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Myofascial pain trigger point

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https://www.readbyqxmd.com/read/28098584/interrater-agreement-of-manual-palpation-for-identification-of-myofascial-trigger-points-a-systematic-review-and-meta-analysis
#1
Alasdair T L Rathbone, Liza Grosman-Rimon, Dinesh A Kumbhare
OBJECTIVE: To achieve a statistical estimate of the agreement of manual palpation for identification of myofascial trigger points (MTrPs) and secondarily to investigate potential factors impacting the agreement of this technique. METHODS: We searched MEDLINE(R) and Embase for studies examining the reproducibility of manual palpation for the identification of MTrPs from the year 2007 to present. In addition, we utilized studies identified by 2 comprehensive systematic reviews that covered the period before 2007...
January 17, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28068679/-pneumothorax-following-dry-needling-treatment-legal-and-ethical-aspects
#2
Gianpaolo Ronconi, Fabio De Giorgio, Eleonora Ricci, Loredana Maggi, Antonio G Spagnolo, Paola Emilia Ferrara
Trigger point "dry needling" is a technique used to treat myofascial pain. It involves using filiform needles which are inserted into muscles to give local pain relief. Few cases of serious adverse events following this treatment have been reported in the literature. In this paper we describe the case of a professional swimmer who developed pneumothorax after dry needling treatment and discuss the medicolegal and ethical aspects related to competencies and responsibilities of medical doctors and physiotherapists performing the procedure...
September 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/28049214/relating-chronic-pelvic-pain-and-endometriosis-to-signs-of-sensitization-and-myofascial-pain-and-dysfunction
#3
Jacqueline V Aredo, Katrina J Heyrana, Barbara I Karp, Jay P Shah, Pamela Stratton
Chronic pelvic pain is a frustrating symptom for patients with endometriosis and is frequently refractory to hormonal and surgical management. While these therapies target ectopic endometrial lesions, they do not directly address pain due to central sensitization of the nervous system and myofascial dysfunction, which can continue to generate pain from myofascial trigger points even after traditional treatments are optimized. This article provides a background for understanding how endometriosis facilitates remodeling of neural networks, contributing to sensitization and generation of myofascial trigger points...
January 3, 2017: Seminars in Reproductive Medicine
https://www.readbyqxmd.com/read/28025371/prevalence-of-myofascial-pain-syndrome-in-chronic-non-specific-neck-pain-a-population-based-cross-sectional-descriptive-study
#4
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...
December 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28017188/comparing-trigger-point-dry-needling-and-manual-pressure-technique-for-the-management-of-myofascial-neck-shoulder-pain-a-randomized-clinical-trial
#5
Kayleigh E De Meulemeester, Birgit Castelein, Iris Coppieters, Tom Barbe, Ann Cools, Barbara Cagnie
OBJECTIVE: The aim of this study was to investigate short-term and long-term treatment effects of dry needling (DN) and manual pressure (MP) technique with the primary goal of determining if DN has better effects on disability, pain, and muscle characteristics in treating myofascial neck/shoulder pain in women. METHODS: In this randomized clinical trial, 42 female office workers with myofascial neck/shoulder pain were randomly allocated to either a DN or MP group and received 4 treatments...
January 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28004301/evidence-and-expert-opinions-drying-needling-versus-acupuncture-i-the-american-alliance-for-professional-acupuncture-safety-aapas-white-paper-2016
#6
Arthur Yin Fan, Jun Xu, Yong-Ming Li
In the last twenty years, in the United States and other Western countries, dry needling (DN) became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts' opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome...
December 21, 2016: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27990302/does-deep-cervical-flexor-muscle-training-affect-pain-pressure-thresholds-of-myofascial-trigger-points-in-patients-with-chronic-neck-pain-a-prospective-randomized-controlled-trial
#7
Pavlos Bobos, Evdokia Billis, Dimitra-Tania Papanikolaou, Constantinos Koutsojannis, Joy C MacDermid
Background. We need to understand more about how DNF performs in different contexts and whether it affects the pain threshold over myofascial trigger points (MTrPs). Purpose. The objectives were to investigate the effect of neck muscles training on disability and pain and on pain threshold over MTrPs in people with chronic neck pain. Methods. Patients with chronic neck pain were eligible for participation with a Neck Disability Index (NDI) score of over 5/50 and having at least one MTrP on either levator scapulae, upper trapezoid, or splenius capitis muscle...
2016: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/27956818/a-comparison-between-different-modes-of-real-time-sonoelastography-in-visualizing-myofascial-trigger-points-in-low-back-muscles
#8
Mary Kamal Nassif Takla, Naglaa Mohamed Abdel Razek, Omaima Kattabei, Marzouk Abdel Fattah El-Lythy
OBJECTIVE: Currently, there is a lack of objective means to quantify myofascial trigger points (MTrPs) and their core features. Our research compares (1) MTrPs and surrounding myofascial tissue using two-dimensional grayscale ultrasound (2DGSUS) and vibration sonoelastography (VSE); (2) the accuracy of both modes in visualizing MTrPs; (3) 'active' and 'latent' MTrPs, using VSE; and (4) the accuracy of both modes in visualizing deep and superficially located MTrPs. METHODS: Fifty participants with more than two MTrPs in their quadratus lumborum, longissimus thoracis, piriformis, and gluteus medius muscles were assigned to an active MTrP (low back pain) group or a latent (currently pain free) MTrP group...
December 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27937046/contribution-of-dry-needling-to-individualized-physical-therapy-treatment-of-shoulder-pain-a-randomized-clinical-trial
#9
Sara Pérez-Palomares, Bárbara Oliván-Blázquez, Ana Pérez-Palomares, Elena Gaspar-Calvo, Marina Pérez-Benito, Elena López-Lapeña, Maria Luisa de la Torre-Beldarraín, Rosa Magallón-Botaya
Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatment of shoulder pain. Methods One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment...
January 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27863792/presence-of-latent-myofascial-trigger-points-and-determination-of-pressure-pain-thresholds-of-the-shoulder-girdle-in-healthy-children-and-young-adults-a-cross-sectional-study
#10
Luciane S Sacramento, Paula R Camargo, Aristides L Siqueira-Júnior, Jean P Ferreira, Tania F Salvini, Francisco Alburquerque-Sendín
OBJECTIVE: The primary objective of this study was to compare the number of myofascial trigger points (MTPs) and the pressure pain thresholds (PPTs) in the shoulder girdle, on the dominant and nondominant sides, between healthy children and adults. The secondary aim was to assess the correlations between the number of MTPs and the PPTs in these populations. METHODS: A cross-sectional study was performed. Thirty-five children (aged 9.1 ± 1.7 years) and 35 adults (aged 23...
January 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27857633/clinical-effectiveness-of-dry-needling-immediately-after-application-on-myofascial-trigger-point-in-upper-trapezius-muscle
#11
Maryam Ziaeifar, Amir Massoud Arab, Mohammad Reza Nourbakhsh
OBJECTIVE: The purpose of this study was to investigate the effect of dry needling (DN) on pain intensity and pressure pain threshold (PPT) compared with ischemic compression (IC) immediately and 48 hours after each treatment session in individuals with myofascial trigger points in the upper trapezius muscle. METHODS: Thirty-one patients with myofascial trigger points in the upper trapezius muscle participated in this study. Patients were randomly assigned to a standard (N = 17) or experimental group (N = 14)...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27857631/comparison-between-the-effects-of-passive-and-active-soft-tissue-therapies-on-latent-trigger-points-of-upper-trapezius-muscle-in-women-single-blind-randomized-clinical-trial
#12
Marzieh Mohammadi Kojidi, Farshad Okhovatian, Abbas Rahimi, Alireza Akbaezade Baghban, Hadi Azimi
OBJECTIVE: The purpose of this study was to investigate the effects of passive versus active soft tissue therapies on pain and ranges of motion in women with latent myofascial trigger points. METHODS: Forty-two female patients, aged 18 to 64 years, with a history of neck pain and latent myofascial trigger points in the upper trapezius muscle were randomly assigned to 3 groups: group A received passive soft tissue therapy, group B received active soft tissue therapy, and a control group C received a sham procedure...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27816210/interrater-reliability-in-the-clinical-evaluation-of-myofascial-trigger-points-in-three-ankle-muscles
#13
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 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27814868/the-effectiveness-of-manual-versus-algometer-pressure-release-techniques-for-treating-active-myofascial-trigger-points-of-the-upper-trapezius
#14
Walaa Abu Taleb, Aliaa Rehan Youssef, Amir Saleh
Manual pressure release (MPR) is a popular treatment of trigger points. Yet, treatment response may be influenced by inconsistent application of pressure. Further, it may contribute to increased risk of work-related musculoskeletal disorders of the wrist and hand in therapists. Therefore, this study aimed at introducing a novel method to apply pressure using the algometer and to compare its effectiveness to MPR. Forty-five volunteers with active trigger points of the upper trapezius received algometer pressure release (APR), MPR, or sham ultrasound (US)...
October 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27814857/the-influence-of-positional-release-therapy-on-the-myofascial-trigger-points-of-the-upper-trapezius-muscle-in-computer-users
#15
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
https://www.readbyqxmd.com/read/27752210/a-comparative-study-of-trigger-point-therapy-with-local-anaesthetic-0-5%C3%A2-bupivacaine-versus-combined-trigger-point-injection-therapy-and-levosulpiride-in-the-management-of-myofascial-pain-syndrome-in-the-orofacial-region
#16
Pranav Gupta, Virendra Singh, Sujata Sethi, Arun Kumar
AIM: To compare the efficacy of combined local anesthetic injection with 0.5 % bupivacaine and levosulpiride versus local anesthetic injection alone on outcome measures including levels of pain intensity and depression in the management of myofascial pain syndrome in orofacial region. PATIENTS AND METHODS: This was a prospective, randomized, controlled and open-label comparative clinical study. Seventy-four patients diagnosed to have myofascial pain syndrome and fulfilling the inclusion criteria were enrolled for the study...
September 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27713577/a-narrative-review-of-new-trends-in-the-diagnosis-of-myofascial-trigger-points-diagnostic-ultrasound-imaging-and-biomarkers
#17
John Z Srbely, Dinesh Kumbhare, Liza Grosman-Rimon
Myofascial pain syndrome (MPS) is one of the most common conditions of chronic musculoskeletal pain encountered by primary healthcare practitioners on a daily basis. It is generally accepted amongst the broad profile of healthcare practitioners treating MPS that the presence of discrete, palpable and tender nodules within the muscle, known as myofascial trigger points (MTrP), is necessary to confirm the diagnosis of MPS. Manual palpation is currently the most common technique used to detect MTrP, however, previous research has shown that the reliability of manual palpation for detecting MTrP is poor, and in our opinion unacceptably poor, leading to inconsistent diagnosis of MPS and poor patient outcomes...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27704503/myofascial-trigger-point-pain-syndromes
#18
Robert D Gerwin
Myofascial pain syndromes caused by trigger points (TrPs) in muscle are a common cause of local and generalized pain. Trigger points are hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress. Stress TrPs have characteristic electromyographic features, and can be visualized with ultrasound and magnetic resonance elastography. Trigger point needling or injection can be effective in inactivating TrP, but correcting triggers is also critical.
October 2016: Seminars in Neurology
https://www.readbyqxmd.com/read/27697769/effects-of-myofascial-trigger-point-dry-needling-in-patients-with-sleep-bruxism-and-temporomandibular-disorders-a-prospective-case-series
#19
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
https://www.readbyqxmd.com/read/27697768/therapeutic-effects-of-dry-needling-in-patients-with-upper-trapezius-myofascial-trigger-points
#20
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
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