significant differences by sex and types of technique and to determine the observed signs and symptoms evoked by deep dry needling (DDN) and manual palpation (MPal). DESIGN: A cohort study of patients randomized to two different examination methods (July and August 2016)...
March 7, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28265852/evidence-and-expert-opinions-dry-needling-versus-acupuncture-ii-the-american-alliance-for-professional-acupuncture-safety-aapas-white-paper-2016
#6
Arthur Yin Fan, Jun Xu, Yong-Ming Li
In the United States and other Western countries, dry needling has been a topic in academic and legal fields. This White Paper is to provide the authoritative information of dry needling versus acupuncture to academic scholars, healthcare professionals, administrators, policymakers, and the general public by providing the authoritative evidence and expertise regarding critical issues of dry needling and reaching a consensus. We conclude that Dr. Travell, Dr. Gunn, Dr. Baldry and others who have promoted dry needling by simply rebranding (1) acupuncture as dry needling and (2) acupuncture points as trigger points (dry needling points)...
February 2017: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/28261683/botox-combined-with-myofascial-release-physical-therapy-as-a-treatment-for-myofascial-pelvic-pain
#7
Gabriela E Halder, Lauren Scott, Allison Wyman, Nelsi Mora, Branko Miladinovic, Renee Bassaly, Lennox Hoyte
PURPOSE: To report the effects of combined onabotulinumtoxinA (Botox) injections and myofascial release physical therapy on myofascial pelvic pain (MFPP) by comparing pre- and posttreatment average pelvic pain scores, trigger points, and patient self-reported pelvic pain. Secondary outcomes were to examine posttreatment complications and determine demographic differences between patients with/without an improvement in pain. MATERIALS AND METHODS: This was an Institutional Review Board approved retrospective case series on women over 18 years with MFPP who received Botox and physical therapy between July 2006 and November 2014...
March 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28254107/protocol-testing-the-relevance-of-acupuncture-theory-in-the-treatment-of%C3%A2-myofascial-pain-in-the-upper-trapezius-muscle
#8
Dale S Elsdon, Selina Spanswick, Chris Zaslawski, Peter C Meier
A protocol for a prospective single-blind parallel four-arm randomized placebo-controlled trial with repeated measures was designed to test the effects of various acupuncture methods compared with sham. Eighty self-selected participants with myofascial pain in the upper trapezius muscle were randomized into four groups. Group 1 received acupuncture to a myofascial trigger point (MTrP) in the upper trapezius. Group 2 received acupuncture to the MTrP in addition to relevant distal points. Group 3 received acupuncture to the relevant distal points only...
January 2017: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/28248690/responsiveness-of-myofascial-trigger-points-to-single-and-multiple-trigger-point-release-massages-a-randomized-placebo-controlled-trial
#9
Albert F Moraska, Sarah J Schmiege, John D Mann, Nathan Butryn, Jason P Krutsch
OBJECTIVE: This study aimed to assess the effects of single and multiple massage treatments on pressure-pain threshold (PPT) at myofascial trigger points (MTrPs) in people with myofascial pain syndrome expressed as tension-type headache. DESIGN: Individuals (n = 62) with episodic or chronic tension-type headache were randomized to receive 12 twice-weekly 45-min massage or sham ultrasound sessions or wait-list control. Massage focused on trigger point release (ischemic compression) of MTrPs in the bilateral upper trapezius and suboccipital muscles...
February 28, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28197849/effect-of-myofascial-techniques-for-treatment-of-upper-limb-dysfunctions-in-breast-cancer-survivors-randomized-controlled-trial
#10
An De Groef, Marijke Van Kampen, Nele Verlvoesem, Evi Dieltjens, Lore Vos, Tessa De Vrieze, Marie-Rose Christiaens, Patrick Neven, Inge Geraerts, Nele Devoogdt
PURPOSE: Besides pain, myofascial dysfunctions may contribute to the presence of upper limb impairments such as impaired range of motion, decreased strength, lymphedema, and altered postures and kinematics. Therefore, the aim of this study was to investigate the effect of myofascial therapy in addition to a standard physical therapy program for treatment of upper limb dysfunctions in breast cancer survivors. METHODS: Fifty women treated for a unilateral breast cancer with pain and myofascial dysfunctions at the upper limb region...
February 14, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28167189/neurophysiological-and-clinical-effects-of-dry-needling-in-patients-with-upper-trapezius-myofascial-trigger-points
#11
Maryam Abbaszadeh-Amirdehi, Noureddin Nakhostin Ansari, Soofia Naghdi, Gholamreza Olyaei, Mohammad Reza Nourbakhsh
INTRODUCTION: Dry needling (DN) is a widely used in treatment of myofascial trigger points (MTrPs). The purpose of this pretest-posttest clinical trial was to investigate the neurophysiological and clinical effects of DN in patients with MTrPs. METHODS: A sample of 20 patients (3 man, 17 women; mean age 31.7 ± 10.8) with upper trapezius MTrPs received one session of deep DN. The outcomes of neuromuscular junction response (NMJR), sympathetic skin response (SSR), pain intensity (PI) and pressure pain threshold (PPT) were measured at baseline and immediately after DN...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28167187/reliability-of-assessment-of-upper-trapezius-morphology-its-mechanical-properties-and-blood-flow-in-female-patients-with-myofascial-pain-syndrome-using-ultrasonography
#12
Hakimeh Adigozali, Azadeh Shadmehr, Esmail Ebrahimi, Asghar Rezasoltani, Farrokh Naderi
OBJECTIVE: In the present study, the intra-rater reliability of upper trapezius morphology, its mechanical properties and intramuscular blood circulation in females with myofascial pain syndrome were assessed using ultrasonography. DESIGN: A total of 37 patients (31.05 ± 10 years old) participated in this study. Ultrasonography producer was set up in three stages: a) Gray-scale: to measure muscle thickness, size and area of trigger points; b) Ultrasound elastography: to measure muscle stiffness; and c) Doppler imaging: to assess blood flow indices...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28167178/chronic-pain-in-a-patient-with-ehlers-danlos-syndrome-hypermobility-type-the-role-of-myofascial-trigger-point-injections
#13
Saipriya Tewari, Rajashree Madabushi, Anil Agarwal, Sujeet K Gautam, Sandeep Khuba
Chronic widespread musculoskeletal pain is a cardinal symptom in hypermobility type of Ehler Danlos Syndrome (EDS type III). The management of pain in EDS, however, has not been studied in depth. A 30 year old female, known case of EDS, presented to the pain clinic with complaints of severe upper back pain for 6 months. Physical examination of the back revealed two myofascial trigger points over the left rhomboids and the left erector spinae. Local anaesthetic trigger point injections were given at these points, followed by stretching exercises under analgesic cover for the first week...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28167170/a-critical-overview-of-the-current-myofascial-pain-literature-january-2017
#14
REVIEW
Jan Dommerholt
Due to a change in the production schedule of this journal, two issues of this article were due within a month of each other, which precluded the usual group of authors from contributing to the current paper, but they will participate in this review in the next issue. This overview includes several articles questioning the use of dry needling (DN) by non-acupuncturists, which continues to be a controversial topic especially in the United States. Several researchers examined the effects of manual trigger point (TrP) techniques applied to TrPs in the upper trapezius muscle...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28167166/effect-of-exams-period-on-prevalence-of-myofascial-trigger-points-and-head-posture-in-undergraduate-students-repeated-measurements-study
#15
Leonid Kalichman, Natalie Bulanov, Aryeh Friedman
BACKGROUND: Myofascial Trigger points (MTrPs) may be caused or aggravated by many factors, such as mental stress associated with exams and impaired posture. AIM: To compare the prevalence and sensitivity of MTrPs, and forward head position (FHP) during exam period vs. mid-semester among physical therapy students. METHODS: 39 physical therapy students were palpated for MTrPs in neck and shoulder muscles and were photographed laterally for FHP measurement during the academic semester and during the academic examination period...
January 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28158960/dry-needling-combined-with-physical-therapy-in-patients-with-chronic-postsurgical-pain-following-total-knee-arthroplasty-a-case-series
#16
Rodrigo Núñez-Cortés, Carlos Cruz-Montecinos, Álvaro Vásquez-Rosel, Orlando Paredes-Molina, Antonio Cuesta-Vargas
Study Design Case series. Background This case series describes a combined program of dry needling and therapeutic exercise in a small group of patients with persistent pain following total knee arthroplasty (TKA). Case Description Fourteen patients who underwent TKA had persistent postsurgical pain and myofascial trigger points that were nonresponsive to treatment with conventional physical therapy and/or medication. The patients received a weekly dry needling treatment in combination with therapeutic exercises for 4 weeks...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28158152/effects-of-dry-needling-on-spinal-mobility-and-trigger-points-in-patients-with-fibromyalgia-syndrome
#17
Adelaida Maria Castro-Sanchez, Hector Garcia-Lopez, Guillermo A Mataran-Penarrocha, Manuel Fernandez-Sanchez, Cayetano Fernandez-Sola, Jose Granero-Molina, Maria Encarnacion Aguilar-Ferrandiz
BACKGROUND: The etiology of fibromyalgia syndrome (FMS) is inconclusive, but central mechanisms are well accepted for this pain condition. Myofascial pain syndrome (MPS) is one of the most common musculoskeletal pain diseases and is characterized by myofascial trigger points (MTrPs). It has been suggest that MTrPs have an important factor in the genesis of FMS. OBJECTIVE: The purpose of the current randomized clinical trial was to compare the effectiveness of dry needling versus cross tape on spinal mobility and MTrPs in spinal muscles in patients with FMS...
February 2017: Pain Physician
https://www.readbyqxmd.com/read/28155823/ultrasonography-in-diagnosis-of-myofascial-pain-syndrome-and-reliability-of-novel-ultrasonic-indexes-of-upper-trapezius-muscle
#18
Navid Taheri, Farshad Okhovatian, Asghar Rezasoltani, Mehdi Karami, Sayed Mohsen Hosseini, Hosein Kouhzad Mohammadi
BACKGROUND: Myofascial pain syndrome (MPS) is a common non-articular musculoskeletal disorder. It is characterized by local and referred pain due to the presence of myofascial trigger points (MTrPs). MTrPs most commonly involve the upper trapezius muscle and can be visualized using ultrasound imaging. This study was designed to determine the inter-rater reliability of some new ultrasonographic indices of the upper trapezius muscle and the sensitivity and specificity of 2D ultrasound imaging in the diagnosis of MPS...
March 23, 2016: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28122939/relationship-of-the-lateral-rectus-muscle-the-supraorbital-nerve-and-binocular-coordination-with-episodic-tension-type-headaches-frequently-associated-with-visual-effort
#19
Anxo Cachinero-Torre, Belén Díaz-Pulido, Ángel Asúnsolo-Del-Barco
 To study the relationship between tension-type headaches and the oculomotor system in terms of binocular coordination, mechanosensitivity of the supraorbital nerve, and myofascial trigger points in the lateral rectus muscle, assessing the influence of visual effort caused by using a computer at work. DESIGN : Observational study with blind evaluation of the response variable. METHODS : Two groups were compared: 19 subjects with tension-type headaches and 16 healthy subjects, both exposed to computer use at work...
January 24, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28115321/manual-acupuncture-for-myofascial-pain-syndrome-a-systematic-review-and-meta-analysis
#20
Rong Wang, Xiuxia Li, Shenghu Zhou, Xiaogang Zhang, Kehu Yang, Xusheng Li
OBJECTIVE: To assess the efficacy of manual acupuncture (MA) in the treatment of myofascial pain syndrome (MPS). METHODS: We searched for randomised controlled trials (RCTs) comparing MA versus sham/placebo or no intervention in patients with MPS in the following databases from inception to January 2016: PubMed; Cochrane Library; Embase; Web of Science; and China Biology Medicine. Two reviewers independently screened the literature extracted data and assessed the quality of the included studies according to the risk of bias tool recommended by the Cochrane Handbook (V...
January 23, 2017: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
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